放射式体外冲击波穴位联合本体感觉训练对老年膝骨性关节炎患者康复的影响

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摘要目的探讨放射式体外冲击波穴位联合本体感觉训练对老年膝骨性关节炎（KOA）患者的康复效果。方法选取2017年4月至2019年4月青岛市市立医院收治的50例老年KOA患者作为研究对象，按照随机数字表法将其分为对照组和观察组，每组各25例。对照组采用常规康复联合本体感觉训练，在此基础上，观察组加用放射式体外冲击波穴位，连续治疗4周。治疗前、治疗4周后，使用Lysholm膝关节评分量表和西大略湖和麦克马斯特大学（WOMAC）骨关节炎指数量表评估两组膝关节功能情况；比较两组跌倒指数、肌力情况及两组步态参数。结果治疗4周后，两组LKSS评分均较治疗前升高，WOMAC骨关节炎指数量表评分均较治疗前降低，且观察组LKSS评分高于对照组，WOMAC骨关节炎指数量表评分低于对照组，差异有统计学意义（P ＜ 0.05）；两组跌倒指数均较治疗前降低，屈膝肌群和伸膝肌群的峰力矩（PT）值较治疗前升高，且观察组跌倒指数低于对照组，屈膝肌群和伸膝肌群的PT值高于对照组，差异有统计学意义（P ＜ 0.05）；两组步长、步速均较治疗前升高，且观察组高于对照组，差异有统计学意义（P ＜ 0.05）。结论放射式体外冲击波穴位联合本体感觉训练更利于改善老年KOA患者膝关节功能，提高患者平衡能力，且步态改善更明显，在促进老年KOA患者康复方面更具价值。

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	毛世刚1 赵亚君1 马晓程2▲

关键词 ：膝骨性关节炎, 本体感觉训练, 穴位, 放射式体外冲击波, 膝关节功能, 平衡能力, 步态特征

Abstract：Objective To investigate the rehabilitation effect of radiation extracorporeal shock wave acupoint combined with proprioceptive training for elderly patients with knee osteoarthritis (KOA). Methods A total of 50 elderly patients with KOA admitted to Qingdao Municipal Hospital from April 2017 to April 2019 were selected as the research objects and they were divided into control group and observation group according to random number table method, with 25 cases in each group. The control group received routine rehabilitation combined with proprioceptive training, and on the basis of this, the observation group received radiation extracorboreal shock wave acupoint for continuous four weeks. Before treatment and four weeks after treatment, knee function in both groups was assessed using Lysholm knee score scale and the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index scale. Tumble index, muscle strength and gait parameters were compared between the two groups. Results After four weeks of treatment, LKSS score in both groups was higher than before treatment, WOMAC osteoarthritis index scale score was lower than before treatment, and LKSS score in observation group was higher than control group, WOMAC osteoarthritis index scale score was lower than control group, the differences were statistically significant (P < 0.05). The fall index of the two groups was lower than that before treatment, and the peaktorque (PT) value of knee flexion muscle group and knee extensor muscle group was higher than that before treatment; the fall index of the observation group was lower than that of the control group, and the PT value of knee flexion muscle group and knee extensor muscle group was higher than that of the control group, with statistical significance (P < 0.05). The step length and step speed of the two groups were higher than those before treatment, and the observation group was higher than the control group, with statistical significance (P < 0.05). Conclusion radiation extracorporeal shock wave acupoint combined with proprioceptive training is more conducive to improving knee joint function, balance ability of elderly KOA patients, and gait improvement is more obvious, which is more valuable in promoting the rehabilitation of elderly KOA patients.

Key words： Knee osteoarthritis Proprioceptive training Meridians Radiation extracorporeal shock wave Knee function Balance ability Gait feature

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引用本文:

毛世刚1 赵亚君1 马晓程2▲. 放射式体外冲击波穴位联合本体感觉训练对老年膝骨性关节炎患者康复的影响[J]. 中国医药导报, 2021, 18(24): 76-79.
MAO Shigang1 ZHAO Yajun1 MA Xiaocheng2▲. Effect of radiation extracorporeal shock wave acupoint combined with proprioception training on rehabilitation of elderly patients with knee osteoarthritis. 中国医药导报, 2021, 18(24): 76-79.

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https://www.yiyaodaobao.com.cn/CN/ 或 https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I24/76

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