反射疗法与康复医学2024，Vol.5Issue(1) ：78-81.

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

Effect of Proprioception Training Combined with Isokinetic Muscle Strength Training on Range of Knee Motion and Functional Recovery in Patients after Total Knee Arthroplasty

邱勇 徐飞
反射疗法与康复医学2024，Vol.5Issue(1) ：78-81.
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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

Effect of Proprioception Training Combined with Isokinetic Muscle Strength Training on Range of Knee Motion and Functional Recovery in Patients after Total Knee Arthroplasty

邱勇 1徐飞2
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作者信息

  • 1. 邹平市中医院关节·创伤骨科2,山东滨州 256200
  • 2. 邹平市中医院脑病1科,山东滨州 256200
  • 折叠

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.

Abstract

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.

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

Key words

Total knee arthroplasty/Proprioception training,Isokinetic muscle strength training/Range of knee joint motion/Knee function

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出版年

2024
反射疗法与康复医学

反射疗法与康复医学

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