本体感觉神经肌肉促进技术对老年膝骨关节炎患者步行时关节负荷效果的随机对照试验

doi:10.3969/j.issn.1006-9771.2024.07.015

Abstract

Abstract:

Objective To explore the effect of proprioceptive neuromuscular facilitation (PNF) on the knee abduction torque and vastus medialis-medial gastrocnemius (VM-MG) co-contraction index during walking among the old patients with medial compartment knee osteoarthritis.
Methods From March to May, 2022, 32 old patients with medial compartment knee osteoarthritis in communities in Ji'nan were enrolled and randomly allocated to control group (n = 16) and training group (n = 16). The training group received PNF and the control group received home-based exercise, for six weeks. The knee abduction torque and VM-MG co-contraction index were measured using an infrared motion capture system synchronized with 3D force plate and electromyography system before and after treatment.
Results Three cases in the control group and two cases in the training group dropped off. The first and the second peaks of knee abduction torque, and the VM-MG co-contraction index improved in the training group after treatment (|t| > 2.460, P < 0.05), and the first and the second peaks of knee abduction torque were better in the training group than in the control group (|t| > 2.454, P < 0.05).
Conclusion PNF may optimize the load distribution between the medial and lateral compartments of the knee in patients with knee osteoarthritis.

Key words: knee osteoarthritis, proprioceptive neuromuscular facilitation, joint torque, co-contraction, walking

CLC Number:

R684.3

SHEN Peixin, LUO Xin, CHE Xinheng, LIU Yanhao, MAO Dewei, SONG Qipeng. Effect of proprioceptive neuromuscular facilitation on knee loading during walking for old knee osteoarthritis patients: a randomized controlled trial[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 854-860.

Figures/Tables 4

Table 1

Figure 1

Table 2

Table 3

References 54

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组别	n	性别(男/女)/n	患侧(单/双)/n	K/L分级(I/II/III)/n	年龄/岁	身高/cm	体质量/kg	BMI/(kg·m^-2)	步速/(m·s^-1)
对照组	13	3/10	10/3	4/6/3	66.4±2.4	162.7±4.6	71.5±7.8	27.0±3.3	1.03±0.10
训练组	14	4/10	10/4	4/7/3	65.3±4.6	162.4±7.5	70.3±6.0	26.7±2.5	1.06±0.11
χ²/t值		0.106	0.106	0.040	1.327	-0.146	-0.433	-0.279	0.799
P值		0.745	0.746	0.980	0.196	0.885	0.662	0.782	0.432

变量	组别	n	测试	$\bar{x}±s$	t值	P值
第一峰值	对照组	13	前测	0.42±0.18	-0.672	0.514
			后测	0.45±0.16
	训练组	14	前测	0.38±0.10	2.664	0.019
			后测	0.30±0.15
	治疗前两组均值差			-0.03±0.20	-0.719	0.479
	治疗后两组均值差			-0.14±0.19	-2.454	0.021
第二峰值	对照组	13	前测	0.32±0.12	-0.843	0.415
			后测	0.36±0.18
	训练组	14	前测	0.28±0.12	2.908	0.012
			后测	0.21±0.08
	治疗前两组均值差			-0.03±0.17	-0.776	0.445
	治疗后两组均值差			-0.15±0.22	-2.861	0.008

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	13	前测	54.63±19.46	-1.403	0.186
		后测	60.75±16.61
训练组	14	前测	62.08±16.65	2.460	0.029
		后测	52.96±14.79
治疗前两组均值差			6.35±23.84	1.224	0.232
治疗后两组均值差			-7.32±33.68	-1.115	0.275

Effect of proprioceptive neuromuscular facilitation on knee loading during walking for old knee osteoarthritis patients: a randomized controlled trial

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