[1]周文琪,罗小兵,王小勇,等.膝骨关节炎患者临床症状与等速肌力测试指标的关系[J].中医正骨,2014,26(11):6-8.
　Zhou Wenqi*,Luo Xiaobing,Wang Xiaoyong,et al.Study on the relationship between clinical symptoms and isokinetic test indexes of myodynamia in patients with knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(11):6-8.
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膝骨关节炎患者临床症状与等速肌力测试指标的关系()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期数:
2014年11期
页码:
6-8
栏目:
临床研究
出版日期:
2014-11-30

文章信息/Info

Title:
Study on the relationship between clinical symptoms and isokinetic test indexes of myodynamia in patients with knee osteoarthritis
作者:
周文琪; 罗小兵; 王小勇; 虞亚明; 何栩; 高丕明; 蒋晴
四川省骨科医院,四川 成都 610041
Author(s):
Zhou Wenqi*; Luo Xiaobing; Wang Xiaoyong; Yu Yaming; He Xu; Gao Piming; Jiang Qing.*
Sichuan Orthopaedic Hospital,Chengdu 610041,Sichuan,China
关键词:
骨关节炎; 膝 膝关节 肌力测量 关节痛 活动范围; 关节 相关分析 回归分析
Keywords:
Osteoarthritis; knee;  Knee joint;  Dynamometry;  Arthralgia;  Range of motion; articular;  Correlation analysis;  Regression analysis
摘要:
目的:探讨膝骨关节炎患者临床症状与等速肌力测试指标的关系。方法:纳入112例膝骨关节炎患者,先在3名经过培训的测 评人员指导下,测定所有患者的西安大略和麦克马斯特大学骨关节炎指数,然后采用ISOMED-2000等速肌力测试系统分别测定患肢 60(°)·s-1和180(°)·s-1时的屈伸膝峰力矩、相对峰力矩、峰功及相对峰功。对测得的西安大略和 麦克马斯特大学骨关节炎指数及等速肌力测试指标进行Spearman相关性分析和多重线性回归分析。结果:Spearman相关分析结果 显示,在伸膝指标方面,西安大略和麦克马斯特大学指数中的疼痛、僵硬、行动障碍及总分中的大部分指标均与60(°) ·s-1和180(°)·s-1时的峰力矩、相对峰力矩、峰功及相对峰功呈负相关(P<0.05); 在屈膝指标 方面,西安大略和麦克马斯特大学指数中的疼痛、僵硬、行动障碍及总分中的大部分指标与60(°)·s-1和180(°) ·s-1时的峰力矩、相对峰力矩、峰功及相对峰功均无相关性(P>0.05),仅有少部分临床症状指标与相对峰力矩 、相对峰功呈负相关(P<0.05)。多重线性回归分析结果显示,60(°)·s-1时的伸膝相对峰功与西安大略和麦克 马斯特大学骨关节炎指数中的疼痛评分、僵硬评分、行动障碍评分及总分均存在负线性关系(r=-0.271,P=0.001; r=- 0.308,P=0.000; r=-0.263,P=0.001; r=-0.296,P=0.000); 180(°)·s-1时的伸膝相对峰功与疼痛评分存在负线性 关系(r=-0.214,P=0.010),180(°)·s-1时的伸膝峰功与僵硬评分存在负线性关系(r=-0.202,P=0.015)。结论:在等 速肌力测试指标中,伸膝指标对膝骨关节炎患者临床症状的影响大于屈膝指标,其中60(°)·s-1时的伸膝相对峰功 最能反映膝骨关节炎患者的临床症状,可将其作为定量评价膝骨关节炎患者临床症状的指标之一。
Abstract:
Objective:To explore the relationship between clinical symptoms and isokinetic myodynamia test indexes in patients with knee osteoarthritis(KOA).Methods:One hundred and twelve patients with KOA were enrolled in the study.Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores were assessed with guidance from three trained evaluation staff.Peek torque,relative peek torque,peek power and relative peek power of knee extensors and flexors at 60°/sec and 180°/sec were measured by using an ISOMED-2000 isokinetic dynamomete.Then spearman correlation analysis and multiple linear regression analysis were applied to study the relationship between WOMAC and isokinetic myodynamia test indexes.Results:The results of spearman correlation analysis showed that most indexes of WOMAC were negatively correlated with peek torque,relative peek torque,peek power and relative peek power at 60°/sec and 180°/sec of knee extensors(P<0.05),while they were uncorrelated for knee flexors(P>0.05)and only a few indexes of WOMAC were negatively correlated with relative peek torque and relative peek power(P<0.05).The results of multiple linear regression analysis showed that relative peek power at 60°/sec of knee extensors was negatively linear correlated with pain scores,stiffness scores,handicap scores and total scores in WOMAC(r=-0.271,P=0.001; r=-0.308,P=0.000; r=- 0.263,P=0.001; r=-0.296,P=0.000),while relative peek power at 180°/sec of knee extensors was negatively linear correlated with pain scores(r=-0.214,P=0.010)and peek power at 180°/sec of knee extensor was negatively linear correlated with stiffness scores(r=-0.202,P=0.015).Conclusion:Clinical symptoms are more influenced by knee extensor indexes than knee flexor indexes in patients with KOA in the isokinetic myodynamia test,and the relative peek power at 60°/sec of knee extensor is the best index that can reflect the clinical symptoms in patients with KOA,so it can be used as one of the indexes for quantitative assessment of clinical symptoms in patients with KOA.

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备注/Memo

备注/Memo:
基金项目:四川省中医药管理局重大疑难疾病攻关项目(2012-A-096),四川省科技厅科技支撑项目(2013SZZ023)
更新日期/Last Update: 2014-11-30