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膝骨关节炎患者平衡功能下降的影响因素分析

郭燕梅 黄鹏 瓮长水 陈蔚 焦伟国 李晓瑛

武警医学2012,Vol.23Issue(1):30-34,5.
武警医学2012,Vol.23Issue(1):30-34,5.

膝骨关节炎患者平衡功能下降的影响因素分析

Influential factors of declined balance function in elderly patients with knee osteoarthritis

郭燕梅 1黄鹏 2瓮长水 1陈蔚 1焦伟国 1李晓瑛1

作者信息

  • 1. 100853,北京,解放军总医院南楼临床部康复医学科
  • 2. 100853,北京,解放军总医院医务部医疗处
  • 折叠

摘要

Abstract

Objective To invesligale the major Influenlial factors of declined balance funclion in the elderly palienls with knee osteoarthritis (KOA). Methods Eighty - nine elderly palienls wilh KOA were tested wilh visual analogue pain scale (VAS) , limits of slabilily ( LOS) , reaction lime ( RT) , knee joint posilion sense, and isokinelic muscle slrenglh. At the same lime, their basic demographic informalion and the unaffecled knees'radiological grades were collected. Results Under the premise of the age as a controlling faclors, after the Pearson partial correlation analysis, we found that the total LOS score was closely correlated wilh the unaffecled knees'factors such as VAS scores, RT, total response lime (TRT) , the reposilion accuracy error mean and 60o of peak torque (P <0. 05). And then after the multiple regression analysis, we found that the unaffected knees'reposilion accuracy error mean, 60o of peak torque and RT among the above factors were major faclors of the lotal LOS score (P <0. 001). Conclusions Overweighl, knee pain, course of knee osteoarlhritis,and knees'radiological grades are not major influential faclors that result in the declined balance function in the elderly patienls with KOA. Compared wilh the balance funclion of the elderly people without KOA, that of the elderly palienls' wilh KOA is worse. Whereas decreased lower extremily muscle strenglh resulting from knee pain, proprioceplion loss and slower sense reaction to new stimuli resulting from affected knee are ihe main characteristic influential faclors of the declined balance funclion in the KOA palients.

关键词

膝骨关节炎/平衡/影响因素

Key words

knee osleoarthrilis/balance/influential faclors

分类

医药卫生

引用本文复制引用

郭燕梅,黄鹏,瓮长水,陈蔚,焦伟国,李晓瑛..膝骨关节炎患者平衡功能下降的影响因素分析[J].武警医学,2012,23(1):30-34,5.

武警医学

OACSTPCD

1004-3594

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