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膝关节骨关节炎患者的本体感觉及其与疼痛和功能障碍间的相关性研究 被引量:20

The proprioception of knee and its correlation with pain and dysfunction in patients with knee osteoarthritis
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摘要 目的明确膝关节骨关节炎(OA)患者膝关节本体感觉误差的程度和分布,并且评价膝关节本体感觉与膝OA患者疼痛和功能障碍之间的关系。方法在Biodex等速系统上用复位测试法测试28例膝OA患者(其中女19例、男9例)和27名同年龄正常人(其中女20例、男7例)的膝关节本体感觉。OA患者疼痛和功能障碍的评定采用目测类比评分法(VAS)和Lequesne指数。结果膝OA患者产生的本体感觉误差比正常人增加了79%(P〈0.05),并以伸膝位的差异百分率最大。在膝关节本体感觉误差和功能障碍之间存在中度的相关关系(r:0.55,P〈0.05),在膝痛和本体感觉误差之间没有显著相关性。结论膝OA患者本体感觉受损,改善其本体感觉可能使患者的功能障碍得到改善,这对膝OA患者的功能评价和康复方案的设计具有重要意义。 Objective To determine the extent and distribution of error in knee joint proprioeeption and evaluate the relationship between knee joint proprioeeption and pain and dysfunction. Methods Twenty-eight knee OA patients (19 female and 9 male) were compared with 27 age-matched healthy adults (20 female and 7 male). Knee joint proprioception was measured with a repositioning test on the Biodex dynamometer. The pain and knee dysfunction were assessed with Visual Analogue Scale and Lequesne Index, respectively. Results Knee OA patients produced 79% more proprioception errors than the healthy subjects (P 〈 0.05) , and most errors were produced when the knee was in the more extended position. There was a moderate correlation between the proprioception errors and dysfunction ( r = 0.55, P 〈 0.05 ) , while there was no significant correlation between the proprioception errors and pain. Conclusion Knee OA patients have impaired proprioception. The improvement of proprioception in patients with knee OA may lead to improved function. These results have implications for designing functional evaluation and rehabilitation programs for patients with knee OA.
作者 吴毅 俞晓杰 胡永善 白玉龙 WU Yi , YU Xiao-jie , HU Yong-shan , BAI Yu-long. Department of Rehabilitation Medicine, Huashan Hospital, Fudan University,200040 Shanghai, China
出处 《中华物理医学与康复杂志》 CSCD 北大核心 2007年第5期 334-338,共5页 Chinese Journal of Physical Medicine and Rehabilitation
关键词 膝关节 骨关节炎 本体感觉 疼痛 功能障碍 Knee Osteoarthritis Proprioception Pain Dysfunction
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