首页|PNF训练对膝骨关节炎老年患者的康复效果研究

PNF训练对膝骨关节炎老年患者的康复效果研究

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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.
Rehabilitation Effects of PNF Training on Elderly Patients with Knee Osteoarthritis
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.

joint range of motionjoint momentsberg balance scaletimed up and go testPNF trainingknee osteoarthritis

沈培鑫、赵硕、肖尧、罗心、毛德伟、宋祺鹏

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山东体育学院 运动与健康学院,山东 济南 250102

菏泽家政职业学院 医学康复系,山东 菏泽 274300

山东体育学院 研究生教育学院,山东 济南 250102

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

国家重点研发计划山东省教育厅运动人体科学研究创新团队项目

2018YFC20006002019-183

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
年,卷(期):2024.40(2)
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