Effect of Individualized Rehabilitation on Primary Knee Osteoarthritis
Objective:To observe the clinical effect of individualized rehabilitation on patients with primary knee osteoarthritis.Methods:Eighty patients with primary knee osteoarthritis were selected from July 2017 to June 2018. According to the random number table method, the patients were divided into obser...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Editorial Office of Rehabilitation Medicine
2019-06-01
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| Series: | 康复学报 |
| Subjects: | |
| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.03017 |
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| Summary: | Objective:To observe the clinical effect of individualized rehabilitation on patients with primary knee osteoarthritis.Methods:Eighty patients with primary knee osteoarthritis were selected from July 2017 to June 2018. According to the random number table method, the patients were divided into observation group and control group, with forty cases in each group. Both groups received basic rehabilitation. The observation group received individualized rehabilitation on this basis, once a day, 5 days every week, and 6 weeks were taken as a course of treatment. Basic rehabilitation included medication, physiotherapy and rehabilitation guidance. In medication treatment, patients took orally glucosamine sulfate tablets, 0.5 g each time, 3 times per day. The pains at knee were given physiotherapy such as ultrasound therapy and microwave therapy to improve the microcirculation of joint, and relieve spasms and promote absorption of inflammatory exudates, 10 minutes for each treatment once a day. And basic rehabilitation guidance was also provided. Individualized rehabilitation included evaluating the condition of the patient's specific knee, formulating an individualized rehabilitation treatment plan according to the evaluation result, personally carrying out muscle strength training, balance training and gait training according to the evaluation situation. The research also developed individualized psychological care plan based on the patient's psychological evaluation. The VAS score, range of motion and WOMAC index of the two groups were recorded before and after 6 weeks'treatment. The excellent and good rate of the two groups was recorded after follow-up for 6 months. Results:There was no significant difference in VAS score, range of motion and WOMAC index before treatment between the two groups. The result was not statistically significant(<italic>P</italic>>0.05). After treatment, the VAS score, range of motion and WOMAC index of the two groups were improved, and the improvement result was statistically significant(<italic>P</italic><0.05). The VAS score of the observation group after treatment was(2.02±0.33), which was better than that of the control group(3.11±0.91), and the difference was statistically significant(<italic>P</italic><0.05). The range of motion of the observation group after treatment was(129.57±10.53), which was better than that of the control group(112.39±8.92), and the difference was statistically significant(<italic>P</italic><0.05). The WOMAC index of the observation group was(34.41±9.11)points, which was better than that of the control group(41.06±11.07), and the difference was statistically significant(<italic>P</italic><0.05). After follow-up for 6 months, the excellent and good rate of the observation group was 95.00%(excellent 40.00%, good 55.00%), which was better than 65.00%(excellent 30.00%, good 35.00%)of the control group, the difference between the two groups was statistically significant(<italic>P</italic><0.05).Conclusion:Individualized rehabilitation has important clinical effects on patients with primary knee osteoarthritis, which can significantly improve joint pain, increase range of motion, relieve clinical symptoms, improve clinical effect. |
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| ISSN: | 2096-0328 |