King A C, Ahles T A, Martin J E, White R
Arch Phys Med Rehabil. 1984 Jun;65(6):341-3.
Reinstitution of a regular exercise program for patients with chronic arthritic knee pain can be extremely important, given the overall medical and psychosocial status of the patient. A 60-year-old man with intense pain in his right knee was targeted for an exercise intervention program. Before treatment, the patient's symptoms included near absence of vastus medialis muscle, subpatellar crepitation, and other signs of atrophy. The patient had 17 exercise sessions of 15 minutes each using an ergometer. During these sessions, the patient was given audio feedback to train him to use the vastus medialis as the predominant knee extensor while minimizing use of the vastus lateralis. As treatment progressed, pain was markedly lessened, the vastus medialis increased to normal size, and crepitation was less than in prior exams. A portable home biofeedback device was used to help maintain the appropriate exercise response. Importantly, the patient reported an increase in positive mood as he was able to ambulate without pain.
考虑到患者的整体医学和心理社会状况，为慢性膝关节炎疼痛患者重新制定常规锻炼计划可能极其重要。一名60岁的男性，右膝剧痛，被纳入一项运动干预计划。治疗前，患者的症状包括股内侧肌几乎消失、髌下摩擦音以及其他萎缩迹象。患者使用测力计进行了17次每次15分钟的锻炼。在这些锻炼过程中，给予患者音频反馈，训练他以股内侧肌作为主要的膝关节伸肌，同时尽量减少股外侧肌的使用。随着治疗的进展，疼痛明显减轻，股内侧肌恢复到正常大小，摩擦音也比之前的检查时减少。使用了便携式家庭生物反馈设备来帮助维持适当的运动反应。重要的是，患者报告说，由于能够无痛行走，他的积极情绪有所增加。
