卧式踏车训练在促进股骨远端骨肿瘤人工膝关节置换术后膝关节功能恢复中的价值

Value of Horizontal Treadmill in Promoting the Recovery of Knee Joint Function of Patients with Distal Femoral Tumor

目的:研究卧式踏车训练在促进股骨远端骨肿瘤人工膝关节置换术后患者膝关节功能恢复中的价值。方法:选取2017年9月至2019年9月收治的股骨远端骨肿瘤患者,患者都进行人工膝关节置换术,85例患者随机分为对照组43例和观察组42例;对照组患者采用传统康复方法,观察组患者在对照组的治疗基础上增加卧式踏车训练;观察两组患者的肌力、主动活动和被动活动度。结果:治疗后所有患者肌力均>3级,观察组患者的肌力优良率为92.68%,高于对照组的75.61%(P<0.05);治疗后两组患者的主动活动度及被动活动度均增大(P<0.05);观察组患者的膝关节主动活动度及被动活动度均大于对照组(P<0.05)。结论:卧式踏车可改善股骨远端骨肿瘤人工膝关节置换术后患者的肌力,提高其主、被动活动度,可在临床推广应用。

Objective:To study the value of horizontal treadmill in promoting knee function recovery in patients with distal femoral bone tumor after knee arthroplasty.Methods:A total of 85 patients with distal femoral bone tumor treated after knee arthroplasty from September 2017 to September 2019 were selected as study subjects,and randomly divided into control group(43 patients)and observation group(42 patients).The control group adopted the traditional rehabilitation method,and the observation group increased the horizontal treadmill training on the basis of the treatment of the control group;The muscle strength,active activity and passive activity of the two groups were observed.Results:after intervention,all patients had grade>,and the excellent and good rate of muscle strength in the observation group was 92.68%higher than that in the control group(75.61%,P<0.05).After intervention,the active and passive activity of both groups increased(P<0.05),while the active and passive activity of the knee joints in the observation group was higher than that in the control group(P<0.05).Conclusion:By increasing exercise intensity,the horizontal treadmill can improve the muscle strength of patients with distal femoral bone tumor after knee arthroplasty and improve their active and passive activity,which can be widely used in clinical practice.