中国康复理论与实践2011，Vol.17Issue(9)：856-860,5.
膝骨关节炎患者动静态跌倒风险测试的临床应用价值
Clinical Value about Static Fall Index Test and Dynamic Fall Index Test for Patients with Knee Osteoarthritis
摘要
Abstract
Objective To investigate the balance function of the knee osteoarthritis (KOA) patients and the clinical value about static fall index test and dynamic fall index test for the patients with knee osteoarthritis. Methods The osteoarthritis patients without knee pain (control group, n=30) were tested with postural stability (PS), limits of stability (LOS), dynamic fall index (DFI) and static fall index (SFI). The osteoarthritis patients with knee pain (treatment group, n=30) accepted 10 times of diclofenac diethylamine emulge imported by pulsed ultrasound and 6 times of massage therapy. They were also tested with above four balance tests and Western Ontario and McMaster Universities Osteoarthritis Index (WOM AC) before and after treatments. Results There was significant difference in overall of PS, anterior/posterior index and medial lateral index (P<0.05) between the control group and the treatment group before treatments, and there was very significant difference in time to complete LOS, overall of LOS and DFI (P<0.01); but there was no significant difference in SFI (P>0.05). There was significant difference in WOMAC scores, overall of PS, anterior/posterior index, time to complete LOS, overall of LOS and DFI (P<0.05) in the treatment group before and after treatments, but there was no significant difference in medial lateral index and SFI (P>0.05). Conclusion Compared with osteoarthritis patients without knee pain, KOA patients with knee pain are in poorer balance function and greater fall risk. After effective treatments, the balance function and fall risk of the KOA patients may significantly improve. Compared with SFI test, the DFI test is more sensitive to the improvement of balance function of the KOA patients.关键词
老年/膝骨关节炎/平衡/跌倒Key words
elderly/ knee osteoarthritis/ balance/ fall分类
医药卫生引用本文复制引用
郭燕梅,陈蔚,焦伟国,朱才兴,彭楠,王娜..膝骨关节炎患者动静态跌倒风险测试的临床应用价值[J].中国康复理论与实践,2011,17(9):856-860,5.基金项目
解放军总医院科技创新基金(09KMM22). （09KMM22）
