本文選題：關節(jié)成形術　切入點：置換　出處：《中華關節(jié)外科雜志(電子版)》2016年04期 　論文類型：期刊論文

【摘要】：目的探討全膝關節(jié)置換(TKA)術后康復治療中加強本體感覺訓練對膝關節(jié)功能的影響。方法選取2014年2月至2015年12月期間于上海市第一康復醫(yī)院就診的28例(32膝)行TKA的術后患者,隨機分為實驗組(16膝)和對照組(16膝)。對照組采用常規(guī)康復治療,實驗組在此基礎上增加本體感覺訓練。于入院及8周后采用膝關節(jié)功能評分——美國紐約特種外科醫(yī)院(HSS)評分,分別對兩組進行治療評價。符合正態(tài)分布的兩獨立樣本均數(shù)比較采用t檢驗;如果不符合正態(tài)分布或方差不齊,則選擇Mann-Whitney U檢驗。結果兩組患者入院時膝關節(jié)功能各項評分間的差異無統(tǒng)計學意義(P0.05);8周后實驗組在行走功能[10.0(6.5)分、8.0(6.0)分]、肌力[9.0(2.0)分、8.0(4.0)分]、穩(wěn)定性[8.0(2.0)分、5.0(3.0)分]較對照組明顯提高,差異均有統(tǒng)計學意義(P0.05)。結論 TKA術后采用常規(guī)康復治療加上本體感覺強化訓練,可以進一步恢復膝關節(jié)功能。
[Abstract]:Objective to investigate the effect of proprioceptive training on knee joint function during the rehabilitation of total knee arthroplasty (TKA). Methods 28 patients (32 knees) who were treated with TKA from February 2014 to December 2015 in Shanghai first Rehabilitation Hospital were selected. The experimental group was randomly divided into experimental group (n = 16) and control group (n = 16). The control group was treated with routine rehabilitation therapy, and the experimental group was treated with proprioceptive training. The knee joint function score (HSS) was used after admission and 8 weeks later. T test was used to compare the mean of the two independent samples in accordance with normal distribution, and if it did not conform to normal distribution or variance, Then Mann-Whitney U test was selected. Results there was no significant difference in knee joint function scores between the two groups at admission. After 8 weeks, the walking function (10.0 鹵6.5), muscle strength (8.0 鹵4.0) and stability (8.02.0) were significantly higher in the experimental group than in the control group, and the stability of the two groups was significantly higher than that in the control group. Conclusion conventional rehabilitation therapy combined with proprioceptive intensive training after TKA can further restore knee function.
【作者單位】： 蚌埠醫(yī)學院;第二軍醫(yī)大學第三附屬醫(yī)院骨科;上海市第一康復醫(yī)院骨科;
【分類號】：R687.4

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本文編號：1633611