全膝关节置换术后肌力训练对膝关节功能的影响被引量：11

The effects of muscle strengthening for the knee functioning after total knee replacement （TKR）

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摘要目的探讨肌力训练对全膝关节置换术后患膝关节功能恢复的影响。方法选取96例全膝关节置换患者，将其随机分为观察组及对照组。对照组患者术后给予常规康复训练；观察组患者在此治疗基础上，重点进行股四头肌及胭绳肌肌力训练。治疗2周后分别对2组患者的膝关节活动度、疼痛、股四头肌和胭绳肌肌力进行评定，并采用美国膝关节外科学会膝关节评分法（KSS）、美国特种外科医院（HSS）膝关节百分评分系统对患膝功能进行评定。结果2组患者经治疗后，其膝关节活动度及疼痛方面组间差异均无统计学意义（P〉0．05），但股四头肌、胭绳肌肌力及KSS、HSS总分组间差异均有统计学意义（P〈0．01）。结论肌力训练对全膝关节置换患者膝关节功能的恢复具有显著促进作用，可有效增强患膝关节的稳定性，改善患肢功能，提高生活质量。 Objective To investigate the effects of muscle strengthening on the knee function after total knee replacement （TKR）. Methods Ninety-six patients with TKR divided into two groups. One group of the patients was treated with routine rehabilitation therapy, and another with intensive strengthening of quadriceps femoris and hamstring in addition to the routine rehabilitation therapy. After two weeks, all of the patients were evaluated with regard to the range of knee motion, pain, strength of quadriceps femoris and hamstring, and KSS, HSS score. Results It was showed that there was no significant difference between the two groups in terms of the ROM and pain （ P 〉 0.05）. However, muscles strength and KSS, HSS score were significantly different between the two groups （P 〈0.01 ）. Conclusion Muscle strengthening exercises is of special importance for the function of TKR, it can enhance the stability of knee joint, improve the function of the affected limb and the patient＇s quality of life.

作者蔡海鸥张伟明陆廷仁

机构地区上海交通大学医学院附属瑞金医院康复医学科

出处《中华物理医学与康复杂志》 CAS CSCD 北大核心 2007年第3期178-180,共3页 Chinese Journal of Physical Medicine and Rehabilitation

关键词膝关节关节置换肌力训练 Knee Replacement Muscle strengthening exercises

分类号 R686 [医药卫生—骨科学]

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参考文献4

1Worland RL,Johnson GV,Alemparte J,et al. Ten to fourteen year survival and functional analysis of the AGG total knee replacement system. Knee ,2002,9 : 133-137.
2何涛,陆廷仁.人工髋、膝关节置换术后患者康复的研究进展[J].中华物理医学与康复杂志,2005,27(4):253-255. 被引量：19
3Mizner RL, Stevens JE, Snyder M. Voluntary activation and decreased force productive of the quadriceps femofis muscle after total knee arthroplasty. Phys Ther, 2003,3 : 359-365.
4Correa JC, Negrao FF, Berzin F, et al. Electromyographic analysis of the extending muscles of the knee during functional activities. Electromyogr Clin Neurophysiol,2002 ,42 :45-50.

二级参考文献20

1Smektala R,Wenning M,Paech S,et al.Fractures of the femoral neck-results of an external quality assurance in 32,000 patients.Z Arztl Fortbild Qualitatssich,2001,95:209-218.
2El-Gammal TA,El-Sayed A,Kotb MM.Shoulder fusion and free functioning gracilis transplantation in patients with elbow and shoulder paralysis caused by poliomyelitis.Microsurgery,2002,22:199-202.
3Oldmeadow LB,McBurney H.Hospital stay and discharge outcomes after knee arthroplasty: implications for physiotherapy practice.Aust J Physiother,2002,48:117-121.
4Dai YT,Huang GS,Yang RS,et al.The effect of partial or full weight bearing ambulation after cementless total hip arthroplasty.J Arthroplasty,2002,17:820-825.
5Tsauo JY,Yang LH.Functional recovery after hip fracture:six months' follow up of patients in a multidisciplinary rehabilitation program.J Formos Med Assoc,2002,101:846-853.
6Miric A,Lim M,Kahn B.Perioperative morbidity following total knee arthroplasty among obese patients.J Knee Surg,2002,15:77-83.
7Kyriazis V,Rigas C.Temporal gait analysis of hip osteoarthritic patients operated with cementless hip replacement.Clin Biomech,2002,17:318-321.
8Chelly JE,Greger J,Gebhard R.Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty.J Arthroplasty,2001,16:436-445.
9Berth AL,Urbach D,Awiszus F.Improvement of voluntary quadriceps muscle activation after total knee arthroplasty.Arch Phys Med Rehabil,2002,83:1432-1436.
10Mizner RL,Stevens JE,Snyder M.Voluntary activation and decreased force production of the quadriceps femoris muscle after total knee arthroplasty.Phys Ther,2003,83:359-365.