首页|股四头肌等速肌力训练配合家属同步健康教育对老年类风湿关节炎患者的应用效果观察

股四头肌等速肌力训练配合家属同步健康教育对老年类风湿关节炎患者的应用效果观察

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目的 探讨股四头肌等速肌力训练配合家属同步健康教育对老年类风湿关节炎(RA)患者的影响.方法 选择2020 年5 月—2023 年3月济宁市兖州区人民医院收治的 146 例老年RA患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 73 例.对照组采用常规护理,观察组采用股四头肌等速肌力训练配合家属同步健康教育,两组均持续干预 6周.对比两组患者干预前后的膝关节活动能力、股四头肌肌力水平和生活质量.结果 干预后,观察组膝关节矢状面活动范围、最大屈曲度均大于对照组,组间差异有统计学意义(P<0.05);两组最大伸直度相比,差异无统计学意义(P>0.05).干预后,观察组股四头肌的峰力矩、力矩加速能、心理功能评分、躯体功能评分、社会功能评分、物质生活状态评分均高于对照组,组间差异有统计学意义(P<0.05).结论 在老年RA患者中采用股四头肌等速肌力训练配合家属同步健康教育,可增强股四头肌肌力,改善膝关节活动能力,从而提升患者生活质量.
Observation on the Application Effect of Quadriceps Isokinetic Muscle Strength Training Combined with Synchronized Health Education For Family Members on Elderly Patients with Rheumatoid Arthritis
Objective To explore the effect of quadriceps isokinetic muscle strength training combined with synchronous health education for family members on elderly patients with rheumatoid arthritis(RA).Methods 146 elderly RA patients admitted to Yanzhou District People's Hospital in Jining City from May 2020 to March 2023 were selected as the research subjects,divided into a control group and an observation group using a random number table method,with 73 cases in each group.The control group received routine care,while the observation group received quadriceps isokinetic muscle strength training in conjunction with synchronized health education for family members.Both groups received continuous intervention for 6 weeks.The knee joint mobility,quadriceps muscle strength,and quality of life between two groups of patients before and after intervention were compared.Results After intervention,the range of motion and maximum flexion of the sagittal plane of the knee joint in the observation group were greater than those in the control group,the differences between groups were statistically significant(P<0.05);compared to the maximum straightness of two groups,there was no statistically significant difference between groups(P>0.05).After intervention,the peak torque,torque acceleration energy,psychological function,physiological function,social function,and material life state scores of the quadriceps femoris muscle in the observation group were higher than those in the control group,the differences between groups were statistically significant(P<0.05).Conclusion The use of quadriceps isokinetic muscle strength training in elderly RA patients,combined with synchronous health education for family members,can enhance quadriceps muscle strength,improve knee joint mobility,and thus enhance the quality of life of patients.

Rheumatoid arthritisIsokinetic muscle strength training for quadriceps femorisSynchronized health education for family membersKnee joint mobility

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济宁市兖州区人民医院关节外科,山东济宁 272100

类风湿关节炎 股四头肌等速肌力训练 家属同步健康教育 膝关节活动能力

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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