综合运动训练对全膝关节置换术功能及预后的影响

Effect of Comprehensive Motion Training on Functional Prognosis of Total Knee Arthroplasty

目的研究综合运动训练对全膝关节置换术功能及预后的影响,为临床治疗提供一定的理论依据。方法按照入院先后顺序入选64例全膝关节置换术患者,根据随机数字方法分成两组,每组32例,其中对照组予以单纯的持续被动运动训练,而研究组在持续被动运动的基础上再综合其它的运动训练以及超短波和超声波治疗。治疗随访6周后,分析两组患者的相关临床资料。结果与对照组相比较,研究组在膝关节的功能、活动度、稳定度、疼痛、肌力及屈曲畸形等方面的HSS评分明显改善(P<0.05)。同时,通过统计发现,对照组的优良率为53.13%,而研究组的优良率为84.38%,明显高于对照组(P<0.05)。结论综合运动训练的康复治疗方式可以很好的改善全膝关节置换术患者的膝关节功能及其预后。

Objective To study the effect of comprehensive motion training on functional prognosis of total knee arthroplasty.Methods 64 cases after total knee arthroplasty were randomly divided into 2 groups： experiment group and control group,32 cases in each group;all the patients in both group received continuous passive motion（CPM） while comprehensive motion training plus ultrawave and ultrasound therapy was added to patients in experiment group;follow-up lasted for 6 weeks;the clinical data of all the patients in both group were analyzed.Results The HSS scores of the patients in experiment group in knee joint function,motion degree,stability,pain,muscle strength and flexion deformity were improved much more than those of the patients in control group（P0.05）;the statistical analysis revealed that the good rate in experiment group was 84.38% which was much higher than that in control group（53.13%）（P0.05）.Conclusions The rehabilitation therapy with comprehensive motion training can well improve the knee joint function and the prognosis of the patients after total knee arthroplasty.