[1]刘辉,刘波,张鑫,等.终末伸膝肌电生物反馈训练在半月板损伤非手术治疗中的应用价值[J].中医正骨,2022,34(04):12-17.
　LIU Hui,LIU Bo,ZHANG Xin,et al.Applied values of terminal knee-extension electromyographic biofeedback training in nonsurgical treatment of meniscus injuries[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(04):12-17.
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终末伸膝肌电生物反馈训练在半月板损伤非手术治疗中的应用价值()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年04期
页码:
12-17
栏目:
临床研究
出版日期:
2022-04-20

文章信息/Info

Title:
Applied values of terminal knee-extension electromyographic biofeedback training in nonsurgical treatment of meniscus injuries
作者:
刘辉; 刘波; 张鑫; 赵卫侠; 敬竹子; 付婷婷; 蔡文宇
(四川省骨科医院,四川 成都 610041)
Author(s):
LIU Hui; LIU Bo; ZHANG Xin; ZHAO Weixia; JING Zhuzi; FU Tingting; CAI Wenyu
Sichuan Province Orthopedic Hospital,Chengdu 610041,Sichuan,China
关键词:
膝损伤;  半月板;  肌电生物反馈疗法
Keywords:
knee injuries;  meniscus;  electromyographic biofeedback therapy
摘要:
目的:探讨终末伸膝肌电生物反馈训练在半月板损伤非手术治疗中的应用价值。方法:将50例半月板损伤患者随机分为2组,每组各25例。基础组采用电针疗法、推拿、关节松动术和徒手运动疗法进行治疗; 联合组在基础组治疗措施的基础上,增加仰卧位终末伸膝肌电生物反馈训练; 2组患者均连续治疗3周。分别于治疗前和治疗3周后,评定患者的膝关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、膝关节活动度、股四头肌伸膝肌力、改良Lysholm膝关节评分及Barthel指数。结果:①膝关节疼痛VAS评分。治疗前,2组患者的膝关节疼痛VAS评分比较,差异无统计学意义(t=-0.822,P=0.415); 治疗3周后,2组患者的膝关节疼痛VAS评分均较治疗前降低[(4.28±1.49)分,(2.04±1.40)分,t=8.041,P=0.000;(4.58±1.06)分,(2.28±1.28)分,t=7.667,P=0.000]; 治疗3周后,2组患者的膝关节疼痛VAS评分比较,差异无统计学意义(t=-0.634,P=0.529)。②膝关节活动度。治疗前,2组患者的膝关节最大屈曲角度、最大伸直角度、全关节活动度比较,组间差异均无统计学意义(t=0.218,P=0.828; t=-0.272,P=0.787; t=0.096,P=0.924); 治疗3周后,2组患者的膝关节最大屈曲角度、最大伸直角度、全关节活动度均较治疗前增大(最大屈曲角度:120.40°±14.14°,125.00°±10.10°,t=-2.623,P=0.015; 119.40°±18.05°,129.80°±7.43°,t=-3.390,P=0.002; 最大伸直角度:-4.80°±6.37°,-1.40°±3.07°,t=-3.440,P=0.002; -4.32°±6.12°,-0.20°±1.00°,t=-3.536,P=0.002; 全关节活动度:115.60°±17.58°,123.60°±10.26°,t=-3.289,P=0.003; 115.08°±20.78°,129.60°±7.76°,t=-3.984,P=0.001); 治疗3周后,2组患者的膝关节最大屈曲角度、最大伸直角度比较,组间差异均无统计学意义(t=-1.914,P=0.062; t=-1.859,P=0.069); 联合组的膝关节全关节活动度大于基础组(t=-2.332,P=0.024)。③股四头肌伸膝肌力。2组患者治疗前及治疗3周后的股四头肌伸膝肌力比较,组间差异均无统计学意义(Z=0.568,P=0.570; Z=-0.666,P=0.505)。治疗3周后,2组均无患者出现股四头肌伸膝肌力减小,基础组7例患者和联合组15例患者的股四头肌伸膝肌力较治疗前增强,联合组的股四头肌伸膝肌力改善率高于基础组(χ2=5.195,P=0.023)。④改良Lysholm膝关节评分。治疗前,2组患者的改良Lysholm膝关节评分比较,差异无统计学意义(t=-0.302,P=0.764); 治疗3周后,2组患者的改良Lysholm膝关节评分均较治疗前提高[(48.56±16.00)分,(68.00±16.89)分,t=-7.177,P=0.000;(49.80±12.91)分,(68.60±14.28)分,t=-5.726,P=0.000]; 治疗3周后,2组患者的改良Lysholm膝关节评分比较,差异无统计学意义(t=-0.136,P=0.893)。⑤Barthel指数。治疗前,2组患者的Barthel指数比较,差异无统计学意义(t=0.547,P=0.587); 治疗3周后,2组患者的Barthel指数均较治疗前提高[(88.84±10.72)分,(94.40±6.97)分,t=-3.507,P=0.002;(87.40±7.65)分,(94.40±4.86)分,t=-5.056,P=0.000]; 治疗3周后,2组患者的Barthel指数比较,差异无统计学意义(t=0.000,P=1.000)。结论:在半月板损伤的非手术治疗中增加终末伸膝肌电生物反馈训练,有助于增加膝关节活动度和股四头肌伸膝肌力。
Abstract:
Objective:To explore the applied values of terminal knee-extension electromyographic biofeedback(EMG-BF)training in nonsurgical treatment of meniscus injuries.Methods:Fifty patients with meniscus injuries were enrolled in the study and were randomly divided into basic treatment group and combination treatment group,25 cases in each group.All patients in the 2 groups were treated with

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备注/Memo

备注/Memo:
基金项目:四川省科技计划项目(2019YFS0541); 四川省医学科研课题(S18074)通讯作者:张鑫 E-mail:kangfuke2008@163.com
更新日期/Last Update: 1900-01-01