肌电生物反馈配合抗阻训练对老年膝骨关节炎患者康复的影响

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Abstract Objective To analyze the effect of electromyographic biofeedback complicated with resistance training in elderly patients with knee osteoarthritis (KOA). Methods A total of 100 elderly patients with KOA admitted to West China Hospital, Sichuan University from July 2019 to January 2021 were selected as the research subjects. They were divided into observation group and control group by random number table method, with 50 cases in each group. The control group received routine rehabilitation therapy and resistance training, and the observation group received routine rehabilitation therapy and electromyographic biofeedback combined with resistance training. The intervention lasted for 21 days. Visual analog scale (VAS), Western Ontario and McMaster University (WOMAC) osteoarthritis index scale, Lysholm knee score, and isokinetic muscle force parameters (peak moment [PT], total work [TW], work fatigue [WF]) were assessed before and after intervention. The incidence of adverse events in the two groups during intervention was analyzed. Results After intervention, Lysholm knee score in both groups was higher than before intervention, and the observation group was higher than the control group (P ＜ 0.05). After intervention, VAS and WOMAC osteoarthritis index scale scores of the two groups were lower than before intervention, and the observation group was lower than the control group (P ＜ 0.05). After intervention, PT, TW, and WF of knee extension in both groups were higher than before intervention, and the observation group was higher than the control group (P ＜ 0.05). There was no significant difference in the total incidence of adverse events between the two groups (P ＞ 0.05). Conclusion Electromyographic biofeedback combined with resistance training in elderly patients with KOA can effectively reduce pain, enhance anti-fatigue ability, and improve knee function, which is worthy of clinical promotion.

Key words： Knee osteoarthritis Electromyographic biofeedback Resistance training Knee function Degree of pain Work fatigue

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	TANG Fengjuan1 WANG Jiao2

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TANG Fengjuan1 WANG Jiao2. Effect of electromyographic biofeedback complicated with resistance training on rehabilitation of elderly patients with knee osteoarthritis[J]. 中国医药导报, 2022, 19(21): 103-106.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I21/103

[1] 王锴，李红新，张瑞涛，等.患者教育及个性化运动治疗在膝关节骨关节炎患者中的应用[J].中华医学杂志，2018， 98（27）：2152-2156.
[2] 张力.踝关节屈伸锻炼对膝骨关节炎病人膝关节功能和抑郁情绪的影响[J].安徽医药，2021，25（6）：1220-1224.
[3] 李静雅，程亮.太极拳和抗阻训练对膝关节骨性关节炎老人症状及运动能力的影响[J].中国康复医学杂志，2019， 34（11）：1304-1309.
[4] 冷楠楠.运动训练相关膝关节骨性关节炎的研究进展[J].东南国防医药，2017，19（6）：620-634.
[5] 梁杰，卢惠苹，陈述荣，等.中药熏蒸联合肌电生物反馈疗法对膝骨性关节炎患者膝关节功能的影响[J].现代中西医结合杂志，2020，29（22）：2415-2419.
[6] Lin KW. Treatment of Knee Osteoarthritis [J]. Am Fam Physician，2018，98（9）：603-606.
[7] 中国中西医结合学会骨伤科专业委员会.膝骨关节炎中西医结合诊疗指南[J].中华医学杂志，2018，98（45）：3653-3658.
[8] Waterfield J， Sim J. Clinical assessment of pain by the visual analogue scale [J]. Br J Ther Rehabil，2013，3（2）：94-97.
[9] Celik D，Co■kunsu D，Kili?觭o■lu O. Translation and Cultural Adaptation of the Turkish Lysholm Knee Scale：Ease of Use，Validity，and Reliability [J]. Clin Orthop Relat Res，2013，471（8）：2602-2610.
[10] Baron G，Tubach F，Ravaud P，et al. Validation of a short form of the Western Ontario and McMaster Universities Osteoarthritis Index function subscale in hip and knee osteoarthritis [J]. Arthritis Rheum，2010，57（4）：633-638.
[11] 卢永保，李彦杰，任锟，等.蜡泥灸联合康复训练治疗早期膝关节骨性关节炎临床观察[J].中国中医基础医学杂志，2020，26（5）：686-687，691.
[12] 吴祖贵，许学猛，刘文刚，等.等速肌力训练对膝骨关节炎患者膝关节本体感觉的改善作用观察[J].山东医药，2019，59（8）：76-79.
[13] 李琳，林坚，刘晓林，等.弹力带渐进抗阻训练对膝关节置换术后患者下肢运动功能的影响[J].中国康复医学杂志，2017，32（3）：301-304.
[14] 王恬，刘晓宇，陆海英，等.全髋关节置换术后患者早期抗阻训练的最佳证据总结[J].中华护理杂志，2020，55（10）：1476-1483.
[15] 肖文，绳宇，朱宏伟，等.抗阻训练对类风湿关节炎患者手关节功能康复的效果评价[J].中国实用护理杂志，2018， 34（3）：176-181.
[16] Allen KD，Bongiorni D，Caves K，et al. STepped exercise program for patients with knee OsteoArthritis （STEP-KOA）：protocol for a randomized controlled trial [J]. BMC Musculoskelet Disord，2019，20（1）：254.
[17] 陈慧，杜珊珊，范丽娟，等.多种康复方式对老年人工全膝关节置换后下肢运动功能的影响[J].中国组织工程研究，2017，21（31）：4939-4944.
[18] 梁杰，卢惠苹，张高飞，等.肌电生物反馈疗法对膝骨性关节炎患者膝关节运动和平衡能力的影响[J].江苏医药，2019，45（9）：899-904.
[19] 孔虹，丁昕玥，丁福.等速肌力训练联合肌电生物反馈治疗对卒中后偏瘫患者上下肢运动功能的影响[J].临床和实验医学杂志，2019，18（6）：641-645.
[20] Dost Sürücü G，Tezen ?魻. The effect of EMG biofeedback on lower extremity functions in hemiplegic patients [J]. Acta Neurol Belg，2020，121（1）：113-118.
[21] 刘丽金，梁杰，苏婵娟，等.肌电生物反馈疗法对膝骨性关节炎股四头肌力量和功能的影响[J].吉林医学，2020， 41（11）：2568-2573.
[22] Meng Z， Huang R. Topical Treatment of Degenerative Knee Osteoarthritis-ScienceDirect [J]. Am J Med Sci，2018， 355（1）：6-12.
[23] 王徐龙.肌电生物反馈训练对关节镜下半月板切除术患者表面肌电信号变化及功能恢复的影响[J].临床骨科杂志，2019，22（5）：562-565.
[24] 王泽熙，姜贵云，范飞，等.表面肌电生物反馈指导下的康复训练治疗慢性非特异性下背痛的疗效观察[J].中华物理医学与康复杂志，2017，39（10）：765-768.
[25] Marquez DC，Tscharner VV，Murari K，et al. Development of a multichannel current-EMG system for coherence modulation with visual biofeedback [J]. PLoS One，2018，13（11）：e0206871.