Thiengwittayaporn Satit, Wetpiryakul Pumibal, Foosakun Yupordee, Ngamsom Taweep, Vathanavit Pramote, Pintongtun Jassadopong
Department of Orthopaedics Surgery, Bangkok Metropolitan Administration Medical College and Vajira Hospital, Bangkok, Thailand.
J Med Assoc Thai. 2009 Dec;92 Suppl 6:S33-8.
To compare the accuracy when osteoarthritic knee patients do quadriceps isometric exercise using quadriceps education device (QED) and not using QED after being instructed on the exercise program by doctors.
A randomized controlled study was conducted. Sixty patients were divided into 2 groups, QED group (patients using QED) and non-QED group (patients not using QED). We developed the Quadriceps Educational Device (QED). All patients were instructed on the quadriceps exercise method. Patients in the QED group were instructed to use the QED device and received the QED to take back and conducted the exercises at home. After 2 weeks, both groups of patients were tested by asking them to do the quadriceps exercise without using the QED. The accuracy of the quadriceps exercise was analyzed to determine the statistical difference. Chi-square test was used for statistical analysis.
The number of patients in the QED group that conducted accurate quadriceps exercise totaled 23 patients (79.3%), while the number of non-QED was reduced to 8 patients (28.6%). The results were significantly different in statistic (p < 0.01). Patients in the QED group conducted the quadriceps exercise more accurately than the non-QED group.
The osteoarthritic knee patients, who used QED, can do the quadriceps isometric exercise more accurately than those who did not use the QED after being instructed on the exercise program by doctors.
比较骨关节炎膝关节患者在医生指导锻炼方案后,使用股四头肌训练装置(QED)和不使用QED进行股四头肌等长收缩锻炼时的准确性。
进行一项随机对照研究。60例患者分为两组,QED组(使用QED的患者)和非QED组(不使用QED的患者)。我们研发了股四头肌训练装置(QED)。所有患者均接受股四头肌锻炼方法的指导。QED组患者被指导使用QED装置,并领取QED带回家,在家中进行锻炼。2周后,要求两组患者在不使用QED的情况下进行股四头肌锻炼并进行测试。分析股四头肌锻炼的准确性以确定统计学差异。采用卡方检验进行统计分析。
QED组中进行准确股四头肌锻炼的患者有23例(79.3%),而非QED组减少至8例(28.6%)。结果在统计学上有显著差异(p < 0.01)。QED组患者进行股四头肌锻炼比非QED组更准确。
在医生指导锻炼方案后,使用QED的骨关节炎膝关节患者比未使用QED的患者能更准确地进行股四头肌等长收缩锻炼。