探讨应用下肢推蹬运动控制与训练系统对膝关节创伤性关节炎患者功能恢复的影响

Effects of leg press with visual feedback on recovery of post-traumatic knee arthritis

  • 摘要: 目的 探讨下肢推蹬运动控制与训练系统对膝关节创伤性关节炎患者功能恢复的作用。 方法 将2015年7月- 2017年12月于本科就诊的膝关节创伤性关节炎患者40例随机分为两组,两组基线特征差异无统计学意义,对照组采用直腿抬高运动方法治疗,治疗组采用下肢推蹬运动控制与训练系统进行视觉反馈下腿部推蹬运动治疗,两组患者每周均进行3次治疗,持续4周。使用视觉模拟评分法(visual analogue scale,VAS)对患者膝关节疼痛进行评定,同时采用美国特种骨科医院膝关节评分(hospital for special surgery knee score,HSS)对患者膝关节功能进行评定。在治疗前和治疗4周后对两组患者进行疗效评估。 结果 治疗4周后,两组的VAS评分均降低,治疗组评分低于对照组(1.6±1.4 vs 2.6±0.9,P=0.011);两组HSS评分均增加,治疗组评分高于对照组(86.8±9.2 vs 79.2±11.5,P=0.025)。 结论 视觉反馈下腿部推蹬运动可以减轻患者膝关节疼痛,且较传统治疗方法改善膝关节功能更为显著。

     

    Abstract: Objective To study the effect of leg press with visual feedback on the recovery of post-traumatic knee arthritis. Methods Forty patients with post-traumatic knee arthritis in our hospital from July 2015 to December 2017 were randomly divided into treatment group and control group. There was no significant difference in baseline data between two groups. Patients in the control group were treated with straight leg raise exercise and the treatment group with leg press with visual feedback. The rehabilitation plan lasted for 4 weeks, once a day, 3 days per week, with 12 times in total. Visual analogue scale (VAS) was selected as the indicator of pain and hospital for special surgery knee score (HSS) as the indicator of motor function. Both VAS and HSS were assessed before and at 4 weeks after treatment. Results At 4 weeks after treatment, the VAS score decreased in both groups, and it was significantly lower in treatment group than control group(1.6±1.4) vs (2.6±0.9), P=0.011. While the HSS score increased in both groups, and it was significantly higher in treatment than control group(86.8±9.2) vs (79.2±11.5), P=0.025. Conclusion The leg press with visual feedback is effective in reducing the pain of knee joint, enhancing the motor function of knee joint, which is more effective than straight leg raise.

     

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