术前康复锻炼对膝关节瘢痕挛缩松解术后早期功能恢复的影响

Effect of Preoperative Rehabilitation Exercise on Early Functional Recovery of Knee Joint after Scar Contracture Release

目的:探讨术前康复锻炼对膝关节瘢痕挛缩松解术后关节功能恢复的影响。方法:选取2018年1月-2019年12月于笔者科室诊治的73例下肢烧伤后采取保守治疗导致膝关节腘窝处瘢痕挛缩患者,采用随机数字表法分为观察组37例(41膝)和对照组36例(41膝)。观察组术前进行为期2周的康复锻炼,对照组术前不进行康复锻炼。术后两组康复锻炼相同。分别于入院当天、术后1个月和术后2个月返院填写改良Barthel指数评定量表、测量膝关节主动活动度(Range of motion,ROM)、手法评定肌力,最后比较3个时间点的数据。结果:两组患者膝关节主动ROM、下肢肌力、改良Barthel指数评分结果的比较,在入院时及术后1个月,对照组与观察组差异无统计学意义(P>0.05),而在术后2个月时,观察组各指标均优于对照组,两组差异有统计学意义(P<0.05)。结论:术前康复锻炼有助于膝关节瘢痕挛缩松解术后早期关节功能的恢复。

Objective To explore the effect of preoperative rehabilitation exercise on the functional recovery of knee joint after scar contracture release.Methods From January 2018 to December 2019,73 patients with popliteal scar contracture of knee joint caused by conservative treatment after lower limb burn in our department were selected and divided into the observation group(37 cases,41 knees)and the control group(36 cases,41 knees)according to the random number table method.The observation group received rehabilitation exercise for 2 weeks before surgery,and the control group did not receive rehabilitation exercise before surgery.Postoperative rehabilitation exercises were the same in both groups.On the day of admission,1 month after operation and 2 months after operation,they returned to the hospital to fill in the modified Barthel index rating scale,measure the active range of motion(ROM)of knee joint,and assess the muscle strength by manipulation,compare the data at the three time points at last.Results There was no significant difference in knee joint active ROM,lower limb muscle strength,and modified Barthel index scores between the two groups at admission and 1 month after surgery(P>0.05).However,at 2 months after surgery,all indexes in the observation group were better than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Preoperative rehabilitation exercise is helpful to the early recovery of joint function after scar contracture release of knee joint.