摘要
康复治疗是膝骨关节炎的一种重要的治疗方式。康复评定是康复治疗的基础。膝骨关节炎的康复评定内容包括对疼痛、本体感觉、关节活动度、肌力、平衡、步态和生活质量等的评定。当对患者进行疼痛的评估时不应仅局限于传统的视觉模拟评分法,还应考虑患者的功能状态、活动水平以及是否存在神经病理性疼痛等。等速肌力测试法除了可用于肌力的定量评估外,还可用于定量评定患者的本体感觉。与Berg平衡量表相比,社区平衡与移动量表没有上限和下限效应,是一种评估膝骨关节炎患者平衡功能可靠有效的工具。此外,膝骨关节炎患者身体结构的评定主要包括影像学检查和体格检查。评估生活质量的量表很多,其中膝和髋骨关节炎生活质量问卷是目前最适合的评估膝骨关节炎患者生活质量的量表。未来还需进一步研究并推广适用于膝骨关节炎的评估工具。
Rehabilitation is an essential treatment for knee osteoarthritis. Rehabilitation evaluation is the foundation of rehabilitation treatment. The items of rehabilitation evaluation for knee osteoarthritis include pain, proprioception, range of motion, muscle force, balance, gait, quality of life, and so on. When evaluating the patient’s pain, researchers should not only focus on Visual Analogue Score(VAS) outcomes, but also consider the patient’s body function and activity level, and whether there is neuropathic pain. Furthermore, isokinetic dynamometer can not only be used for quantitative assessment for muscle strength, but also for the quantitative evaluation for patient’s proprioception. Moreover, Community Balance and Mobility Scale has no ceiling and floor effects which also is a reliable and useful tool for assessing the balance function in patients with knee osteoarthritis, compared with Berg Balance Scale. The evaluation for body structure in patients with knee osteoarthritis mainly includes the radiological examination and physical examination. There are a lot of scales to evaluate the quality of life in patients with knee osteoarthritis, and Osteoarthritis of Knee and Hip Quality of Life fits most. Further researches and promotion of evaluation tools for knee osteoarthritis are needed in the future.
作者
叶海霞
谭波涛
虞乐华
YE Hai-xia;TAN Bo-tao;YU Le-hua(The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Chongqing City Management College,Chongqing 401331,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2019年第12期1408-1413,共6页
Chinese Journal of Rehabilitation Theory and Practice
基金
国家自然科学基金青年基金项目(No.8180090382)
重庆市卫计委重点项目(No.2016ZDXM009)
重庆市科委集成示范项目(No.csct2015jcsf10006)~~
关键词
膝骨关节炎
康复评定
综述
knee osteoarthritis
rehabilitation evaluation
review
