《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (12): 1033-1034.

• 专题　骨科康复 • 上一篇    下一篇

脑卒中患者膝关节骨关节炎的康复治疗

何宗宝; 吕有魁; 陈东昌   

  1. 武警安徽省总队医院康复理疗科,安徽合肥市 230041
  • 收稿日期:2006-03-27 出版日期:2006-12-01 发布日期:2006-12-01

Rehabilitation of Knee Osteoarthritis in Stroke Patients

HE Zong-bao, LV You-kui, CHEN Dong-chang   

  1. The Department of Rehabilitation and Physical Medicine, AnhuiProvincial Corps Hospital, Chinese People's Armed Police Forces, Hefei 230041, Anhui, China
  • Received:2006-03-27 Published:2006-12-01 Online:2006-12-01

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摘要： 目的探讨脑卒中患者膝关节骨关节炎(KOA)的有效康复治疗方法。方法将伴发KOA的24例脑卒中患者随机分为治疗组和对照组各12例,均接受以易化技术为主的康复治疗,治疗组加用包括电针、理疗及运动疗法的综合康复治疗。采用视觉模拟评分法(VAS)及Fugl-Meyer下肢功能评分(FMMS)在治疗前和治疗1个疗程后对患者进行评定。结果治疗组患者的VAS及FMMS评分均优于对照组(P<0.01)。结论电针、理疗加运动疗法的综合康复治疗对脑卒中患者的KOA有较好疗效。

关键词: 膝关节骨关节炎, 脑卒中, 偏瘫, 康复

Abstract: Objective To explore the effective method on the knee osteoarthritis (KOA) of stroke patients.Methods Twenty-four stroke patients with KOA were randomly divided into the treatment group and control group with 12 cases in each group. All patients received facilitation technique exercise, the patients in the treatment group were added with an extra complex therapy of electronic acupuncture, physical and exercise thepapies. All patients of two groups were assessed with visual analogous score (VAS) and Fugl-Meyer Motion Scale (FMMS) before treatment and one course after treatment.Results After treatment, the scores of VAS and FMMS of the patients in the treatment group were significantly better than that in the control group ( P<0.01).Conclusion Multidisciplinary rehabilitation including electronic acupuncture, physical, and exercise is efficiancy to KOA of stroke patients.

Key words: knee osteoarthritis, stroke, hemiplegia, rehabilitation