肌力平衡疗法干预全髋关节置换术后下肢功能

Effect of muscle balance therapy on lower limb function following total hip arthroplasty

目的探讨肌力平衡疗法对单侧全髋关节置换术后患者下肢功能的干预效果。方法选取阜阳市第六人民医院骨科2017年9月至2020年12月单侧全髋关节置换术患者108例,采用数字随机法分为两组,对照组患者54例实施常规疗法,观察组患者54例实施肌力平衡疗法,采用独立样本t检验比较两组患者的治疗效果。结果治疗前,两组患者Harris评分、关节僵硬积分、Berg平衡量表和跌倒指数差异无统计学意义(均为P>0.05);治疗后,两组患者Harris评分、Berg平衡量表均有不同程度的增高(t=31.131、3.580、50.783、2.384,均为P<0.05),关节僵硬积分和倒指数均有不同程度的降低(t=13.740、7.990、26.259、19.156,P<0.05),与对照组比,观察组患者Harris评分、Berg平衡量表明显增高,关节僵硬积分和跌倒指数降低(t=15.663、2.176、13.588、11.890,均为P<0.05)。治疗前,两组患者患髋、健髋、患侧膝和健侧膝等速肌力差异无统计学意义(均为P>0.05),治疗后,两组患者患髋、健髋、患侧膝和健侧膝等速肌力均有不同程度的增高(t=4.384、3.051、2.589、3.867、3.021、4.370、2.240、3.223、4.591、3.643、3.452、6.060、6.008、4.542、5.738、5.181、6.116、3.456、5.164、6.524、6.402、5.879,均为P<0.05),与对照组比,观察组患者患髋、健髋、患侧膝和健侧膝等速肌力均明显增高(t=2.209、2.493、2.278、2.493、2.458、2.577、2.603、2.493、2.105、2.369、2.278、2.119,均为P<0.05)。与对照组比,观察组患者治疗总有效率明显增高(P<0.05)。结论肌力平衡疗法有助于改善单侧全髋关节置换术后患者肌力平衡状况,值得临床推广使用。

Objective To investigate the effect of muscle balance therapy on lower limb function of the patients after unilateral total hip arthroplasty.Methods A total of 108 patients who had underwent unilateral total hip arthroplasty in Fuyang Sixth People's Hospita from September 2017 to December 2020 were selected and randomly divided into the two groups.Fifty-four patients in the control group received conventional therapy,and 54 patients in the observation group received muscle balance therapy.The therapeutic effects of the two groups were compared with the independent sample t test.Results Before treatment,there was no significant difference in Harris score,joint stiffness score,Berg balance scale and fall index between the two groups(all P>0.05).After treatment,the Harris score and Berg balance scale were increased in the two groups(t=31.131,3.580,50.783,2.384,all P<0.05),the joint stiffness score and fall index were decreased in the two groups(t=13.740,7.990,26.259,19.156,all P<0.05).Compared with the control group,the Harris score and Berg balance scale of the observation group were significantly increased,and the joint stiffness score and fall index were significantly decreased(t=15.663,2.176,13.588,11.890,all P<0.05).Before treatment,there was no significant difference in isokinetic muscle strength with the affected hip,healthy hip,affected knee and healthy knee in the two groups(all P>0.05).After treatment,the isokinetic muscle strength with the affected hip,healthy hip,affected knee and healthy knee were increased in the two groups(t=4.384,3.051,2.589,3.867,3.021,4.370,2.240,3.223,4.591,3.643,3.452,6.060,6.008,4.542,5.738,5.181,6.116,3.456,5.164,6.524,6.402,5.879,all P<0.05).Compared with the control group,the isokinetic muscle strength with the affected hip,healthy hip,affected knee and healthy knee of the observation group were increased significantly(t=2.209,2.493,2.278,2.493,2.458,2.577,2.603,2.493,2.105,2.369,2.278,2.119,all P<0.05).Compared with the control group,the total effective rate of treatment in the observation group was significantly increased(P<0.05).Conclusion Muscle balance therapy can help improve the muscle balance of patients after unilateral total hip arthroplasty,and it is worthy of clinical application.