术后早期“迷你蹲”训练对全膝关节置换术患者膝关节功能恢复的影响

目的初步评估术后早期"迷你蹲"训练对全膝关节置换(TKA)术患者膝关节功能恢复和生活质量的影响。方法使用膝关节损伤和骨关节炎结果评分(KOOS)评估参与者的膝关节功能和生活质量。共有40例患者参与此项研究,参与者随机接受并开始手术后的"迷你蹲"训练(训练组,20例)或常规护理(对照组,20例)。收集数据并在术后2周(T1),1个月(T2),2个月(T3)和3个月(T4)对患者进行评分。结果KOOS评分显示,两组患者在TKA术后的各项评分基线水平上差异无统计学意义(P>0.05),全体参与者评分从术后的第2周到第3个月逐渐改善。术后两周起(T1)两组开始在生活质量、疼痛、症状、ADL等各项指标上显示出差异(P<0.01);训练组所有子量表得分3个月的平均改善程度均优于对照组,在疼痛、ADL以及运动和娱乐等3个指标差异具有高度统计学意义(P<0.01)。结论早期下肢力量训练有助于改善患者TKA术后的生活质量和膝关节功能。应将此项目作为TKA术后常规康复运动项目纳入术后护理康复计划。

Objective Preliminary evaluation of the effects of early postoperative"mini squat"training on the recovery of knee function and quality of life after total knee arthroplasty.Me thods Knee injury and osteoarthritis outcome scores(KOOS)were used to assess participants’knee function and quality of life.A total of 40 patients were enrolled in the study,and participants were randomly assigned to receive and begin post-surgery"mini squats"training(training group,20 cases)or routine care(control group,20 cases).Data were collected and patients were scored at 2 weeks(T1),1 month(T2),2 months(T3),and 3 months(T4)postoperatively.Re s ults KOOS scores showed that there was no statistically significant difference in baseline scores between the two groups after TKA(P>0.05),and the scores of all participants gradually improved from 2 weeks to 3 months after surgery.Two weeks after surgery(T1),the two groups began to show differences in quality of life,pain,symptoms,ADL and other indicators(P<0.01).The average improvement degree of all subscale scores in the training group at 3 months was better than that in the control group,and the differences were statistically significant in three indicators including pain,ADL,sports and entertainment(P<0.01).Conclus ion Early lower-limb strength training can improve quality of life and knee function after TKA.This project should be included in the postoperative nursing rehabilitation plan as a routine rehabilitation exercise after TKA.