山东体育学院学报2024,Vol.40Issue(2) :104-114.DOI:10.14104/j.cnki.1006-2076.2024.02.012

PNF训练对膝骨关节炎老年患者的康复效果研究

Rehabilitation Effects of PNF Training on Elderly Patients with Knee Osteoarthritis

沈培鑫 赵硕 肖尧 罗心 毛德伟 宋祺鹏
山东体育学院学报2024,Vol.40Issue(2) :104-114.DOI:10.14104/j.cnki.1006-2076.2024.02.012

PNF训练对膝骨关节炎老年患者的康复效果研究

Rehabilitation Effects of PNF Training on Elderly Patients with Knee Osteoarthritis

沈培鑫 1赵硕 2肖尧 3罗心 3毛德伟 1宋祺鹏1
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作者信息

  • 1. 山东体育学院 运动与健康学院,山东 济南 250102
  • 2. 菏泽家政职业学院 医学康复系,山东 菏泽 274300
  • 3. 山东体育学院 研究生教育学院,山东 济南 250102
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摘要

目的:探索6 周神经肌肉本体感觉促进技术(PNF)训练对膝骨关节炎(KOA)老年患者关节疼痛、身体稳定性和楼梯步态的影响.方法:将36 名老年志愿者随机分入PNF组和对照组,分别进行每周3 次、每次1h、持续6 周的PNF训练及健康宣教.干预前、后分别评估其疼痛、身体稳定性、主动关节活动度(ROM)、关节角度和力矩等,并应用双因素重复性方差分析评估干预效果.结果:相比干预前,干预后PNF组疼痛分数降低,伯格平衡分数提高,起立行走测试时间缩短,下肢主动ROM增加,下楼梯时髋内收峰值力矩增加,上楼梯时膝内收峰值力矩减小.结论:PNF训练干预能有效缓解KOA老年患者的关节疼痛,提高其身体稳定性和改善楼梯行走功能,可推广应用于KOA的临床治疗.

Abstract

Objective:To explore the effects of 6-week Proprioceptive Neuromuscular Facilitation(PNF)training on joint pain,physical stability and stair gait in the elderly with knee osteoarthritis(KOA).Methods:36 volunteers from the community were randomly assigned to the PNF group and the control group.The PNF group received PNF training,and the control group participated in health education lectures,all for 1 hour each time,3 times a week,for 6 weeks.Data was collected before and after 6-week intervention,including pain score,physical stability,active joint range of motion(ROM),joint angles and joint moment,respectively.Two-way ANOVA with repeated measures was used to evaluate the intervention effects.Results:Compared with the pre-intervention,the PNF group significantly reduced the pain score;shortened the time of Timed Up&Go test;increased the Berg Balance Scale score,the active ROM,the peak hip adduction moment;and decreased the peak knee adduction moment after the intervention.Conclusion:PNF intervention can effectively relieve joint pain,improve physical stability and stair gait,which can be popularized in KOA clinical treatment.

关键词

关节活动度/关节力矩/伯格平衡量表/起立行走测试/PNF训练/膝骨关节炎

Key words

joint range of motion/joint moments/berg balance scale/timed up and go test/PNF training/knee osteoarthritis

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基金项目

国家重点研发计划(2018YFC2000600)

山东省教育厅运动人体科学研究创新团队项目(2019-183)

出版年

2024
山东体育学院学报
山东体育学院

山东体育学院学报

CHSSCD北大核心
影响因子:0.866
ISSN:1006-2076
参考文献量56
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