首页|关节持续被动活动联合本体感觉训练对膝关节骨折术后患者功能康复的影响

关节持续被动活动联合本体感觉训练对膝关节骨折术后患者功能康复的影响

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目的 探讨关节持续被动活动联合本体感觉训练对膝关节骨折术后患者功能康复的影响.方法 选取聊城市东昌府区中医院 2021 年4 月—2023 年4 月收治的 78 例膝关节骨折术后患者为研究对象,以随机数字表法分为对照组和观察组,每组 39 例.对照组进行常规康复训练,观察组在此基础上进行关节持续被动活动联合本体感觉训练,均持续 3 个月.对比两组患者的膝关节功能、疼痛程度、膝关节活动度、平衡功能、膝关节肿胀程度及生活质量.结果 训练后,两组的Lysholm膝关节评分均高于训练前,且观察组评分高于对照组,两组的疼痛视觉模拟评分均低于训练前,且观察组评分低于对照组,组间差异有统计学意义(P<0.05).训练后,两组的膝关节主动活动度均大于训练前,且观察组活动度大于对照组,Berg平衡量表评分均高于训练前,且观察组评分高于对照组,组间差异有统计学意义(P<0.05).训练后,两组的生活质量综合评定问卷中各维度评分均高于训练前,且观察组的躯体功能、社会功能、心理功能、物质生活状态评分分别为(81.16±5.45)分、(77.37±4.28)分、(76.29±4.12)分、(81.78±6.37)分,均高于对照组,组间差异有统计学意义(P<0.05).结论 关节持续被动活动联合本体感觉训练能促进膝关节骨折术后患者的膝关节功能康复,降低疼痛程度,改善其膝关节活动度、平衡功能及生活质量.
Effect of Continuous Passive Joint Activity Combined with Proprioceptive Training on Postoperative Functional Rehabilitation of Patients with Knee Joint Fracture
Objective To investigate the effect of continuous passive joint activity combined with proprioceptive training on postoperative functional rehabilitation of patients with knee joint fracture.Methods 78 patients with knee joint fracture admitted to Dongchangfu District Traditional Chinese Medicine Hospital from April 2021 to April 2023 were selected as the research objects and were divided into a control group and an observation group by random number table method,with 39 cases in each group.The control group received routine rehabilitation training,and the observation group received continuous passive joint activity combined with proprioceptive training on this basis.Both groups continued their training for 3 months.The knee function,pain degree,knee range of motion,balance function,knee swelling degree and quality of life were compared between the two groups.Results After training,the Lysholm knee joint scores of both groups were higher than before training,and the score in the observation group was higher than that in the control group,and the pain visual analogue scores of both groups were lower than before training,and the score in the observation group was lower than that in the control group,the differences between the groups were statistically significant(P<0.05).After training,the knee active ranges of motion in both groups were higher than before training,and the range in the observation group was higher than that in the control group,and the Berg balance scale scores were higher than those before training,and the score in the observation group was higher than that in the control group,the differences between the groups were statistically significant(P<0.05).After training,the scores of all dimensions in the generic quality of life inventory-74 of both groups were higher than those before training,and the scores of physical function,social function,psychological function and material life status of the observation group were(81.16±5.45)points,(77.37±4.28)points,(76.29±4.12)points and(81.78±6.37)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Continuous passive joint activity combined with proprioceptive training can promote functional rehabilitation of knee joint,reduce pain degree,improve knee joint motion,balance function and quality of life of patients with knee joint fracture.

Knee joint fractureContinuous passive joint activityProprioceptive trainingKnee joint function

朱明、任亭亭

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聊城市东昌府区中医院骨伤科,山东聊城 252000

聊城市东昌府区中医院手术室,山东聊城 252000

膝关节骨折 关节持续被动活动 本体感觉训练 膝关节功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(6)
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