| 股四头肌等长收缩练习治疗膝骨性关节炎的病例对照研究 |
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Received:February 18, 2012
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| 期刊信息：《中国骨伤》2012年25卷，第5期，第369-372页 |
| DOI：10.3969/j.issn.1003-0034.2012.05.004 |
| 基金项目:四川省科学技术厅课题(编号：2008SZ0239) |
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目的：探讨股四头肌等长收缩练习治疗膝骨性关节炎的临床疗效,并建立膝骨性关节炎运动处方。
方法：2008年1月至2010年9月采用股四头肌等长收缩练习治疗膝骨性关节炎120例,其中男39例,女81例;年龄40～85岁,平均62.50岁;病程1个月～30年。按就诊先后顺序分为2组,治疗组60例,男21例,女39例;年龄40～85岁,平均(62.27±8.99)岁;病程2个月～30年,给予玻璃酸钠关节腔注射加股四头肌等长收缩练习治疗。对照组60例,男18例,女42例;年龄41～80岁,平均(62.72±8.34)岁;病程个1个月～30年,给予常规玻璃酸钠关节腔注射治疗。分别观察2组膝关节疼痛、功能及积液等指标,比较其临床疗效。
结果：120例均获随访,时间1～3年,平均18个月。参照JOA判定标准：治疗组治愈12例,显效33例,有效14例,无效1例;对照组治愈7例,显效14例,有效31例,无效8例,治疗组疗效优于对照组。治疗组累计复发7膝(1年内复发3膝,1年后复发4膝),对照组累计复发31膝(1年内复发13膝,1年后复发18膝),治疗组复发病例少于对照组。
结论：股四头肌等长收缩练习在治疗膝骨性关节炎中具有明显的缓解症状、改善关节功能、增强关节稳定性及减缓关节退变进程的作用,远期临床疗效较好。 |
| [关键词]:骨关节炎,膝 运动疗法 关节痛 病例对照研究 |
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| Case-control study on isometric quadriceps femoris contraction exercises for the treatment of knee osteoarthritis |
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Abstract:
Objective:To evaluate clinical effects of knee osteoarthritis with the treatment of the isometric quadriceps femoris contraction exercises,which aims at establishing the exercise prescription of knee osteoarthritis,and promoting its clinical application.
Methods:From January 2008 to September 2010,120 patients with knee osteoarthritis were divided into two groups according to visiting sequence,including 39 males and 81 females,ranging in age from 40 to 85 years,with an average of 62.50 years,the disease course ranged from 1 month to 30 years. There were 60 patients in the therapeutic group,including 21 males and 39 females,ranging in age from 40 to 85 years,with an average of (62.27±8.99) years,the disease course ranged from 2 months to 30 years; and the patients were treated with intra-articular injection of sodium hyaluronate and isometric quadriceps femoris contraction exercises for treatment. There were 60 patients in the control group,including 18 males and 42 females,ranging in age from 41 to 80 years,with an average of (62.72±8.34) years,the disease course ranged from 1 month to 30 years; and the patients were treated with conventional intra-articular injection of sodium hyaluronate. The index such as the pains,functions and articular dropsy of the knees were observed and the clinical effects were compared respectively.
Results:All the patients were followed up,and the duration ranged from 1 to 3 years,with an average of 18 months. According to standard of JOA about evaluating the therapeutic effects of knee osteoarthritis:in the therapeutic group,12 patients got an excellent result,33 good,14 poor and 1 bad; and in the control group,7 patients got an excellent result,14 good,31 poor and 8 bad. The clinical results of therapeutic group was better than that of control group. There were 7 recurrent cases in the therapeutic group and 31 recurrent cases in the control group;the recurrence rate in therapeutic group was lower than that of control group.
Conclusion:The isometric quadriceps femoris contraction exercises has obvious effect in alleviating the symptoms,improving joint function,strengthening the joint stability and slowing down joint degeneration process for the treatment of knee osteoarthritis,which has a good effect in the long-term clinical effects. |
| KEYWORDS:Osteoarthritis,knee Exercise therapy Arthralgia Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 何本祥,檀亚军,夏万荣,魏微.股四头肌等长收缩练习治疗膝骨性关节炎的病例对照研究[J].中国骨伤,2012,25(5):369~372 |
| 英文格式: | HE Ben-xiang,TAN Ya-jun,XIA Wan-rong,WEI Wei.Case-control study on isometric quadriceps femoris contraction exercises for the treatment of knee osteoarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(5):369~372 |
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