等速运动训练结合 Maitland 手法对创伤性膝关节僵直的疗效观察

摘要

Objective:To observe the effects of isokinetic training and Maitland mobilization technique on the knee functions and muscle strength in the traumatic stiff knee .Methods :Forty cases of the traumatic stiff knee were ran‐domly divided into research group and control group .The research group received the isokinetic training and Mait‐land mobilization technique ,and the control group only received the Maitland mobilization technique .Besides ,both two groups received regular exercise therapy and symptom control therapy .Visual analog scale (VAS ) ,range of motion (ROM) ,HSS index ,maximum peak torque (PT) ,and peak torque/body weight (PT/BW) were assessed before and after the treatments in two groups .Results:The VAS score was significantly reduced in the research group after treatment as compared with that before treatment and in control group (P<0 .05) .The flexion degree , extention degree and flexion radian were significantly increased after treatments in both two groups ( P< 0 .05 ) , more significantly in the research group than in the control group (P<0 .05) .The HSS index was significantly in‐creased after treatments in both two groups (P<0 .05) ,more significantly in the research group than in the control group (P<0 .05) .PT and PT/BW were significantly increased after treatments in both two group (P<0 .05) ,more significantly in the research group than in the control group (P<0 .05) .Conclusion:The effectiveness of isokinetic training and the Maitland mobilization technique for the traumatic stiff knee is satisfactory ,which can effectively re‐lieve pain ,increase the range of joint motor ,enhance the muscle strength ,and finally improve the knee functions .%目的：探讨分析等速运动训练结合M aitland手法对创伤性膝关节僵直患者关节功能及关节周围肌肉力量恢复的影响。方法：将40例创伤性膝关节僵直患者随机分为研究组和对照组各20例。研究组行等速运动训练及M aitland手法治疗，对照组行M aitland手法治疗，2组患者同时配合常规运动疗法及消肿止痛等对症支持治疗。治疗前后分别对2组患者行视觉模拟评分（VAS）评定、膝关节活动度（ROM ）评定，采用 HSS指数评定及等速肌力测试系统评定膝关节伸屈肌的峰力矩值（PT ）、峰力矩与体重比值（PT／BW ）。结果：治疗后研究组VAS较治疗前及对照组治疗后明显下降（P＜0．05），而对照组无明显下降；治疗后2组屈曲度、伸直度、屈伸弧度均较治疗前有明显提高（P＜0．05），且研究组更高于对照组（P＜0．05）；治疗后2组伸屈肌群 PT、PT／BW均较治疗前有明显提高（P＜0．05），且研究组更高于对照组（P＜0．05）；治疗后2组 HSS指数均明显升高（P＜0．05），且研究组更高于对照组（ P＜0．05）。结论：等速运动训练结合M aitland手法对创伤性膝关节僵直的疗效明显，可以很好地减轻疼痛，提高关节活动度，增强膝关节周围肌群力量，从而改善膝关节功能。