腕踝针配合弹力带训练对膝骨性关节炎屈伸肌功能和平衡能力的影响

发布时间：2018-04-09 17:23

本文选题：膝骨性关节炎　切入点：腕踝针　出处：《福建中医药大学》2016年硕士论文

【摘要】：目的观察腕踝针配合弹力带训练对膝骨性关节炎的临床疗效,并通过分析疼痛程度、等速肌力、平衡能力的变化,为临床寻求一个简单有效的治疗方案。方法本研究采用简单随机对照方法,将60例符合纳入标准的膝骨性关节炎患者随机分为腕踝针配合弹力带训练组、单纯弹力带训练组各30例,进行临床观察。治疗前后对患者进行膝关节综合评定(包括关节活动度测试、等速肌力测试、动态跌倒风险指数、VAS疼痛评分表)。结果1、两组治疗后较治疗前关节活动度、肌力、动态跌倒风险指数和VAS疼痛评分均有明显改善,治疗后优于治疗前(P0.01)。2、临床疗效比较：腕踝针配合弹力带训练组：临床控制7例、显效14例、有效8例、无效1例,总有效率96.7%；单纯弹力带训练组：临床控制4例、显效9例、有效14例、无效3例,总有效率90%,腕踝针配合弹力带康复训练组疗效优于单纯弹力带康复训练组(P0.05)。3、两组治疗后肌力、动态跌倒风险指数和VAS评分改善程度比较,腕踝针配合弹力带训练组优于单纯弹力带训练组,差异显著(P0.05)；但两组治疗后关节活动度测试结果相比较无显著差异(P0.05)。结论1、应用腕踝针配合弹力带康复训练治疗膝骨性关节炎的疗效确切,并可显著提高短期疗效。2、通过配合腕踝针对于阻断、降低膝骨性关节炎的疼痛更为显著,同时在消除疼痛因素干扰的情况下促使弹力带训练中膝关节的屈／伸肌的训练获得更大成效、进一步提高关节稳定性。3、通过腕踝针配合弹力带训练,能够有效降低中老年膝骨性关节炎患者的跌倒风险,提高平衡控制能力。
[Abstract]:Objective to observe the clinical effect of wrist ankle acupuncture combined with elastic band training on knee osteoarthritis, and to find a simple and effective treatment scheme by analyzing the changes of pain degree, isokinetic muscle strength and balance ability.Methods 60 patients with osteoarthritis of knee were randomly divided into two groups: carpal and ankle acupuncture combined with elastic band training group (30 cases) and elastic band training group (30 cases).Before and after treatment, the patients were evaluated with comprehensive knee joint (including joint motion test, isokinetic muscle strength test, dynamic fall risk index and VAS pain score).Results 1. After treatment, the joint motion, muscle strength, dynamic fall risk index and VAS pain score of the two groups were significantly improved, which was better than that of the pre-treatment group (P 0.01). The clinical efficacy was compared: carpal and ankle acupuncture combined with elastic belt training group: 7 cases were controlled clinically.The total effective rate was 96.7% in 14 cases, effective in 8 cases, ineffective in 1 case, and the total effective rate was 96.7.The simple elastic band training group showed clinical control in 4 cases, remarkable effect in 9 cases, effective in 14 cases, ineffective in 3 cases.The total effective rate was 90. The curative effect of wrist ankle acupuncture combined with elastic band rehabilitation training group was better than that of simple elastic band rehabilitation training group (P0.05. 3). The improvement degree of muscle strength, dynamic fall risk index and VAS score were compared between the two groups after treatment.Wrist ankle acupuncture combined with elastic band training group was better than simple elastic band training group, the difference was significant (P 0.05), but there was no significant difference between the two groups after treatment.Conclusion 1. The treatment of knee osteoarthritis with wrist ankle acupuncture combined with elastic band rehabilitation training is effective, and can significantly improve the short-term curative effect. The pain of knee osteoarthritis can be reduced more significantly by the combination of wrist and ankle to block the osteoarthritis.At the same time, under the condition of eliminating the disturbance of pain factors, the training of flexion / extensor muscle of knee joint in elastic band training is more effective, and the stability of joint is further improved by means of wrist and ankle acupuncture combined with elastic band training.It can effectively reduce the fall risk and improve the balance control ability in the middle-aged patients with knee osteoarthritis.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

【相似文献】