CAJ | 학술논문

目的：观察肌力训练治疗老年膝关节骨性关节炎（KOA ）的临床疗效。方法：将138例老年KOA患者随机分为观察组和对照组各69例，观察组给予肌力训练治疗，对照组给予传统电针治疗。于治疗前后分别采用 Ly-sholm膝关节评分标准评价膝关节功能，采用膝关节伸直位最大负荷量评价股四头肌肌力，采用静态平衡功能检测评价姿势稳定性。结果：治疗8周后，观察组除支撑外，其余各项Lysholm评分及总分均较治疗前明显提高（ P＜0．05）；对照组跛行、交锁、膝软、疼痛、爬楼梯及Lysholm总分亦较治疗前显著改善（P＜0．05）；并且观察组交锁、膝软、疼痛、肿胀、爬楼梯、下蹲及Lysholm总分改善幅度均明显优于对照组水平（P＜0．05）。2组患者膝关节伸直位最大负荷量均较治疗前明显改善（P＜0．05），且观察组最大负荷量增加明显优于对照组水平（P＜0．05）。2组患者睁眼及闭眼状态下静态平衡功能各项指标均较治疗前明显改善（P＜0．05），且以观察组患者动揺轨迹长、矩形面积、外周面积及单位面积轨迹长的改善幅度显著优于对照组（P＜0．05）。结论：肌力训练治疗能有效改善老年KOA患者膝关节及患肢肌肉功能，增强姿势稳定性。
목적：관찰기력훈련치료노년슬관절골성관절염（KOA ）적림상료효。방법：장138례노년KOA환자수궤분위관찰조화대조조각69례，관찰조급여기력훈련치료，대조조급여전통전침치료。우치료전후분별채용 Ly-sholm슬관절평분표준평개슬관절공능，채용슬관절신직위최대부하량평개고사두기기력，채용정태평형공능검측평개자세은정성。결과：치료8주후，관찰조제지탱외，기여각항Lysholm평분급총분균교치료전명현제고（ P＜0．05）；대조조파행、교쇄、슬연、동통、파루제급Lysholm총분역교치료전현저개선（P＜0．05）；병차관찰조교쇄、슬연、동통、종창、파루제、하준급Lysholm총분개선폭도균명현우우대조조수평（P＜0．05）。2조환자슬관절신직위최대부하량균교치료전명현개선（P＜0．05），차관찰조최대부하량증가명현우우대조조수평（P＜0．05）。2조환자정안급폐안상태하정태평형공능각항지표균교치료전명현개선（P＜0．05），차이관찰조환자동요궤적장、구형면적、외주면적급단위면적궤적장적개선폭도현저우우대조조（P＜0．05）。결론：기력훈련치료능유효개선노년KOA환자슬관절급환지기육공능，증강자세은정성。
Objective :To investigate the therapeutic effects of muscle strength training for elderly patients with knee osteoarthritis .Methods:One hundred and thirty-eight patients with knee osteoarthritis were randomly divided into observation group and control group (n= 69 each) .The observation group was treated with muscle strength training ,and control group with electroacupuncture .Before and after treatment ,the motor function of their knee joints was evaluated according to Lysholm S knee scoring scale ,quadriceps muscle strength was evaluated according to the maximum load capacity of knee extension ,and postural stability was evaluated using a static balance function test .Results :After 8 weeks of treatment ,Lysholm scores in observation group were significantly increased as com-pared with those before treatment (P<0 .05) ,except for the item assessing supporting .There were significant differ-ences in the items assessing limp ,inter-locking ,instability ,pain and stair activity in control group before and after treatment(P<0 .05) .There were significant differences in the items assessing inter-locking ,instability ,pain ,swell-ing ,stair activity and squatting between the two groups after treatment (P<0 .05) .The maxi-inuill knee extension load was improved significantly in both groups(P<0 .05) ,and more significantly in observation group than in control group(P<0 .05) .Static balance with the eyes both open and closed was also improved significantly in both groups (P<0 .05) .The length ,covered area ,rectangle area and length/area of the sway traces were improved more signifi-cantly in observation group(P<0 .05) .Conclusions :Muscle strength training can effectively improve knee function , quadrieeps muscle strength and postural stability in elderly patients with knee osteoarthritis .