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超声波结合股四头肌肌力训练治疗老年膝关节骨关节炎
引用本文:胥方元,何成松,余茜,干锦华,杨大鉴.超声波结合股四头肌肌力训练治疗老年膝关节骨关节炎[J].中华物理医学杂志,2003,25(9):541-543.
作者姓名:胥方元  何成松  余茜  干锦华  杨大鉴
作者单位:胥方元(646000,泸州,泸州医学院附属医院康复医学科)       何成松(646000,泸州,泸州医学院附属医院康复医学科)       余茜(646000,泸州,泸州医学院附属医院康复医学科)       干锦华(646000,泸州,泸州医学院附属医院康复医学科)       杨大鉴(646000,泸州,泸州医学院附属医院康复医学科)
摘    要:目的探讨超声波结合股四头肌肌力增强训练对老年膝关节骨关节炎的疗效. 方法将76例老年膝关节骨关节炎患者随机分为实验组和对照组,每组38例.实验组采用超声波结合股四头肌肌力训练,对照组应用综合物理疗法治疗.对患膝治疗前和治疗4周后的日常活动(ADL)能力、疼痛程度及伸直位最大负荷量进行评定. 结果实验组在缓解疼痛、改善膝关节ADL能力方面略优于对照组(P>0.05),但其股四头肌肌力较治疗前及对照组明显增强(P<0.01). 结论超声波结合股四头肌肌力强化训练治疗老年膝关节骨关节炎,可获得较满意的治疗结果.

关 键 词:老年  膝关节骨关节炎  超声波治疗  股四头肌肌力增强训练
修稿时间:2003年2月11日

Ultrasound in combination with quadriceps exercise for the treatment of senile knee osteoarthritis
XU Fang-yuan,HE Cheng-song,YU Qia n,GAN Jin-hua,YANG Da-jian.Ultrasound in combination with quadriceps exercise for the treatment of senile knee osteoarthritis[J].Chinese Journal of Physical Medicine and Rehabilitation,2003,25(9):541-543.
Authors:XU Fang-yuan  HE Cheng-song  YU Qia n  GAN Jin-hua  YANG Da-jian
Institution:XU Fang-yuan,HE Cheng-song,YU Qia n,GAN Jin-hua,YANG Da-jian. Department of Rehabilitation Medicine,Affiliate d Hospital of Luzhou Medical College,Luzhou 646000,China
Abstract:Objective To verify the efficacy of ultr as ound in combination with quadriceps exercise in treatment of senile knee osteoar thritis. Methods Seventy-six patients with senile k nee osteoarthritis were randomly divided into 2 groups: experimental group recei ving ultrasound combined with quadriceps exercise treatment, and control group u ndergoing comprehensive physical therapy only. Function was evaluated by the pat ient's knee joint activities of daily life(ADL) respectively before and 4 weeks after treatment, involved knee pain was assessed subjectively with a numerical p ain scale at the same time. Results The experimental group was slightly better than control group in terms of relief of pain and i ncrease of the ADL ability of the knee joint( P >0.05). In addition, the mus cle strength of quadriceps has been greatly increased ( P <0.01). Conclusion Ultrasound in combination with quadriceps exercise is efficacious in treating senile knee osteoarthritis.
Keywords:Ultrasound  Muscle training  Senile  Osteoarthritis
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