水中运动疗法在膝关节周围骨折中的应用

Application of Therapeutic Aquatic Exercise in the Rehabilitation of Periknee Fracture

目的探讨水中运动疗法应用于膝关节周围骨折康复治疗的疗效。方法选取2016年6月至2017年11月,采用水中运动疗法康复治疗的膝关节周围骨折患者52例为研究对象,其中髌骨陈旧性骨折11例,髌骨骨折术后8例,胫骨平台骨折术后15例,股骨中下段骨折术后14例,胫骨髁间棘撕脱性骨折术后4例。男28例,女24例;年龄18~72岁,平均(41.69±15.72)岁,病程4~8周,平均(6.18±1.96)周。治疗前和治疗4周后,测量膝关节疼痛视觉模拟量表评分,膝关节HSS评定量表和日常生活活动能力评分进行疗效评价。结果治疗后,膝关节疼痛视觉模拟评分(t=10.055,P=0.000)、膝关节HSS评分(t=-10.342,P=0.000)和日常生活能力评分(t=-7.989,P=0.000)均较治疗前改善明显,差异有统计学意义。结论应用水中运动疗法对膝关节周围骨折患者进行康复治疗,能够有效的改善和促进膝关节功能的恢复,疗效满意,值得临床推广应用。

Objective To observe the effectiveness of therapeutic aquatic exercise in the treatment of perknee fracture.Methods From June 2016 to November 2017,52 patients with perknee fracture were treated with therapeutic aquatic exercise,28 males and 24 females,age was from 18 to 72 years old,with a mean age of( 41.69±15.72) years old,course of disease was fron 4 to 8 weeks,with a mean course of disease of( 6.18±1.96) weeks.11 cases of old patella fracture,8 cases of patella fracture post operation,15 cases of tibial plateau fracture post operation,14 cases of middle and lower femur fracture post operation,4 cases of avulsion fracture of intercondylar spine of tibia after operation.Before and after 4 weeks treatment,the curative effect was assessed by visual analogue scale( VAS),activity of daily living score( ADL) and hospital for special surgery kneescore( HSS).Results All patients showed obviously changes on VAS( t = 10.055,P = 0.000) 、HSS( t =-10.342,P = 0.000) and ADL( t =-7.989,P = 0.000)after treatment.Conclusion The rehabilitation treatment of patients with periknee fracture with therapeutic aquatic exercise can effectively improve and promote the function of knee joint,and the curative effect is satisfactory,which is worthy of clinical promotion.