Establishment and application of staged target rehabilitation exercise program after total knee arthroplasty
Objective To study the application effect of staged target rehabilitation exercise program after total knee arthroplasty(TKA).Methods Eighty-two patients receiving TKA treatment in the First Affiliated Hospital of Zhengzhou University from February 2020 to October 2023 were selected and divided into a control group and a study group by random number table method,with 41 patients in each group.The control group adopted routine management,and the study group applied staged target rehabilitation exercise program on the basis of the treatment in the control group.Patients in both groups were given nursing intervention until discharge,and they were followed up for 12 weeks before returning to the hospital for reexamination.The compliance of rehabilitation exercise,Tampa Scale for Kinesio-phobia(TSK),Hospital for Special Surgery(HSS)score,and the Western Ontario and McMaster Universities Arthritis Index(WOMAC),and joint range of motion were compared between the two groups before intervention and after 12 weeks of follow-up.Results Before intervention,there was no significant difference in compliance of rehabilitation ex-ercise and TSK score between the two groups(P>0.05).After 12 weeks of follow-up,the compliance of rehabilitation ex-ercise in both groups increased,and the TSK score decreased;the compliance score of rehabilitation exercise of patients in the study group was(55.03±6.91)points,which was significantly higher than(48.06±5.14)points of the control group;the TSK score was(35.88±4.81)points,which was significantly lower than(42.31±4.06)points of the control group;the differences were statistically significant(P<0.05).After 12 weeks of follow-up,HSS score increased and WOMAC score decreased in both groups;HSS score in the study group was(78.29±6.19)points,which was signifi-cantly higher than(69.53±5.11)points in the control group;WOMAC score was(40.09±7.62)points,which was signif-icantly lower than(48.15±5.83)points of the control group;the differences was statistically significant(P<0.05).After 12 weeks of follow-up,both active and passive joint range of motion increased in the two groups;the active and passive joint range of motion in the study group were(89.95±10.34)°and(115.37±14.02)°,which were significantly higher than(83.63±8.53)°and(107.52±11.25)°of control group;the differences were statistically significant(P<0.05).Conclusion The staged target rehabilitation exercise program can improve the compliance of postoperative rehabilitation exercise for pa-tients undergoing TKA,reduce postoperative fear of pain to movement,and improve knee joint function.
Knee osteoarthritisTotal knee arthroplastyStaged target rehabilitation exercise programCompli-anceKinesiophobiaHospital for Special Surgery(HSS)scoreThe Western Ontario and McMaster Universities Arthri-tis Index(WOMAC)
万方数据
维普
