全髋置换术后的康复训练计划疗效初探

The effect of a program of physical therapy on function of patients with total hip replacement

目的：探讨人工全髋置换术后系统康复训练计划的重要性，并验证其疗效。方法：选择１９９５ 年５ 月－ １９９７ 年９ 月股骨颈骨折于我院行人工全髋置换术的患者４０ 例，随机分两组，进行术后１ 月、３ 月同期疗效评定。结果：训练组肌力、功能得分明显优于对照组，统计学有显著性差异（Ｐ＜ ０．０５）。结论：系统康复训练可提高手术效果，恢复关节功能，同时证明关节置换术后早期系统康复训练是必要的。

To study the effect of a program of physical therapy,40 subjects with total hip replacement for femoral neck fracture were randomized into rehabilitation and control groups.The program included ROM exercises,low resistance exercises of hip abductors and ADL exercises.Muscle strength of hip abductors were measured by Kendall's Muscle Testing and Function,hip ROM,functional ability and pain were evaluated by Harris Hip score on the lst and 3rd month after surgery.Statistical analysis with t test was used for comparing Harris Hip scores.The result shows that muscle strength and hip function were improved significantly in rehabilitation group (p<0.05).That means the program is effective in long term after hip replacement.