膝骨关节炎患者静态平衡能力的影响因素分析

发布时间：2019-02-26 20:57

【摘要】：目的探讨膝骨关节炎(KOA)患者病程、体质指数(BMI)、疼痛程度、骨关节炎指数(WOMAC)量表积分与静态平衡能力的相关性。方法选取2016年1—10月社区招募和福建中医药大学附属第三人民医院门诊就诊的KOA患者50例为研究对象。采用疼痛视觉模拟评分(VAS)评价膝关节疼痛程度,采用WOMAC量表评价膝关节功能,采用Pro-Kin 254P型平衡测试系统评价睁眼、闭眼静态平衡能力。结果 KOA患者病程与睁眼静态平衡指标前后方向标准偏差、横向标准偏差、前后方向平均运动速度、横向平均运动速度、运动椭圆面积、运动长度呈正相关(P0.05);BMI与闭眼静态平衡指标横向标准偏差、运动椭圆面积呈正相关(P0.05);VAS与睁眼静态平衡指标y轴平均压力中心呈正相关,与罗伯长度呈负相关(P0.05);WOMAC量表日常功能活动积分与闭眼静态平衡指标y轴平均压力中心呈正相关(P0.05)。结论 KOA患者病程、BMI、疼痛程度、日常功能活动能力与静态平衡指标有关,患者静态平衡能力对视觉的依赖较大。
[Abstract]:Objective to investigate the relationship between the course of knee osteoarthritis (KOA), the degree of pain of (BMI), the score of osteoarthritis index (WOMAC) and the ability of static balance in patients with osteoarthritis of the knee. Methods from January to October, 2016, 50 KOA patients who were recruited by community and treated by the third people's Hospital affiliated to Fujian University of traditional Chinese Medicine were selected as subjects. Pain visual analogue score (VAS) was used to evaluate the degree of knee pain, WOMAC scale was used to evaluate knee function, and Pro-Kin 254p balance test system was used to evaluate the ability of eye-opening and closed-eye static balance. Results there was a positive correlation between the course of KOA and the static balance indexes, including the standard deviation in front and back direction, the lateral standard deviation, the average velocity in front and back direction, the average velocity in lateral direction, the area of motion ellipse and the length of movement (P0.05). BMI was positively correlated with the horizontal standard deviation of closed eye static balance index and the area of motion ellipse (P0.05); VAS was positively correlated with the mean pressure center of y axis of static eye open balance index, but negatively correlated with the length of Rob (P0.05); There was a positive correlation between the daily function activity score of WOMAC scale and the mean pressure center of y axis of closed eye static balance index (P0.05). Conclusion the course of disease, the degree of pain in BMI, and the ability of daily function are related to the static balance index in KOA patients. The patients' static balance ability is dependent on vision.
【作者单位】：福建中医药大学康复医学院;福建省康复产业研究院;福建省康复技术重点实验室;福建省体育科学研究所;国家体育总局运动机能评定重点实验室;
【基金】：福建省自然科学基金资助项目(2016J01383) 福建省2016年国家级大学生创新创业训练计划项目(201610393028) 福建中医药大学2014年重点学科专项校管课题(X2014075-学科) 2014年福建省公益类科研院所自主选题研究项目(2014R1030-2)
【分类号】：R684.3

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