奥塔戈运动计划在人工膝关节置换术前功能锻炼的应用研究

Otago exercise program as a functional exercise approach for patients before total artificial knee replacement

目的探讨奥塔戈运动计划在人工膝关节置换术前功能锻炼的干预效果。方法将全膝关节置换术患者61例随机分为对照组(31例)和干预组(30例),对照组术前采用常规骨科护理,干预组在此基础上采用奥塔戈运动计划干预。结果术后不同时间,两组膝关节屈曲度比较,干预效应、时间效应、交互效应存在统计学意义(P<0.05,P<0.01);干预组术后2周HSS膝关节评分及术后1个月的跌倒效能评分显著高于本组入组时及对照组干预后(P<0.05,P<0.01)。结论术前采用奥塔戈运动计划训练能改善全膝关节置换术后患者膝关节屈曲度、膝关节功能,有助于预防跌倒的发生。

Objective To investigate the effect of Otago exercise program as a functional exercise approach for patients before total artificial knee replacement.Methods Totally,61 patients to receive total knee arthroplasty were divided into a control group of 31 cases and an intervention group of 30 by random number table.The former received routine preoperative orthopedic care,while the latter additionally joined in an Otago exercise program.Results ROM of the knee joint had significant group effect,time effect,and group by time effect between the 2 groups（P〈0.05,P〈0.01）.The intervention group had significantly higher HSS knee scores two weeks after the surgery,and higher scores of modified falls efficacy at one month post-operatively,than baseline levels,and than the controls（P〈0.05,P〈0.01）.Conclusion Otago exercise program as a functional exercise approach for patients before total artificial knee replacement is significant in improving post-operative ROM of the knee,and knee function,which therefore reduces the occurrence of falls.