本文選題：關(guān)節(jié)成形術(shù)　切入點(diǎn)：置換　出處：《中華關(guān)節(jié)外科雜志(電子版)》2016年04期 　論文類(lèi)型：期刊論文

【摘要】：目的探討全膝關(guān)節(jié)置換(TKA)術(shù)后康復(fù)治療中加強(qiáng)本體感覺(jué)訓(xùn)練對(duì)膝關(guān)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(fù)醫(yī)院就診的28例(32膝)行TKA的術(shù)后患者,隨機(jī)分為實(shí)驗(yàn)組(16膝)和對(duì)照組(16膝)。對(duì)照組采用常規(guī)康復(fù)治療,實(shí)驗(yàn)組在此基礎(chǔ)上增加本體感覺(jué)訓(xùn)練。于入院及8周后采用膝關(guān)節(jié)功能評(píng)分——美國(guó)紐約特種外科醫(yī)院(HSS)評(píng)分,分別對(duì)兩組進(jìn)行治療評(píng)價(jià)。符合正態(tài)分布的兩獨(dú)立樣本均數(shù)比較采用t檢驗(yàn);如果不符合正態(tài)分布或方差不齊,則選擇Mann-Whitney U檢驗(yàn)。結(jié)果兩組患者入院時(shí)膝關(guān)節(jié)功能各項(xiàng)評(píng)分間的差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);8周后實(shí)驗(yàn)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(duì)照組明顯提高,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 TKA術(shù)后采用常規(guī)康復(fù)治療加上本體感覺(jué)強(qiáng)化訓(xùn)練,可以進(jìn)一步恢復(fù)膝關(guān)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(xué)院;第二軍醫(yī)大學(xué)第三附屬醫(yī)院骨科;上海市第一康復(fù)醫(yī)院骨科;
【分類(lèi)號(hào)】：R687.4

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 占飛,陳世益;前十字韌帶缺損膝本體感覺(jué)的變化與重建[J];中國(guó)康復(fù)醫(yī)學(xué)雜志;2000年05期

2 馬燕紅,程安龍,白躍宏,江瀾,李韻,袁偉芳,沈曉艷,蔣W，

本文編號(hào)：1633611