坐位和卧位持续性被动运动训练对下肢骨关节术后康复效果的促进作用

Improvement Role of Rehabilitation of Continuous Passive Motion Training of Sitting and Supine on Postoperative Patients with Lower Limb Bone Joint

目的:探讨坐位和卧位持续性被动运动训练对下肢骨关节术后康复效果的促进作用。方法:回顾性分析本院2012年9月至2014年9月收治的151例下肢骨关节损伤患者的临床资料,均接受手术治疗,分为对照组(73例)和观察组(78例)分别给予传统术后康复训练和传统康复训练结合坐位和卧位持续性被动运动训练。结果:较之本组治疗前,两组的各关节屈曲和伸展活动度均出现提高的情况,P<0.05;治疗后观察组的各关节屈曲和伸展活动度均出现大于对照组,P<0.05。较之本组治疗前两组的6min的步行距离和10米的步行时间均出现改善的情况,步行距离增加,步行时间缩短,P<0.05;治疗后观察组的6min的步行距离和10米的步行时间均出现大于或者短于对照组,P<0.05。较之本组治疗前,两组的平衡能力评分均出现提高的情况,P<0.05;治疗后观察组的平衡能力评分大于对照组,P<0.05。结论:对下肢骨关节术后患者实施坐位和卧位持续性被动运动训练可以获得十分理想的效果,提高其运动功能和平衡能力等,促进患者的术后康复。

Objective： To investigate the role of sitting and supine continuous passive motion training on rehabilitation of lower limb bone joint after operation. Method：A retrospective analysis of clinical data of 151 cases of lower limb joint injury patients in our hospital September 2012 to 2014 September, underwent surgical treatment, divided into control group （73 cases） and observation group （78 cases） were given conventional postoperative rehabilitation training and traditional rehabilitation training combined with sitting and supine con- tinuous passive motion training. Result： Compared with the group before treatment, the two groups of flexion and extension activity were significantly improved, P 〈 0.05; after treatment in observation group, the joint flexion and extension activity were significantly higher than the control group, P 〈 0.05. Compared with the group before treatment in two groups of 6 minutes walking ly improved, walking distance increased, walking time distance and 10 meter walking time were significantsignificantly shortened, P 〈 0.05; the observation group after treatment 6 minutes walking distance and 10 meter walking time were significantly shorter than or greater than the control group, P 〈 0.05. Compared with this group before treatment, two groups of balance a- bility score were significantly improved, P 〈 0.05 ; after treatment, the observation group balance ability score was significantly higher than the control group, P 〈 0.05. Conclusion： The implementation of sitting and su- pine continuous passive motion training can get ideal effect for patients with lower limb bone joint after operation, improve the motor function and balance ability, promote the rehabilitation of patients after operation.