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[1]李克軍,蔣擁軍,白夢迪,等.超聲波療法在創(chuàng)傷后膝關(guān)節(jié)僵硬康復(fù)治療中的應(yīng)用[J].中醫(yī)正骨,2019,31(02):14-17.
　LI Kejun,JIANG Yongjun,BAI Mengdi,et al.Application of ultrasonic therapy to rehabilitation of posttraumatic knee joint stiffness[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(02):14-17.
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超聲波療法在創(chuàng)傷后膝關(guān)節(jié)僵硬康復(fù)治療中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年02期
頁碼:
14-17
欄目:
臨床研究
出版日期:
2019-02-20

文章信息/Info

Title:
Application of ultrasonic therapy to rehabilitation of posttraumatic knee joint stiffness
作者:
李克軍; 蔣擁軍; 白夢迪; 何夢凡; 袁海花
(深圳平樂骨傷科醫(yī)院,廣東 深圳 518010)
Author(s):
LI Kejun; JIANG Yongjun; BAI Mengdi; HE Mengfan; YUAN Haihua
Shenzhen Pingle Orthopedic Hospital,Shenzhen 518010,Guangdong,China
關(guān)鍵詞:
膝關(guān)節(jié);  關(guān)節(jié)僵硬;  創(chuàng)傷和損傷;  超聲療法;  康復(fù)
Keywords:
knee joint;  joint stiffness;  wounds and injuries;  ultrasonic therapy;  rehabilitation
摘要:
目的:觀察超聲波療法在創(chuàng)傷后膝關(guān)節(jié)僵硬康復(fù)治療中的應(yīng)用價(jià)值。方法:將符合要求的80例創(chuàng)傷后膝關(guān)節(jié)僵硬患者隨機(jī)分為2組,每組40例。常規(guī)組按順序進(jìn)行低頻脈沖電治療、蠟療、平樂正骨治筋手法治療、牽引治療及彈力帶抗阻訓(xùn)練,超聲波組在常規(guī)治療基礎(chǔ)上進(jìn)行超聲波治療,每日1次,共治療8周。分別于治療前及治療結(jié)束后,測量患膝屈曲活動(dòng)度,采用美國特種外科醫(yī)院(Hospital for Special Surgery,HSS)膝關(guān)節(jié)功能評(píng)分標(biāo)準(zhǔn)評(píng)定膝關(guān)節(jié)功能。結(jié)果:治療前,2組患者患膝屈曲活動(dòng)度及HSS膝關(guān)節(jié)功能評(píng)分比較,組間差異均無統(tǒng)計(jì)學(xué)意義(t=0.575,P=0.568; t=0.881,P=0.384); 治療結(jié)束后,2組患者患膝屈曲活動(dòng)度均較治療前增加(113.40°±8.35°,58.60°±15.09°,t=18.752,P=0.000; 95.40°±9.92°,60.43°±13.94°,t=12.258,P=0.000),HSS膝關(guān)節(jié)功能評(píng)分均較治療前增高[(76.60±4.14)分,(35.53±3.28)分,t=57.838,P=0.000;(55.08±7.24)分,(34.83±3.32)分,t=17.267,P=0.000],超聲波組患者的患膝屈曲活動(dòng)度大于常規(guī)組(t=8.688,P=0.000)、HSS膝關(guān)節(jié)功能評(píng)分高于常規(guī)組(t=15.091,P=0.000)。結(jié)論:對(duì)于創(chuàng)傷后膝關(guān)節(jié)僵硬患者,在常規(guī)康復(fù)治療的基礎(chǔ)上進(jìn)行超聲波治療,可以有效改善膝關(guān)節(jié)活動(dòng)度,提高膝關(guān)節(jié)功能。
Abstract:
Objective:To explore the applied values of ultrasonic therapy in the rehabilitation of posttraumatic knee joint stiffness.Methods:Eighty patients with posttraumatic knee joint stiffness were enrolled in the study and were randomly divided into conventional therapy group and ultrasonic therapy group,40 cases in each group.All patients in the 2 groups were treated with the conventional therapies including low-frequency pulse electrotherapy,wax therapy,Pingle Zhenggu(平樂正骨)therapeutic manipulation for infured soft tissure,traction therapy and elastic band resistance training in sequence,moreover,the patients in ultrasonic therapy group were treated with ultrasonic wave once a day for 8 weeks.The knee flexion-extension range was measured and the knee functions were evaluated by using Hospital for Special Surgery(HSS)knee function scoring standard before the treatment and after the end of the treatment respectively.Results:There was no statistical difference in knee flexion-extension range and HSS knee function scores between the 2 groups before the treatment(t=0.575,P=0.568; t=0.881,P=0.384).The knee flexion-extension range and HSS knee function scores increased in both of the 2 groups after the end of the treatment compared to pretreatment(113.40+/-8.35 vs 58.60+/-15.09 degrees,t=18.752,P=0.000; 95.40+/-9.92 vs 60.43+/-13.94 degrees,t=12.258,P=0.000; 76.60+/-4.14 vs 35.53+/-3.28 points,t=57.838,P=0.000; 55.08+/-7.24 vs 34.83+/-3.32 points,t=17.267,P=0.000),and the knee flexion-extension range was greater and the HSS knee function scores were higher in ultrasonic therapy group compared to conventional therapy group(t=8.688,P=0.000; t=15.091,P=0.000).Conclusion:For patients with posttraumatic knee joint stiffness,the combination therapy of ultrasonic wave and conventional rehabilitation can effectively improve the range of motion and the function of knee.

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通訊作者:蔣擁軍 E-mail:[email protected](收稿日期:2018-09-25 本文編輯:郭毅曼)
更新日期/Last Update: 2019-02-20