首页|改良牵伸康复方案对下肢骨折后膝关节僵硬患者关节活动度及功能状态的影响分析

改良牵伸康复方案对下肢骨折后膝关节僵硬患者关节活动度及功能状态的影响分析

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目的 分析改良牵伸康复方案对下肢骨折后膝关节僵硬患者关节活动度和关节功能状态的影响.方法 选取2022 年8 月—2023 年 8 月我院收治的 98 例下肢骨折后膝关节僵硬患者为研究对象,采用随机数字表法将其分为对照组和观察组.对照组(n=49)采用常规康复治疗,观察组(n=49)在常规康复治疗基础上联合采取改良牵伸康复方案.比较两组患者的治疗效果及治疗前后的关节活动度和关节功能.结果 观察组治疗总有效率为 81.63%,高于对照组的 61.22%,差异有统计学意义(P<0.05).治疗前,两组膝关节活动度比较,差异无统计学意义(P>0.05);治疗 8 周后,观察组膝关节活动度为(118.28±17.59)°,大于对照组的(103.36±15.42)°,差异有统计学意义(P<0.05).治疗前,两组美国特种外科医院膝关节功能评估表评分比较,差异无统计学意义(P>0.05);治疗 8 周后,观察组HSS量表中疼痛、运动功能、关节活动度、股四头肌肌力、关节屈曲畸形、关节稳定性评分分别为(25.35±5.15)分、(15.56±3.14)分、(13.39±3.17)分、(8.96±0.71)分、(9.18±0.56)分、(8.75±0.26)分,均高于对照组的(21.14±3.97)分、(11.24±2.85)分、(10.24±2.54)分、(7.12±0.53)分、(7.71±0.97)分、(7.35±0.31)分,组间差异有统计学意义(P<0.05).结论 对于下肢骨折后膝关节僵硬患者采取改良牵伸康复方案可有效提高治疗效果,改善关节活动度及关节功能状态,具备临床可行性.
Analysis of the Impact of Improved Stretching Rehabilitation Plan on Joint Range of Motion and Functional Status in Patients with Knee Stiffness after Lower Limb Fractures
Objective To analyze the impact of an improved stretching rehabilitation plan on joint range of motion and joint function status in patients with knee stiffness after lower limb fractures.Methods A total of 98 patients with knee joint stiffness after lower limb fractures admitted to our hospital from August 2022 to August 2023 were selected as the research subjects and were divided into a control group and observation group using a random number table method.The control group(n=49)received routine rehabilitation treatment,while the observation group(n=49)adopted an improved stretching rehabilitation plan in combination with routine rehabilitation treatment.The treatment effects,the joint range of motion and joint function before and after treatment of two groups were compared.Results The effective rate of treatment in the observation group was 81.63%,which was higher than the control group's 61.22%,and the difference between the groups was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in knee joint mobility between the two groups(P>0.05).After 8 weeks of treatment,the range of motion of the knee joint in the observation group was(118.28±17.59)°,which was higher than the control group's(103.36±15.42)°,and the difference between the groups was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in Hospital for Special Surgery scores between the two groups(P>0.05).After 8 weeks of treatment,the pain,motor function,joint range of motion,quadriceps muscle strength,joint flexion deformity,and joint stability scores on the HSS scale in the observation group were(25.35±5.15)points,(15.56±3.14)points,(13.39±3.17)points,(8.96±0.71)points,(9.18±0.56)points,and(8.75±0.26)points,were higher than(21.14±3.97)points,(11.24±2.85)points,(10.24±2.54)points,(7.12±0.53)points,(7.71±0.97)points,and(7.35±0.31)points of the control group with statistically significant differences between the groups(P<0.05).Conclusion For patients with knee stiffness after lower limb fractures,adopting an improved stretching rehabilitation plan can effectively improve treatment effectiveness,improve joint range of motion and functional status,and has clinical feasibility.

Lower limb fracturesKnee joint stiffnessStretching rehabilitationJoint range of motionJoint function

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新泰市人民医院关节外科,山东泰安 271200

下肢骨折 膝关节僵硬 牵伸康复 关节活动度 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(17)