设为首页
加入收藏
联系我们
Email-Alert
 

    首页 | 杂志介绍 | 编委成员 | 审稿专家名录 | 投稿指南 | 订阅指南 | 过刊浏览 | 论著模板 | 综述模板 | 帮助

 
江海燕,袁 巍.早期大角度被动ROM练习对全膝置换术后膝关节功能的影响[J].中国康复医学杂志,2008,23(10):924~927
早期大角度被动ROM练习对全膝置换术后膝关节功能的影响    点此下载全文
江海燕  袁 巍
北京大学人民医院针灸理疗科,北京,100044
基金项目:
DOI:
摘要点击次数: 2665
全文下载次数: 1528
摘要:
      目的:观察全膝置换术(TKA)后早期大角度膝关节被动活动度(ROM)练习与常规被动ROM练习对TKA后膝关节功能改善的影响。方法:将34例老年骨性关节炎(OA)患者按手术顺序随机分成术后常规被动ROM练习组和大角度被动ROM练习组。所有患者均由同一术者用微创全膝置换术式(MIS-TKA)进行手术。大角度被动ROM组在术后2周内的被动ROM练习角度比常规被动ROM练习组大20°—30°,其他康复方案和术后镇痛方案均相同。结果:两组患者术前HSS评分差异无显著性,但术后第1、2、6、12和24周大角度被动ROM练习组的HSS评分均高于常规被动ROM练习组。其中,术后第1、2周的HSS差异有显著性(P<0.05)。两组患者的术前膝关节主动和被动ROM差异均无显著性,但术后第4天、1周、2周、6周、12周、24周膝的主动和被动ROM差异均有显著性意义(P<0.05)。结论:对MIS-TKA患者术后早期大角度被动ROM练习不仅能改善患膝的主动和被动ROM,还能改善膝HSS功能评分。
关键词:微创全膝置换  关节活动度  康复
Comparative study on the influence of routine passive ROM exercises and early large-angle passive ROM exercises on the knee function post TKA    Download Fulltext
Acupuncture and Physical Therapy Department of Peking University People′s Hospital,100044
Fund Project:
Abstract:
      Objective: To investigate the influence of early large-angle passive ROM exercises or routine passive ROM exercises on patients′ knee function post TKA. Method: Thirty-four old osteoarthritis(OA) patients post TKA operation were included in routine passive ROM exercises group and early large-angle passive ROM exercises group, optionally by operating date at random, seventeen patients in each group. The operations of all the cases were done by one operator with the MIS-TKA technique. Within 2 weeks post operation, the angle of passive ROM exercises in early large-angle passive ROM exercises group was 20°—30° more than that in routine passive ROM exercises group. The other rehabilitation procedures were the same in both groups. Result: The HSS scores pre-operation had no significant difference between 2 groups. Post MIS-TKA operation 1 week, 2 weeks, 6 weeks, 12 weeks and 24 weeks, the HSS scores in large-angle passive ROM exercises group was higher than that in routine passive ROM exercises group. The HSS scores were significant higher in large-angle passive ROM exercises group 1 week and 2 weeks post MIS- TKA(P<0.05). The active ROM and passive ROM of operated knee pre-operation showed no significant difference between 2 groups. But 4 days, 1 week, 2 weeks, 6 weeks, 12 weeks and 24 weeks post MIS-TKA, the active and passive ROM in early large-angle exercises group was significant higher (P<0.05). Conclusion: For MIS-TKA patients, early large-angle passive ROM exercises could not only improve the active and passive ROM, but could improve the HSS knee functional scores also.
Keywords:minimally invasive surgery-total knee arthroplasty  range of motion  rehabilitation
查看全文  查看/发表评论  下载PDF阅读器

您是本站第 25632331 位访问者

版权所有:中国康复医学会
主管单位:国家卫生健康委员会 主办单位:中国康复医学会
地址:北京市朝阳区樱花园东街,中日友好医院内   邮政编码:100029   电话:010-64218095   

本系统由北京勤云科技发展有限公司设计 京ICP备18060696号-2