摘要
目的探究本体感觉训练结合等速肌力训练对全膝关节置换术后患者膝关节活动度、功能恢复的影响.方法选择2022年5月—2023年5月邹平市中医院收治的86例全膝关节置换术后患者为研究对象,按随机数字表法将其分为对照组及观察组,每组43例.对照组进行本体感觉训练,观察组进行本体感觉训练结合等速肌力训练.比较两组患者的膝关节活动度、膝关节功能、日常生活能力及并发症发生情况.结果干预后,观察组的膝关节屈曲度、伸展度、外旋度分别为(139.54±8.51)°、(5.67±1.73)°、(35.58±2.42)°,均大于对照组的(127.28±8.75)°、(4.08±1.57)°、(23.94±2.33)°,组间差异有统计学意义(P﹤0.05);观察组的疼痛视觉模拟评分为(2.04±0.22)分,低于对照组的(3.52±0.26)分,差异有统计学意义(P﹤0.05);观察组的膝关节功能障碍评分、Berg平衡量表评分分别为(67.35±3.60)分、(49.08±3.11)分,高于对照组的(52.17±3.46)分、(37.37±3.35)分,组间差异有统计学意义(P﹤0.05);观察组的日常活动能力量表评分为(83.74±4.53)分,高于对照组的(71.46±4.22)分,差异有统计学意义(P﹤0.05).观察组的并发症发生率为4.66%,低于对照组的23.26%,差异有统计学意义(P﹤0.05).结论本体感觉训练结合等速肌力训练可提高全膝关节置换术后患者的膝关节活动度,改善其自理能力,减少并发症发生.
Objective To explore the effect of proprioceptive training combined with isokinetic muscle strength training on range of knee motion and functional recovery after total knee arthroplasty.Methods 86 patients after total knee arthroplasty admitted to Zouping City Hospital of Traditional Chinese Medicine from May 2022 to May 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 43 cases in each group.The control group received proprioceptive training,and the observation group received proprioceptive training combined with isokinetic muscle strength training.The knee range of motion,knee function,ability of daily living and complications were compared between the two groups.Results After intervention,the knee flexion,extension and external rotation of the observation group were(139.54±8.51)°,(5.67±1.73)°and(35.58±2.42)°,respectively,which were greater than(127.28±8.75)°,(4.08±1.57)°and(23.94±2.33)°of the control group,the differences between the groups were statistically significant(P﹤0.05);the pain Visual Analogue Score of the observation group was(2.04±0.22)points,which was lower than(3.52±0.26)points of the control group,and the difference was statistically significant(P﹤0.05);the Hospital for Special Surgery knee joint score and Berg balance score of the observation group were(67.35±3.60)points and(49.08±3.11)points,respectively,which were higher than(52.17±3.46)points and(37.37±3.35)points of the control group,and the differences between the groups were statistically significant(P﹤0.05);the activities of daily living score of the observation group was(83.74±4.53)points,which was higher than(71.46±4.22)points of the control group,and the difference was statistically significant(P﹤0.05).The incidence of complications in the observation group was 4.66%,lower than 23.26%in the control group,the difference was statistically significant(P﹤0.05).Conclusion Proprioceptive training combined with isokinetic muscle strength training can improve knee joint motion,improve self-care ability and reduce complications of patients after total knee arthroplasty.
作者
邱勇
徐飞
QIU Yong;XU Fei(Department of Joint&Trauma Orthopaedics2,Zouping City Hospital of Traditional Chinese Medicine,Binzhou Shandong,256200,China;Department of Encephalopathy1,Zouping City Hospital of Traditional Chinese Medicine,Binzhou Shandong,256200,China)
出处
《反射疗法与康复医学》
2024年第1期78-81,共4页
Reflexology And Rehabilitation Medicine
关键词
全膝关节置换术
本体感觉训练
等速肌力训练
膝关节活动度
膝关节功能
Total knee arthroplasty
Proprioception training
Isokinetic muscle strength training
Range of knee joint motion
Knee function
作者简介
邱勇(1979-),男,山东潍坊人,本科,主治医师,研究方向:骨科常见病诊治。
