奥塔戈运动锻炼对人工全膝关节置换术后患者平衡能力及跌倒的影响

Effect of Otago Exercise on Balance Ability and Falls in Patients after Total Knee Arthroplasty

目的探索奥塔戈运动锻炼对人工全膝关节置换术后患者平衡能力及跌倒的影响.方法选取2019年9月—2021年9月北京丰台医院收治的126例人工全膝关节置换术后患者为研究对象,按随机数字表法分为两组,各63例.对照组采用常规康复训练,观察组在对照组基础上采用奥塔戈运动锻炼.两组均干预8周.比较两组平衡功能、害怕跌倒程度、跌倒发生情况、膝关节功能恢复情况及满意度.结果干预前,观察组和对照组Berg平衡量表(BBS)评分、修订版跌倒效能量表(MFES)中室内活动及室外活动评分比较,组间差异无统计学意义(P>0.05);干预后,观察组BBS评分、MFES中室内活动及室外活动评分均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组患者膝关节功能恢复优良率、总满意率均高于对照组,跌倒发生率低于对照组,组间差异有统计学意义(P<0.05).结论人工全膝关节置换术后患者采用奥塔戈运动锻炼,可有效提高其平衡能力,减轻害怕跌倒程度,减少跌倒发生次数,有助于促进膝关节功能恢复,提升患者满意度.

Objective To explore the effect of Otago exercise on balance ability and fall of patients after total knee arthroplasty.Methods 126 patients with total knee arthroplasty treated in Beijing Fengtai Hospital from September 2019 to September 2021 were selected as the research objects.They were randomly divided into two groups,63 patients in each group.The control group received routine rehabilitation training,and the observation group received Otago exercise on the basis of the control group.Both groups were intervened for 8 weeks.Balance function,the degree of fear of falling,the occurrence of falling,the recovery of knee function and satisfaction were compared between the two groups.Results Before intervention,the Berg balance scale(BBS)scores,the scores of indoor and outdoor activities in the modified falls efficacy scale(MFES)were compared between the observation group and the control group,and the differences between the groups were not statistically significant(P>0.05);after intervention,the BBS scores,the scores of indoor and outdoor activity in MFES in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the excellent and good rate of knee function recovery and total satisfaction rate in the observation group were higher than those in the control group,and the incidence of falls was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Otago exercise was per formed patients after total knee arthroplasty can effectively improve the balance ability of patients,reduce the degree of fear of falling,reduce the number of falls,help to promote the recovery of knee function,improve patient satisfaction.