膝关节骨性关节炎患者股四头肌动员能力和肌力储备改变的临床观察
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摘要
目的探讨膝关节骨性关节炎患者股四头肌动员能力和肌力储备改变的临床状况。方法膝关节骨性关节炎患者43例为观察组,健康体检人员43例为对照组,均行股四头肌动员能力、肌力储备能力评定,并行疼痛评分、Lysholm膝关节功能评分。结果观察组股四头肌最大随意等长收缩相对肌力、肌肉动员能力低于对照组。观察组肌肉储备能力高于对照组。随着疼痛评分增加,Lysholm膝关节功能评分、股四头肌最大随意等长收缩相对肌力、肌肉动员能力降低,而肌肉储备能力增加(P<0.05)。结论膝关节骨性关节炎患者股四头肌动员能力降低,而肌力储备能力增加。
Objective To investigate clinical condition of mobilization ability and muscle strength reserve changes of quadriceps femoris in patients with knee osteoarthritis. Methods 43 patients with knee osteoarthritis were named as observation group. 43 healthy examinationpersonnel were named as control group. Mobilization ability and muscle strength reserve ability of quadriceps femoris were detected, while pain score and Lysholm knee function score were measured. Results Maximal voluntary isometric contraction relative muscle strength of quadriceps femoris, muscle mobilization capacity in observation group were lower than control group. Muscle strength reserve ability in observation group was higher than control group. With the increasing of pain score, Lysholm knee function score, maximal voluntary isometric contraction relative muscle strength of quadriceps femoris, muscle mobilization capacity decreased, while muscle strength reserve ability increased(P < 0.05). Conclusion Mobilization ability of quadriceps femoris decrease while muscle strength reserve ability increase in patients with knee osteoarthritis.
Objective To investigate clinical condition of mobilization ability and muscle strength reserve changes of quadriceps femoris in patients with knee osteoarthritis. Methods 43 patients with knee osteoarthritis were named as observation group. 43 healthy examinationpersonnel were named as control group. Mobilization ability and muscle strength reserve ability of quadriceps femoris were detected, while pain score and Lysholm knee function score were measured. Results Maximal voluntary isometric contraction relative muscle strength of quadriceps femoris, muscle mobilization capacity in observation group were lower than control group. Muscle strength reserve ability in observation group was higher than control group. With the increasing of pain score, Lysholm knee function score, maximal voluntary isometric contraction relative muscle strength of quadriceps femoris, muscle mobilization capacity decreased, while muscle strength reserve ability increased(P < 0.05). Conclusion Mobilization ability of quadriceps femoris decrease while muscle strength reserve ability increase in patients with knee osteoarthritis.
引文
[1]陈坤峰,徐继胜,赵志坚,等.老年膝关节退行性骨关节炎应用关节置换术治疗的临床价值分析[J].中国继续医学教育,2015,7(33):72-73.
[2]陶秀霞.浅析中医护理及健康宣教对老年膝骨关节炎改善生存质量的影响[J].中国继续医学教育,2015,7(22):223-224.
[3]孙瑛.实用关节炎诊断治疗学[M].北京:北京大学医学出版社,2002:319-335.
[4]何采辉,梁蔚莉.毫火针配合康复训练对早中期膝关节骨性关节炎患者WOMAC评分及VAS评分的影响[J].中国中医急症,2015,24(12):2228-2230.
[5]陈涛平,王云飞.关节镜治疗膝关节半月板损伤对Lysholm评分的影响[J].现代中西医结合杂志,2015,24(13):1425-1426.
[6]黄岚峰,赵劲松,张延哲,等.等长性肌肉收缩股四头肌功能练习治疗膝关节骨性关节炎[J].中华临床医师杂志(电子版),2012,6(17):5030-5033.
[7]郭剑鸿,谢楚海,陈斌伟.膝关节骨性关节炎患者股四头肌肌力相关指标变化及其与疼痛程度的关系[J].中国骨科临床与基础研究杂志,2014,6(6):339-344.
[8]曹龙军,章礼勤,周石,等.膝关节骨性关节炎患者股四头肌动员能力和肌力储备改变的研究[J].中国康复医学杂志,2012,27(1):30-34.
[2]陶秀霞.浅析中医护理及健康宣教对老年膝骨关节炎改善生存质量的影响[J].中国继续医学教育,2015,7(22):223-224.
[3]孙瑛.实用关节炎诊断治疗学[M].北京:北京大学医学出版社,2002:319-335.
[4]何采辉,梁蔚莉.毫火针配合康复训练对早中期膝关节骨性关节炎患者WOMAC评分及VAS评分的影响[J].中国中医急症,2015,24(12):2228-2230.
[5]陈涛平,王云飞.关节镜治疗膝关节半月板损伤对Lysholm评分的影响[J].现代中西医结合杂志,2015,24(13):1425-1426.
[6]黄岚峰,赵劲松,张延哲,等.等长性肌肉收缩股四头肌功能练习治疗膝关节骨性关节炎[J].中华临床医师杂志(电子版),2012,6(17):5030-5033.
[7]郭剑鸿,谢楚海,陈斌伟.膝关节骨性关节炎患者股四头肌肌力相关指标变化及其与疼痛程度的关系[J].中国骨科临床与基础研究杂志,2014,6(6):339-344.
[8]曹龙军,章礼勤,周石,等.膝关节骨性关节炎患者股四头肌动员能力和肌力储备改变的研究[J].中国康复医学杂志,2012,27(1):30-34.