早期“跨痛阈”主动功能锻炼对膝关节周围骨折术后功能恢复的作用

Effects of early functional training overcoming pain threshold on rehabilitation of patients after surgical treatment for fractures around knee joint

目的探讨早期"跨痛阈"主动功能锻炼对膝关节周围骨折术后功能恢复的影响。方法选取2015年10月—2017年5月接受手术治疗的膝关节周围骨折患者60例,随机分为对照组和干预组,各30例。对照组采用常规功能锻炼,干预组采取早期"跨痛阈"主动功能锻炼。观察2组术后3个月膝关节功能,Barthel指数和膝关节活动度(ROM)。结果干预后3个月,干预组膝关节功能优良率为93.33%(28/30),高于对照组的76.67%(23/30)(P<0.05);干预组的Barthel指数评分高于对照组(P<0.01);干预组膝关节ROM大于对照组(P<0.01)。结论膝关节周围骨折术后进行早期"跨痛阈"主动功能锻炼可以有效促进膝关节功能康复,提高患者日常生活活动能力。

Objective To investigate the effect of early functional training overcoming pain threshold on rehabilitation of patients after surgical treatment for fractures around knee joint.Methods Totally 60 patients undergoing surgical treatment for fractures around knee joint were assigned to the control group and intervention group,with 30 cases in each group. The control group received routine care and functional training after operation,and the early functional training overcoming pain threshold was carried out in the intervention group. The effect of intervention on knee joint function,Barthel index assessment and range of motion（ ROM） were observed and compared between two groups 3 months after operation. Results The excellent and good rate of knee joint function was 93. 33%（ 28/30） in the intervention group and was 76. 67%（ 23/30）,with a significant difference（ P〈0. 05）. Patients in the intervention group had a higher score of Barthel index assessment and better ROMof knee joint compared with those in the control group（ P〈0. 01）. Conclusion Application of early functional training overcoming pain threshold may improve there habilitation of knee joint function in patients after surgical treatment for fractures around knee joint,so as to improve the activity of daily living.