视觉反馈下肌肉能量技术对膝骨关节炎和髌骨骨折 - 中国康复医学杂志.pdf

ChineseJournalofRehabilitationMedicine, Jun. 2016,Vol. 31, No.6 ·临床研究· 视觉反馈下肌肉能量技术对膝骨关节炎和 髌骨骨折患者功能的影响 李圣节 李 飞 王 瑞 肖红雨 贾子善1 1 1 1 1,2 摘要 目的：探讨视觉反馈下肌肉能量技术对膝骨关节炎和髌骨骨折患者功能的影响。 方法：将19例骨性关节炎患者随机分为反馈组和对照组，将10例髌骨骨折保守治疗患者随机分为反馈组和对照组， 各组患者每天治疗1次，每周5 次，持续4 周，于治疗前、治疗2 周及4 周时对各组患者进行疗效评定，采用视觉模拟 评分法（VAS ）对患者膝关节疼痛进行评定，使用量角器测量法评定患者膝关节主动活动度（AROM ）和被动活动度 （PROM ），使用等速肌力测试与训练系统对患者股四头肌肌力进行评定。 结果：①治疗2 周后，反馈组和治疗组VAS 评分均降低，PROM 和AROM 均增加，股四头肌峰力矩均增加，但两组无 显著性差异；②治疗4 周后，反馈组和治疗组VAS 评分均降低，PROM 和AROM 均增加，但两组无显著性差异；两组 股四头肌峰力矩均增加，其中反馈组股四头肌峰力矩较对照组增加明显，两组具有显著性差异（P ＜0.05 ）。 结论：视觉反馈下肌肉能量技术可以减轻患者膝关节疼痛，增加膝关节关节活动度，且相较传统肌肉能量技术增强 股四头肌肌力更为显著。 关键词 肌肉能量技术；视觉反馈；膝骨关节炎；髌骨骨折 中图分类号：R684.3, R683 文献标识码：A 文章编号：1001-1242（2016 ）-06-0670-04 Effects of muscle energy technique with visual feedback on the function in patients with knee osteoarthri⁃ tis and patella fracture/LI Shengjie，LI Fei，WANG Rui，et al.//Chinese Journal of Rehabilitation Medicine, 2016, 31(6): 670—673 Abstract Objective: To study the effect of muscle energy technique with visual feedback on the function of patients with knee osteoarthritis （KOA ）and patella fracture. Method: Nineteen patients with KOA were recruited into the study and randomly divided into visual feedback group (n=8) and control group (n= 11). Ten patients with patella fracture were recruited into the study and ran- domly divided into visual feedback group (n=6) and control group (n=4). Every group was treated for 4 weeks, once a day, 5 days a week, 20 times totally. They were assessed pre treatment, post 2 weeks treatment and post 4 weeks treatment. The four groups were assessed with VAS for pain, PROM and AROM for range of knee motion and the peak force torque from BIODEX for quadriceps strength. Result: ①After 2 weeks treatment, in visual feedback group and control group V