老年膝骨关节炎患者膝关节本体感觉与疼痛和功能的相关性

发布时间：2018-02-05 02:39

本文关键词： 膝骨关节炎本体感觉　出处：《中国老年学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的探讨膝骨关节炎(KOA)患者膝关节本体感觉与膝关节功能的关系。方法 52例KOA患者进行本体感觉量化评定、西安大略和麦克马斯特大学(WOMAC)骨关节炎指数评分和视觉模拟评分(VAS)测试,并进行相关性分析。结果 KOA患者本体感觉主要指标的测试时间与WOMAC各项评分、VAS无明显相关性(P0.05);稳定指数、平均轨迹差与WOMAC量表(疼痛、僵硬、功能和总分)、VAS均存在中等程度正相关(P0.05,P0.01),其中平均轨迹差与VAS相关性最高(r=0.426);平均力量差与WOMAC各项评分、VAS无明显相关性(P0.05)。结论 KOA患者膝关节本体感觉降低与疼痛、功能间具有正向相关性,建议制定康复方案重视改善本体感觉。
[Abstract]:Objective to investigate the relationship between knee proprioceptive sensation and knee joint function in patients with knee osteoarthritis. Methods 52 patients with KOA were assessed quantitatively. The Osteoarthritis Index score and Visual Analog score (VAS) were measured at the University of Western Ontario and the University of McMaster. Results there was no significant correlation between the testing time of the main proprioceptive indexes and the scores of KOA (P 0.05). Stability index, mean locus difference were positively correlated with WOMAC (pain, stiffness, function and total score). The correlation between average trajectory difference and VAS was the highest. There was no significant correlation between the mean strength difference and the scores of WOMAC. Conclusion there is a positive correlation between the decrease of proprioceptive sensation and pain and the function of the knee joint in KOA patients. It is suggested that rehabilitation programs should be developed to improve proprioceptive perception.
【作者单位】：福建省康复产业研究院;福建省康复技术重点实验室;福建中医药大学康复医学院;
【基金】：福建省自然科学基金项目(2016J01383) 福建省科技厅科技平台建设项目(2015Y2001-05) 福建中医药大学2014年重点学科专项校管课题(X2014075-学科) 福建省2016年国家级大学生创新创业训练计划项目(201610393028,201610393048)
【分类号】：R684.3
【正文快照】： 膝骨关节炎(KOA)是一种以软骨变性、软骨下骨硬化或囊性变、滑膜增生、关节囊挛缩、韧带松弛或挛缩、肌肉萎缩无力、骨萎缩等病理变化为主要特点的慢性退行性关节疾病[1]。疼痛、关节僵直畸形和关节功能受限是KOA的主要临床表现[2]。研究表明KOA患者普遍存在不同程度的本体感

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