摘要
目的:观察神经肌肉关节促进法治疗膝关节粘连所致膝关节功能障碍关节镜松解术后的治疗作用。方法:膝关节粘连所致膝关节功能障碍关节镜松解术后患者45例,随机分为观察组,对照组1和对照组2各15例,均接受常规康复治疗12周,观察组增加NJF法训练,对照组1加用本体感觉神经肌肉促进法(PNF)训练,对照组2加用关节松动术训练。结果:治疗12周时3组患者膝关节主动活动度范围、膝关节百分评分及Lysholm膝关节功能评分与治疗4周时比较均有提高,疼痛目测类比评分明显下降(P<0.05);与对照组1和对照组2比较,观察组表现更明显(P<0.05)。结论:NJF对膝关节粘连所致膝关节功能障碍关节镜松解术后患者功能恢复有明显的促进作用。
Objective：To observe the effects of neuromuscular joint facilitation on knee joint dysfunction of patients with knee arthrofibrosis after arthroscopic release.Methods：Sixty patients with postoperative dysfunction of knee joint caused by fracture were evenly divided into three groups：therapeutic group,control group 1 and control group 2.The patients in therapeutic group were subjected to neuromuscular joint facilitation after rehabilitation for 4 weeks,and exercise therapy and physical agents therapy for 12 weeks.The patients in control group 1 were treated with proprioceptive neuromuscular facilitation after rehabilitation for 4 weeks,and exercise therapy and physical agents therapy for 12 weeks.The patients in control group 2 were treated with joint mobilization after rehabilitation for 4 weeks,and exercise therapy and physical agents for 12 weeks.Results：The active range of motion of the knee joint,visual analogue scale,knee functional scale（percentage method）and Lysholm knee score were accessed.The active range of motion of the knee joint,knee functional scale（percentage method）and Lysholm knee score were significantly improved,while visual analogue scale was significantly reduced in all three groups after treatment for 12 weeks as compared with those after treatment for 4 weeks.As compared with control groups 1 and 2,the changes in therapeutic group were more significant（P0.05）.Conclusion：Neuromuscular joint facilitation and comprehensive rehabilitation treatment are effective for dysfunction of knee joint caused by knee arthrofibrosis.
出处
《中国康复》
2010年第2期123-125,共3页
Chinese Journal of Rehabilitation
