不同运动疗法对全膝关节置换术后功能恢复的影响

关键词：全膝关节置换术  运动疗法  持续被动运动

Keywords:total knee replacement  exercise therapy  continuous passive motion

摘要：

      目的：比较不同运动疗法对全膝关节置换术(TKR)后功能恢复的影响。 方法：62例不同病因、符合TKR指征的全膝关节术后患者随机分成对照组和治疗组，对照组术后即进行持续被动运动（CPM）训练，治疗组术后即进行CPM训练加运动疗法，在2周后，两组均采用美国膝关节外科学会评分系统评估膝关节功能，并进行比较分析。 结果：两组患者在疼痛、功能、肌力和稳定性方面比较差异具有极显著性意义(P<0.01)，在活动度和屈曲畸形方面比较差异具有显著性意义(P<0.05)。 结论：TKR后被动加运动训练比单纯CPM训练对改善膝关节的功能，恢复下肢负重及行走能力效果更为显著。

Abstract:

      Objective: To compare the effects of different exercise treatments on postoperative function recovery in patients with total knee replacement(TKR). Method: Sixty-two patients with TKR for different disease causes were randomly divided into a control group and a treatment group. The control group was treated with continuous passive motion(CPM) , and the treatment group was treated with CPM combined with exercise treatment. Two weeks later, the effects in two groups were evaluated and compared with American hospital for special surgery knee score. Result: The results of evaluations on pain, function, strength of muscle and stability in two groups were significantly different（P<0.01）. In the range of motion and flexion deformities the differences between two groups were significant（P<0.05）. Conclusion: After TKR, CPM combined with exercise treatment is more effective than single CPM in improving the function of knee and recovering the burden and walk ability of lower limb.