中国康复理论与实践2024，Vol.30Issue(7)：854-860,7.DOI:10.3969/j.issn.1006-9771.2024.07.015
本体感觉神经肌肉促进技术对老年膝骨关节炎患者步行时关节负荷效果的随机对照试验
Effect of proprioceptive neuromuscular facilitation on knee loading during walking for old knee osteoarthritis pa-tients:a randomized controlled trial
摘要
Abstract
Objective To explore the effect of proprioceptive neuromuscular facilitation(PNF)on the knee abduction torque and vastus medialis-medial gastrocnemius(VM-MG)co-contraction index during walking among the old patients with medial compartment knee osteoarthritis. Methods From March to May,2022,32 old patients with medial compartment knee osteoarthritis in communities in Ji'nan were enrolled and randomly allocated to control group(n=16)and training group(n=16).The training group received PNF and the control group received home-based exercise,for six weeks.The knee abduction torque and VM-MG co-contraction index were measured using an infrared motion capture system synchronized with 3D force plate and electromyography system before and after treatment. Results Three cases in the control group and two cases in the training group dropped off.The first and the second peaks of knee abduction torque,and the VM-MG co-contraction index improved in the training group after treatment(|t|>2.460,P<0.05),and the first and the second peaks of knee abduction torque were better in the training group than in the control group(|t|>2.454,P<0.05). Conclusion PNF may optimize the load distribution between the medial and lateral compartments of the knee in patients with knee osteoarthritis.关键词
膝骨关节炎/本体感觉神经肌肉促进技术/关节力矩/共激活/步行Key words
knee osteoarthritis/proprioceptive neuromuscular facilitation/joint torque/co-contraction/walking分类
医药卫生引用本文复制引用
沈培鑫,罗心,车欣恒,刘延浩,毛德伟,宋祺鹏..本体感觉神经肌肉促进技术对老年膝骨关节炎患者步行时关节负荷效果的随机对照试验[J].中国康复理论与实践,2024,30(7):854-860,7.基金项目
1.国家自然科学基金青年项目(No.12102235) （No.12102235）
2.国家体育总局青年项目(No.23QN009) National Natural Science Foundation of China(Youth)(No.12102235)and General Administration of Sport of China Program(Youth)(No.23QN009) （No.23QN009）
