摘要
目的探讨本体感觉强化训练配合持续被动活动(CPM)康复锻炼对全膝关节置换术后患者疼痛程度、膝关节功能的影响。方法选取2020年5月—2023年5月贵州省遵义市绥阳县人民医院收治的80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和观察组,每组40例。对照组进行本体感觉强化训练,观察组进行本体感觉强化训练配合CPM康复锻炼。比较两组患者的疼痛程度、膝关节功能、日常生活能力及并发症发生情况。结果干预后,观察组的疼痛视觉模拟评分为(2.15±0.24)分,低于对照组的(3.48±0.47)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(77.35±6.61)分、(49.08±3.11)分,均高于对照组的(62.17±5.46)分、(36.37±3.35)分,膝关节活动度为(105.54±8.51)°,大于对照组的(91.28±8.75)°,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(72.30±4.62)分,差异有统计学意义(P<0.05)。观察组的并发症发生率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论本体感觉强化训练配合CPM康复锻炼可减轻全膝关节置换术后患者的疼痛,促进膝关节功能恢复,提升患者日常生活能力,减少术后并发症发生风险。
Objective To explore the effect of proprioceptive strengthening training combined with continues passive motion(CPM)rehabilitation exercise on pain degree and knee function of patients after total knee arthroplasty.Methods Eighty patients with total knee arthroplasty treated in Suiyang County People's Hospital of Zunyi City,Guizhou Province from May 2020 to May 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group received proprioceptive strengthening training,and the observation group received proprioceptive strengthening training combined with CPM rehabilitation exercise.The pain degree,knee function,daily living ability and complications were compared between the two groups.Results After intervention,the pain Visual Analogue Scale score of the observation group was(2.15±0.24)points,which was lower than(3.48±0.47)points of the control group,and the difference was statistically significant(P<0.05);the Hospital for Special Surgery knee dysfunction score,Berg balance scale score in the observation group were(77.35±6.61)points,(49.08±3.11)points and,respectively,which were higher than(62.17±5.46)points,(36.37±3.35)points in the control group,the knee motion was(105.54±8.51)°,which was greater than(91.28±8.75)°in 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(72.30±4.62)points of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Proprioceptive strengthening training combined with CPM rehabilitation exercise can alleviate the pain of patients after total knee arthroplasty,promote the recovery of knee function,improve patients'ability of daily living,and reduce the risk of postoperative complications.
作者
谢远胜
杨贵昌
XIE Yuansheng;YANG Guichang(Department of Orthopedics,Suiyang County People's Hospital,Zunyi 563300,China)
出处
《反射疗法与康复医学》
2024年第11期113-116,共4页
Reflexology And Rehabilitation Medicine
关键词
全膝关节置换术
本体感觉强化训练
CPM康复锻炼
膝关节功能
Total knee arthroplasty
Proprioceptive strengthening training
CPM rehabilitation exercise
Knee function
作者简介
谢远胜(1975-),男,仡佬族,贵州遵义人,本科,副主任医师,研究方向:骨关节和骨创伤疾病诊疗。
