临床荟萃 ›› 2020, Vol. 35 ›› Issue (12): 1111-1115.doi: 10.3969/j.issn.1004583X.2020.12.010

• 论著 • 上一篇    下一篇

肌内效贴对膝关节骨性关节炎患者步行能力短期临床疗效

  

  1. 上海市第二康复医院 康复医学科,上海 200431
  • 出版日期:2020-12-20 发布日期:2020-11-27
  • 通讯作者: 施伯瀚, Email: 514459629@qq.com
  • 基金资助:
    上海市卫生健康委员会科研课题面上项目----音乐疗法联合镜像疗法对脑卒中偏瘫患者上肢功能影响的临床观察(201940469)

Shortterm clinical efficacy of Kinesio Taping on walking ability of patients with knee osteoarthritis

  1. Department of Rehabilitation Medicine, the Second Rehabilitation ospital of Shanghai, Shanghai 200431, China
  • Online:2020-12-20 Published:2020-11-27
  • Contact: Corresponding author: Shi Bohan, Email: 514459629@qq.com

摘要: 目的  探讨肌内效贴对膝关节骨性关节炎患者步行能力的短期临床疗效观察。方法  将42例膝关节骨性关节炎患者随机分成两组,每组21例,所有患者均进行健康宣教,治疗组(A组)行肌内效贴贴扎治疗,安慰剂组为假贴布治疗组(B组)。每组病人均进行为期7天的治疗,分别在治疗3天、7天后评估比较两组患者视觉模拟疼痛评分(Visual  Analogue  Scale,VAS)、10 m步行速度测定(10meter walking test,10MWT),站起-行走计时测试(Timed Up & Go Test,TUG),以及膝关节伸肌(股四头肌)力量(等速肌力测定膝关节伸展向心收缩峰力矩(peak torque,PT))的变化情况,  评估患者的步行能力和疼痛及膝关节伸肌力量,并进行临床疗效统计。结果  治疗后,通过对两组患者在VAS评分(步行)、10 m步行速度测试,站起-行走计时测试、膝关节伸展向心收缩峰力矩指标方面比较差异均有统计学意义(P<0.05),且通过组间各项指标比较,A组较B组具有更好的改善程度(P<0.05)。此外,VAS评分(步行)高于在静息状态下评分,且A组治疗后VAS评分(步行)较治疗前有明显改善。结论  肌内效贴可有效缓解膝关节骨性关节炎患者步行时关节疼痛、改善伸膝肌力,提高患者步行能力。

关键词: 骨关节炎, , 膝, 步行, 肌力, 治疗结果

Abstract: Objective  To investigate the shortterm clinical efficacy of Kinesio Taping on walking ability of patients with knee osteoarthritis.  Methods  A total of 42 patients with knee osteoarthritis were randomly divided into  treatment group (group A) and  placebo group (group B), with 21 cases in each group. The health education was carried out among patients. Group A was treated with  Kinesio Taping, while group B was treated with placebo taping. All patients were treated for seven days.  After 3 days and 7 days of treatment,  Visual  Analogue  Scale (VAS), 10meter walking test (10MWT), Timed Up & Go Test (TUG) and the peak torque (PT) of quadriceps'  centripetal contractions (by isokinetic muscle strength measurement) were evaluated and compared between two groups.  The walking ability, pain and knee extensor strength of patients were also evaluated and the clinical efficacy was calculated. Results   In terms of VAS(walking state), 10MWT, TUG, and PT of quadriceps' centripetal contractions by isokinetic muscle strength measurement showed significant differences between two groups(P<0.05).Compared with group  B, group  A  had more obvious differences and better improvement(P<0.05). In addition, the scores of VAS (walking state)  were significantly higher than those in the resting state. The VAS scores (walking state) after treatment in group A were significantly improved than before. Conclusion   Kinesio Taping can effectively relieve joint pain in walking state, enhance knee extension muscle strength and improve walking ability of patients with knee osteoarthritis.

Key words: osteoarthritis, knee, walking, isokinetic muscle strength, treatment outcome

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