全膝关节置换术后早期康复配合CPM机锻炼对膝关节功能恢复的影响

Effect of Early Rehabilitation Training Combined with Continuous Passive Motion on Knee Joint Function after Total Knee Arthroplasty

目的观察全膝关节置换术(TKA)后早期康复配合持续被动活动(CPM)机锻炼对膝关节功能恢复的疗效。方法23例TKA术后患者(28膝)随机分为治疗组(15膝)和对照组(13膝),治疗组实施早期康复功能锻炼配合CPM机锻炼,对照组仅进行CPM机锻炼。结果术前治疗组膝评分和功能评分与对照组差异无显著性意义(P>0.05),术后两周评分与对照组差异有非常显著性意义(P<0.01)。结论TKA术后早期康复功能锻炼配合CPM机锻炼可促进膝关节功能恢复。

Objective To observe the effect of early rehabilitation training combined with continuous passive motion （CPM） on knee joint function after total knee arthroplasty （TKA）.Methods 23 patients （28 knees） post TKA were randomly divided into the treatment group （15 knees） and control group （13 knees）. The patients of the treatment group were treated with early rehabilitation training combined with CPM, and those of the control group were treated with CPM only.Results The scores of knee grade and function grade of the treatment group were not different from those of the control group before treatment （P〉0.05）, but two weeks later, there was a significnat difference between two groups （P〈0.01）. Conclusion The early rehabilitation training combined with CPM can improve recovery of function of knee joint after TKA.