摘要
目的分析多元化关节僵硬治疗技术对股骨头髓芯减压术后髋关节僵硬的治疗效果。方法对16例股骨头髓芯减压术后髋关节僵硬患者进行康复评估,并对关节内、关节外僵硬的因素采取针对性的多元化关节僵硬治疗技术,包括关节松动术、软组织松解及运动治疗等。结果经治疗后6个月随访,患者的髋关节前屈、后伸、外旋、内旋、外展、内收平均改善至(115.2±12.1)°、(13.1±5.7)°、(33.2±6.3)°、(16.9±4.9)°、(32.1±4.4)°、(15.3±4.5)°,活动时疼痛评分平均改善至(0.4±0.3)分,安静时平均为(0.1±0.3)分,Harris髋关节功能评分提高到(82.3±9.9)分,WOMAC骨性关节炎评分下降到(68.2±13.1)分,与治疗前比较差异均有统计学意义(P<0.05)。结论关节僵硬的因素包括了关节内、关节外及肌肉力量与控制等因素,采取多元化关节僵硬治疗技术治疗髋关节僵硬的疗效良好。
Objective To analyze the therapeutic effect of multiple treatment techniques for joint stiffness on hip joint stiffness after core decompression surgery.Methods Sixteen cases of hip joint stiffness after core decompression surgery were evaluated for rehabilitation.The patients were treated with multiple treatment techniques for joint stiffness according to the intra-articular and extra-articular stiffness factors,including joint mobilization techniques,soft tissue release and exercise therapy.Results The patients were followed up six months after treatment,and on average,the patients′hip joint anteflexion,extension,external rotation,internal rotation,abduction and adduction were improved to(115.2±12.1)degrees,(13.1±5.7)degrees,(33.2±6.3)degrees,(16.9±4.9)degrees,(32.1±4.4)degrees and(15.3±4.5)degrees respectively;the average pain score during activity was improved to(0.4±0.3)points,and the pain score at rest was(0.1±0.3)points;Harris hip joint function score was increased to(82.3±9.9)points,and WOMAC osteoarthritis score was decreased to(68.2±13.1)points,and there were significant differences in these indexes before and after treatment(P<0.05).Conclusion The factors causing joint stiffness include intra-articular,extra-articular and muscular strength and control factors.The multiple treatment techniques for joint stiffness has a good effect on hip joint stiffness.
作者
方仲毅
蔡斌
范帅
FANG Zhong-yi;CAI Bin;FAN Shuai(Department of Rehabilitation Medicine, Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China)
出处
《中国临床新医学》
2020年第7期647-651,共5页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
上海市科委课题(编号:17441900100)。
关键词
股骨头坏死
髋关节僵硬
多元化关节僵硬治疗技术
Osteonecrosis of the femoral head(ONFH)
Hip joint stiffness
Multiple treatment techniques for joint stiffness
