全髋置换太极拳运动康复联合方案构建及应用

关键词：全髋置换  太极拳  运动康复  康复方案  功能恢复

Keywords:total hip arthroplasty  Tai Chi  exercise rehabilitation  rehabilitation program  functional rehabilitation

摘要：

      摘要 目的：构建全髋置换太极拳运动康复联合方案，并观察其对全髋置换患者功能恢复的影响。 方法：纳入首次行全髋关节置换手术（后外侧入路）的患者80例，随机分为对照组（n=40）和试验组（n=40）。对照组接受常规康复训练方案，试验组接受课题组基于德尔菲法构建的全髋置换太极拳运动康复联合方案，共24周。治疗前后使用BIODEX平衡测试系统、定时-起立行走量表（timed up and go test，TUGT）、Harris髋关节功能评定量表、中文跌倒效能量表（modified fall efficacy scale，MFES）及SF-36生活质量综合评分量表进行评估。 结果：共有7例脱落，其中对照组3例，试验组4例。因此，对73例患者的数据进行了分析，即对照组（n=37）和试验组（n=36）。治疗后，两组BIODEX平衡功能评分、TUGT评分、Harris髋功能评分、MFES评分及SF-36生活质量综合评分均显著改善（P＜0.05），且试验组显著优于对照组（P＜0.05）。 结论：本研究基于德尔菲法构建的全髋置换太极拳运动康复联合方案具有较好的科学性与可行性。该方案的构建能够有效地改善全髋置换患者的髋关节功能，平衡功能及步行活动能力，减少跌倒恐惧，提高生活质量。

Abstract:

      Abstract Objective： To develop a combined program of Tai Chi and exercise rehabilitation for total hip arthroplasty and evaluate its effect on functional rehabilitation. Method： A total of 80 patients undergoing primary total hip arthroplasty （posterior lateral approach） were randomly divided into a control group （n=40） and an experimental group （n=40）. The control group received a routine rehabilitation training program， while the experimental group received the combined program of Tai Chi and exercise rehabilitation for total hip arthroplasty, constructed by the research group based on the Delphi method， for a total of 24 weeks. Before and after treatment， the BIODEX balance test system， timed up and go test （TUGT）， Harris hip joint function assessment scale， modified fall efficacy energy scale （MFES）， and SF-36 quality of life comprehensive scale were used for evaluation. Result： A total of 7 cases dropped off， 3 in the control group and 4 in the experimental group. Thus， data from 73 patients (control group: n=37; experimental group: n=36） were analyzed. After treatment， both groups showed significant improvement in BIODEX balance function score， TUGT score， Harris hip function score， MFES score， and SF-36 comprehensive quality of life score （P<0.05）， with the experimental group showing significantly better results than the control group （P<0.05）. Conclusion： The combined program of Tai Chi and exercise rehabilitation after total hip arthroplasty based on Delphi method is scientific and feasible. This program can effectively improve the hip joint function， balance function and walking ability in patients undergoing total hip arthroplasty， reduce fear of falling， and improve the quality of life.