康复学报2023，Vol.33Issue(6)：535-541,7.DOI:10.3724/SP.J.1329.2023.06009
易筋经康复训练联合干扰电疗法对膝骨关节炎患者的影响
Therapeutic Effect of Yijinjing Rehabilitation Training Combined with Interference Current Therapy on Patients with Knee Osteoarthritis
摘要
Abstract
Objective:To observe the effect of Yijinjing rehabilitation training combined with interference current therapy(ICT)on motor function and balance function of patients with knee osteoarthritis(KOA).Methods:A total of 68 patients with KOA in the Rehabilitation Medicine Department of Changsha Central Hospital from April 2022 to January 2023 were randomly divided in-to control group and observation group,with 34 cases in each group.During the intervention,two cases discontinued the trial or dropped out respectively in the control group and observation group,and a total of 64 cases were finally included,32 cases in each group.Both groups received routine rehabilitation treatment.The control group received ICT on treatment additionally,with the car-rier frequency of 4 000 Hz and the beat frequency of 90-100 Hz based on the tolerance of patients,once a day,20 minutes a time,six times a week,lasting for four weeks.The observation group received additional Yijinjing rehabilitation training on the basis of the control group to ensure that the patients could complete 50%or more rehabilitation training,without pain or with slight pain,once a day,20 minutes a time,six times a week,lasting for four weeks.Before and after treatment,visual analogue score(VAS)was used to evaluate the severity of pain;universal goniometer was used to measure the active range of motion(AROM);timed"up and go"test(TUGT)was used to evaluate the functional walking ability;Western Ontario and McMaster University Arthritis Index(WOMAC)score was used to evaluate knee function;and Berg balance scale(BBS)and balance function test system were used to evaluate balance function(left and right swing index,center of gravity track length,track rectangular area,track peripheral area,and track length per unit area with eyes open or closed).Results:Compared with that before treatment,TUGT,pain,stiffness and physical function scores and total score of WOMAC,left and right swing index,center of gravity track length,track rectangular area and track peripheral area with eyes open or closed in both groups after treatment decreased significantly,the proportion of low VAS score(0-2 points),the maximum AROM,the BBS score and track length per unit area with eyes open or closed increased significantly,and the differences were statistically significant(P<0.05).Compared with the control group,TUGT,pain,stiffness and physical func-tion scores and total score of WOMAC,left and right swing index,center of gravity track length,track rectangular area and track peripheral area with eyes open or closed in the observation group after treatment decreased significantly,the proportion of low VAS score(0-2 points),the maximum AROM,the BBS score and track length per unit area with eyes open or closed increased signifi-cantly,and the diffe-rences were statistically significant(P<0.05).Conclusion:Yijinjing rehabilitation training combined with ICT can improve pain,motor function and balance function of patients with KOA,which is recommended for clinical application.关键词
膝骨关节炎/干扰电疗法/易筋经/康复训练/运动功能/平衡功能Key words
knee osteoarthritis/interference current therapy/Yijinjing/rehabilitation training/motor function/balance function引用本文复制引用
许明,李亚,秦爽,卢小叶,艾坤,张泓..易筋经康复训练联合干扰电疗法对膝骨关节炎患者的影响[J].康复学报,2023,33(6):535-541,7.基金项目
湖南省体育局立项课题(2020XH013) （2020XH013）
湖南省残疾人康复科研资助项目(2019XK028) （2019XK028）
湖南中医药大学科研基金项目(2020XJJJ006) （2020XJJJ006）
