通过三道推理对膝关节骨性关节炎患者进行物理治疗管理1例

Begum Rabea, Anwar Mohammad
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引用次数: 0

摘要

背景:膝骨关节炎是最常见的关节疾病,也是致残的主要原因之一。与骨关节炎相关的主要症状是疼痛、不适、活动受限和参与减少。物理治疗管理是一种循证治疗方法,对减轻疼痛、改善肌肉力量和功能有短期和长期的效果。目的:通过三道推理,探讨循证物理治疗对膝关节骨性关节炎患者减轻疼痛、改善肌力和功能的作用。方法:采用个案研究方法。在膝关节骨关节炎的诊断和治疗中应用程序性、互动性和条件性三道推理。结果:患者对物理治疗反应良好。肿胀减轻100%,VAS评分从8/10降至1/10,根据牛津肌肉分级量表(oxford muscle grading scale by grade V),肌肉力量得到改善,负重增加(90%),功能限制从69%降至25%。结论:膝关节骨性关节炎是一种影响人的活动,限制其参与的常见肌肉骨骼疾病。物理治疗师运用临床推理对症状进行诊断和处理。接受物理治疗后,患者的健康状况得到改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physiotherapy Management in Patient with Knee Osteoarthritis through Three Tract Reasoning: A Case Report
Background: Knee Osteoarthritis is the most common joint disorder and one of the leading causes of disability. The main symptoms associated with osteoarthritis are pain, discomfort, limitation of activity and reduced participation. Physiotherapy management is evidence-based treatment approach that have short-term and long-term effect on reducing pain, improve muscle strength and function. Aim: The aim of this study was to find out evidence-based physiotherapy in patient with knee osteoarthritis through three tract reasoning on reducing pain, improve muscle strength and function. Method: A case-based study was conducted. The three tract reasoning: procedural, interactive and conditional were used during diagnosis and in management of knee osteoarthritis. Results: The patient respond well in physiotherapy treatment. The swelling was 100% reduced, reduced pain in VAS from 8/10 to 1/10, improved muscle strength by oxford muscle grading scale by grade V, weight bearing is more (90%) and only 25% remain limitation in functionally from 69%. Conclusion: Knee osteoarthritis is frequent musculoskeletal condition that affect person’s activities and restricted the participation. Using clinical reasoning physiotherapist diagnosed and managed the symptoms. After receiving physiotherapy treatment improved the patient’s status of health.
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