Objective To explore the effect of functional fitness training at home on functional rehabilitation of arthritis for patients with senile degenerative arthritis of the knee.Methods A total of 78 patients with senile degenerative arthritis of the knee were randomized into an observation group and a control group,with 39 patients in each group.The control group received routine physical rehabilitation treatment and nursing,while the observation group additionally received 12 weeks functional fitness training at home,including muscle strength,knee flexion and softness training.The improvement of clinical symptom of the knee and functional fitness of the two groups were measured before and after the intervention.Results After the intervention,the score of knee pain,knee stiffness and knee function of the observation group were significantly lower than those of the control group,while the score of functional fitness in the lower limbs was significantly higher than that of the control group (P＜0.05,P＜0.01).Conclusion Functional fitness training at home for patients with senile degenerative arthritis of the knee,can improve pathological symptoms of the knee,enhance functional fitness of lower limbs,avoid functional degenerative of the knee,so as to maintain their ability of daily life activity.%目的 探讨居家功能性体力训练对老年退行性膝关节炎患者关节功能康复的作用.方法 将78例老年退行性膝关节炎患者随机分为观察组、对照组各39例.对照组按常规进行物理康复治疗及护理;观察组在常规康复护理基础上进行为期12周的居家功能性体力训练,包括肌力、屈膝、柔软度训练.于干预前后评测两组膝关节临床症状改善情况及功能性体力.结果 干预后观察组膝关节疼痛、膝关节僵硬、膝关节功能评分显著低于对照组,下肢功能性体力得分显著高于对照组(P＜0.05,P＜0.01).结论 对老年退行性膝关节炎患者进行居家功能性体力训练,可以提升下肢功能性体力,避免患者膝关节功能退行,利于维持日常生活行动能力.
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