Dwi Rosella, Komalasari, Raden Andrea, Zalfa Zaki, Gazella
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引用次数: 0
摘要
背景:骨关节炎是一种退行性疾病,可导致疼痛、僵硬和平衡功能下降,从而影响日常活动。本体感觉神经肌肉促进拉伸(PNFS)可增加本体感觉刺激,激活肌肉,减轻膝关节 OA 疼痛,改善姿势平衡。本研究旨在确定 PNFS 对膝关节 OA 患者减轻疼痛和改善姿势平衡的效果。 研究方法本研究为实验研究,采用快速实验法,不设对照组。19名患有膝关节OA的受访者通过有目的的抽样,符合纳入和排除标准。每周两次对腿筋和股四头肌进行 PNFS 训练,为期四周。疼痛采用数字评分量表(NRS)进行评估,动态平衡采用定时起立行走测试(TUG)进行评估,静态平衡采用单腿站立测试(OLS)和功能性前伸测试(FRT)进行检查。 结果PNFS 对减轻疼痛和改善 TUG、OLS 和 FRT 有明显的积极作用,P 值分别小于 0.05。 结论:疼痛是膝关节 OA 的主要问题:疼痛是膝关节 OA 和平衡能力下降的主要问题。然而,PNFS运动被推荐用于膝关节OA患者的康复治疗。
The effect of proprioceptive neuromuscular facilitation stretching exercises on pain and postural balance in patients with knee osteoarthritis
Background: Osteoarthritis is a degenerative disease that can cause pain, stiffness, and reduce balance function, thus interfering with daily activities. Proprioceptive Neuromuscular Facilitation Stretching (PNFS) can increase proprioceptive stimulation and activate muscles, reducing pain and improving postural balance in the OA knee. This study aimed to determine the effect of PNFS on reducing pain and increasing postural balance in patients with knee OA. Methods: This type of research was an experimental study with a quick experimental approach without a control group. Nineteen respondents with knee OA were taken by purposive sampling and met the inclusion and exclusion criteria. PNFS was done with the hamstring and quadriceps muscles twice a week for four weeks. The pain was evaluated using a numeric rating scale (NRS), while the dynamic balance was assessed by the timed up and go test (TUG), and static balance was examined by the one-leg stance (OLS) as well as Functional Reach Test (FRT). Results: There was a significant positive effect of PNFS to reduce pain and improve TUG, OLS, and FRT with p-values <0,05, respectively. Conclusion: Pain is the main problem in OA knee and reduced balance. However, PNFS exercises were recommended for rehabilitation management in patients with knee OA.