经皮神经电刺激[TENS]与治疗性运动和治疗带运动对膝关节骨性关节炎患者疼痛、残疾和肌肉力量的比较效果

Meenu Motla, Anshika Singh, S. Raghav, Mukesh Kumar, Khushi Nagar
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摘要

目的:研究使用弹力带进行抗阻力锻炼对退行性膝关节炎患者疼痛和功能的影响。材料与方法:将 30 名退行性膝关节炎患者分为两组,一组 20 人,使用弹力带进行抗阻力锻炼;另一组 20 人,使用传统物理疗法。两组患者均接受每周三次、为期四周的治疗。在治疗的第一天和第四周后,用 WOMAC 指数测量疼痛、残疾和功能,并用牛津量表评估肌肉力量。结果:表 2 显示,两组患者的 WOMAC 指数和牛津量表均有显著改善。在治疗后的组间比较中,第 2 组的 WOMAC 指数值从干预前到干预后的 33.7250±3.61879 降为 14.1800±1.76355,比第 1 组的 32.2305±7.88301 降为 18.4400±2.62546。此外,第二组的牛津量表评分(2.6000±.50262 至 4.5000±.51299)明显高于第一组(2.4500±.51042 至 3.6000±.50262)。结论:研究结果表明,使用治疗带进行阻力锻炼对退行性膝关节炎患者的疼痛和功能是一种有效的干预措施。
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Comparative effects of transcutaneous electrical nerve stimulation [TENS] along with therapeutic exercises and theraband exercises on pain, disability and muscle strength in knee osteoarthritis
Purpose: to examined the effects of resistance exercise using the theraband on the pain and function of patients with degenerative knee arthritis. Material & Methods: thirty patients with degenerative knee arthritis were classified into an one group of 20 patients on whom resistance exercise using the elastic band was applied and a other group of 20 patients on whom conventional physical therapy was delivered. Both groups received treatments three times a week for four weeks. Pain and disability and function were measured by the WOMAC index and muscle strength was evaluated by the Oxford scale on 1st day and after 4th week to follow-up the treatment. Results: the intragroup comparison Table 2, showed significant improvements in WOMAC index and Oxford scale in both groups. In the intergroup comparison after treatment, the group-2 showed significantly changes in the values with respect to pre to post intervention WOMAC index score; 33.7250±3.61879 to14.1800±1.76355 than the group-1 32.2305±7.88301 to 18.4400±2.62546. Furthermore there were significant improvement in Oxford scale score i.e. 2.6000±.50262 to 4.5000±.51299 found in group-2 than group-1 i.e. 2.4500±.51042 to 3.6000±.50262. Conclusion: the results suggest that resistance exercise using the theraband is an effective intervention for the pain and function of patients with degenerative knee arthritis.
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