摘要
目的研究不同角度股四头肌等速肌力训练对全膝关节置换术后膝关节功能的影响,为全膝关节置换术后康复方案的选择提供依据。方法全膝关节置换术患者73例,随机分为3组,0°~30°组25例、31°~60°组24例和61°~90°组24例,进行2个月的股四头肌等速肌力训练。记录治疗前、后每例膝关节的等速肌力测定值;采用IKS评分标准评定膝关节功能。结果治疗后,3组等速肌力测定值均较治疗前增加,0°~30°组的IKS评分较治疗前明显增加（P〈0.05）;31°~60°组及61°~90°组治疗前后IKS评分差异无统计学意义。治疗后IKS评分与0°~30°组等速肌力测定值呈正相关（P〈0.05）。结论在膝关节屈曲0°~30°范围内进行股四头肌等速训练可有效增强肌力,改善膝关节功能。
Objective To study the effects of different ranges of isokinetic quadriceps training for improving the func- tion of knee joint after total knee arthroplasty （TKA）, and provide the theoretical and clinical experiences for the early reha- bilitation of TKA. Methods A total of 73 TKA cases were randomly allocated into 3 groups for isokinetic quadriceps train- ing with ranges of 0°- 30° （n=25）, 31°- 60° （n=24） and 61°- 90° （n=24）. The isokinetic quadriceps training was for two months. The isokinetic muscle strength and the IKS scores were recorded before and after the training in three groups. Re- sults After training, the isokinetic muscle strength increased significantly in three groups （P 〈 0.05）. The IKS scores in- creased significantly only in 00-30~ training group after training （P 〈 0.05）. There was no significant difference in IKS score before and after training in 31 °-60° group and 61°-90°group. The IKS score after training was positively correlated with the isokinetic muscle strength only in 00-30° group （P 〈 0.05）. Conclusion After TKA, isokinetic quadriceps training with a 00-30° range of motion can improve the strength of quadriceps and the knee function.
出处
《天津医药》
CAS
2016年第1期91-93,共3页
Tianjin Medical Journal
基金
天津市科学技术委员会市级成果(津20111290)
