来源：风湿病与关节炎,2019,8（10）:19-23.

易筋经功法训练对膝骨关节炎患者膝关节功能的影响

（临床研究）

叶银燕^1,2，牛晓敏^1,2，邱志伟^1,2，仲卫红^2,3，黄承武¹，陈　剑³，陈长兴³，李宇涛¹

　　【摘　要】目的：观察易筋经功法训练对膝骨关节炎患者膝关节功能的影响。方法：将52例符合膝骨关节炎诊断、膝关节X线诊断属于Kellgren-Lawrance分级Ⅱ级或Ⅲ级的患者随机分为治疗组和对照组，每组26例。治疗组在具有丰富功法教学经验的教练指导下练习易筋经功法，对照组在专业康复治疗师指导下进行Prokin本体感觉和平衡训练。2组均每周3次，共治疗8周。观察2组膝关节疼痛视觉模拟评分法（VAS）评分、膝关节活动度、本体感觉敏感度和平衡能力、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分。结果：治疗后，2组患者VAS评分、本体感觉敏感度和平衡能力、WOMAC评分较治疗前均有改善（P < 0.05），且治疗组优于对照组（P < 0.05）；2组膝关节活动度较治疗前未见明显改善（P > 0.05）。2组治疗过程中均未出现不良反应。结论：易筋经功法训练可减轻膝关节疼痛、缓解关节僵硬、提高患者本体感觉敏感度和平衡能力，改善膝关节功能，防治膝骨关节炎。

　　【关键词】　骨关节炎，膝；易筋经；膝关节功能；临床疗效

Effect of Yijinjing on Knee Joint Function in Patients with Knee Osteoarthritis

YE Yin-yan,NIU Xiao-min,QIU Zhi-wei,ZHONG Wei-hong,HUANG Cheng-wu,CHEN Jian,CHEN Chang-xing,LI Yu-tao

　　【ABSTRACT】Objective:To observe the effect of Yijinjing on knee joint function in patients with knee osteoarthritis.Methods:Fifty-two patients with osteoarthritis of Kellgren-Lawrance gradeⅡor gradeⅢwere randomly divided into a treatment group and a control group,26 cases in each group.The treatment group practiced Yijinjing under the guidance of instructors with rich teaching experience,while the control group performed Prokin proprioception and balance training under the guidance of professional rehabilitation therapists.The two groups were treated 3 times a week for 8 weeks.VAS,range of knee motion,proprioception sensitivity and balance ability, WOMAC score,were observed in the two groups.Results:After treatment,VAS,proprioceptive sensitivity and balance ability,WOMAC of the two groups were improved compared with those before treatment（P < 0.05）,and the treatment group was better than the control group（P < 0.05）;the knee joint activity of the two groups was not significantly improved compared with that before treatment（P > 0.05）.There were no adverse reactions in both groups.Conclusion:Yijinjing can reduce knee pain,relieve joint stiffness,improve proprioception sensitivity and balance ability,improve knee joint function and prevent knee osteoarthritis.

　　【Keywords】 osteoarthritis,knee;Yijin-jing;knee joint function;clinical efficacy