感觉运动训练治疗膝关节骨性关节炎的疗效观察

目的 探讨感觉运动训练治疗膝关节骨性关节炎(OA)的临床疗效.方法 共选取92例膝OA患者,采用随机数字表法将其分为治疗组及对照组.2组患者均给予常规康复治疗,包括膝关节等长、等张肌力训练、超短波、有氧训练等;治疗组患者在上述基础上辅以感觉运动训练,包括股四头肌-腘绳肌悬吊训练、在Thera-band训练垫上进行肌力训练及平衡训练等.于治疗2个月后对2组患者膝关节疼痛程度及功能进行评定.结果 2组患者分别经相应治疗后,发现其膝关节疼痛及活动功能均较入选时明显改善;并且以治疗组的改善幅度相对较显著,与对照组间差异具有统计学意义(P＜0.05).结论 在常规康复治疗基础上辅以感觉运动训练,能进一步缓解膝OA患者疼痛、促进关节功能恢复,该联合疗法值得临床推广、应用.

Abstract：

Objective To investigate the effects of sensorimotor therapy on patients with knee osteoarthritis.Methods Ninety-two patients with knee osteoarthritis were divided into a treatment group and a control group by using random digits table. Both groups received conventional rehabilitation therapy, including knee isometric and isotonic contraction training, ultrashort wave diathermy as well as aerobic exercise. The treatment group was also administered with sensorimotor training, in addition to the conventional training,including the muscle strengthening and control training of quadriceps and hamstring muscle using sling exercise therapy system and on the Thera-band mattress. The visual analogue scale (VAS) for pain, manual muscle testing and knee range of motion as well as the Japanese Orthopedic Association knee function evaluation form were used to evaluate the patients. Results There was no statistic difference between the 2 groups before treatment, with regard to the evaluation parameters used in this study. After 2 months of treatment, both groups improved significantly (P ＜0.05),with the treatment group improved to a significantly greater extent (P ＜0.05). Conclusions Sensorimotor training in addition to the conventional rehabilitation treatment can further relieve the pain of patients with knee osteoarthritis joints arthritis and improve the function of patients with knee osteoarthritis.

Therapeutic effects of sensorimotor training on patients with knee osteoarthritis