摘要
目的探讨基于物联网的脉冲磁疗联合运动疗法的远程康复新模式对膝骨关节炎(knee osteoarthritis,KOA)患者的临床疗效。方法选取2022年10月至2023年3月,于我科就诊的43例KOA患者,其中男13例,女30例;年龄42~80岁,平均(62.66±11.97)岁。进行为期4周的远程康复治疗,包括基于物联网的脉冲磁疗联合运动疗法指导。所有受试者分别在治疗前、治疗后4周评估,主要结果使用西安大略和麦克马斯特大学骨关节炎指数(Western Ontario and McMaster Universities Osteoarthritis index,WOMAC)评分量表。次要结果指标包括:疼痛数字评分量表(numerical rating scale,NRS)、生活质量调查表(short form-36,SF-36)、日常生活能力(instrumental activity of daily living,IADL)、焦虑自评量表(self-rating anxiety,SAS)、抑郁自评量表(self-rating depression,SDS)、起立行走试验(timed“up&go”,TUG),并在治疗后记录患者对治疗的满意度和不良反应。结果所有患者远程康复后4周,WOMAC总分、疼痛、僵硬及功能评分较治疗前均降低,疼痛从治疗前13.85±9.09降至9.69±8.63,僵硬从治疗前5.04±3.14降至4.46±3.78(P均<0.05)。NRS从治疗前4.40±2.52降至2.42±2.30,SAS从治疗前40.62±8.89降至35.88±7.55,SDS从治疗前46.18±11.94降至39.05±8.37(P均<0.05),TUG从治疗前10.73±6.10缩短至8.88±3.66(P<0.05),SF-36从治疗前107.61±20.62增加至115.01±16.06(P<0.05)。所有患者未出现不良反应,患者满意度为100%。结论基于物联网的脉冲磁疗联合运动疗法的远程康复治疗显著改善KOA患者的膝关节疼痛和僵硬,焦虑及抑郁心理状态改善明显,显著提高步行能力及生活质量。
Objective To explore the clinical effectiveness of Internet of Things-based(Iot-based)pulsed electromagnetic fields combined exercise therapy in patients with knee osteoarthritis.Methods From October 2022to March 2023,43 patients with knee osteoarthritis(KOA)aged≥40 years were analyzed,including 13 males and 30 females.The average age was(62.66±11.97)years,ranging from 42 to 80 years.Therapy of four weeks was applied,including Iot-based pulsed electromagnetic fields combined exercise therapy.All subjects were evaluated before and 4 weeks after treatment.Primary outcome index:Western Ontario and McMaster Universities Osteoarthritis(WOMAC)scale.Secondary outcomes:Pain Numerical Rating Scale,Quality of Life Questionnaire(Short Form-36,SF-36),Instrumental Activity of Daily Living(IADL),Self-Rating Anxiety(SAS),Self-Rating Depression(SDS),Timed“Up&Go”(TUG),Patients'satisfaction with the treatment and adverse reactions.Results After 4 weeks of tele-rehabilitation,the total WOMAC score,pain,stiffness and functional scores of all patients were decreased compared with those before treatment.After 4 weeks of tele-rehabilitation,pain decreased from 13.85±9.09 to 9.69±8.63(P<0.05),stiffness decreased from 5.04±3.14 to 4.46±3.78(P<0.05),NRS decreased from 4.40±2.52 to 2.42±2.30(P<0.05),SAS decreased from 40.62±8.89 to 35.88±7.55(P<0.05),SDS decreased from 46.18±11.94 to 39.05±8.37(P<0.05),TUG decreased from 10.73±6.10 to 8.88±3.66(P<0.05),and SF-36 increased from 107.61±20.62 to 115.01±16.06(P<0.05).No adverse reactions occurred in all patients,and patient satisfaction was 100%.Conclusions Iot-based pulsed electromagnetic fields combined exercise therapy can significantly reduce knee pain,stiffness,anxiety and depression in patients with KOA,and significantly improve walking ability and quality of life.
作者
石秀秀
郭全义
赵宁
秦江
万一群
崔成文
孙海燕
李晓
SHI Xiu-xiu;GUO Quan-yi;ZHAO Ning;QIN Jiang;WAN Yi-qun;CUI Cheng-wen;SUN Hai-yan;LI Xiao(Department of Rehabilitation,Senior Department of Orthopedics,the Fourth Medical Center of PLA General Hospital/National Clinical Research Center for Orthopedics,Sports Medicine&Rehabilitation,Beijing,100048,China)
出处
《中国骨与关节杂志》
CAS
2024年第4期260-266,共7页
Chinese Journal of Bone and Joint
基金
国家骨科与运动康复临床研究中心项目(2021KY046-KS001)
国家骨科与运动康复临床研究中心创新基金培育项目(2021-NCRC-CXJJ-PY-22)。
关键词
骨关节炎
膝
物联网
磁疗法
运动疗法
远程康复
Osteoarthritis,knee
Internet of things
Magnetotherapy
Exercise therapy
Telerehabilitation
