[1]赵斌,曾宪辉,丰新建,等.持续被动运动在全膝关节置换术后康复中的应用[J].中医正骨,2014,26(09):19-20.
　Zhao Bin*,Zeng Xianhui,Feng Xinjian,et al.Application of continuous passive motion to the postoperative rehabilitation after total knee arthroplasty[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(09):19-20.
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持续被动运动在全膝关节置换术后康复中的应用()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期数:
2014年09期
页码:
19-20
栏目:
骨科康复与运动疗法
出版日期:
2014-09-30

文章信息/Info

Title:
Application of continuous passive motion to the postoperative rehabilitation after total knee arthroplasty
作者:
赵斌1; 曾宪辉1; 丰新建1; 曾啸1; 周广军2; 吴聪2; 林宗汉2
1.广西中医药大学,广西 南宁 530001;
2.广西中医药大学附属瑞康医院,广西 南宁 530011
Author(s):
Zhao Bin*; Zeng Xianhui; Feng Xinjian; Zeng Xiao; Zhou Guangjun; Wu Cong; Lin Zonghan
*Guangxi University of Traditional Chinese Medicine,Nanning 530001,Guangxi,China
关键词:
关节成形术; 置换; 膝 运动疗法; 持续被动性 康复
Keywords:
Arthroplasty; replacement; knee;  Motion therapy;  continuous passive;  Rehabilitation
摘要:
目的:探讨持续被动运动在全膝关节置换术后康复中的作用。方法:全膝关节置换术后患者88例,男58例,女30例。年龄45～72岁,中位数55岁。单侧80例,双侧8例。膝关节骨性关节炎61例,类风湿关节炎23例,创伤性骨关节炎4例。病程3～13个月,中位数8个月。随机分为2组,治疗组42例,对照组46例。治疗组采用持续被动运动联合常规康复方法治疗,对照组采用常规康复方法治疗。分别于治疗前及治疗开始后7 d、14 d评价并比较2组患者膝关节活动度,并采用Judet膝关节功能评价标准评价总体疗效。结果:①膝关节活动度评分。治疗前后不同时间点膝关节活动度评分比较,差异有统计学意义,存在时间效应[治疗组:(12.23±2.27)分,(39.99±3.87)分,(99.24±4.86)分,对照组:(14.29±1.07)分,(30.04±3.96)分,(70.14±4.28)分,F=16.816,P=0.039]; 2组患者膝关节活动度评分的组间差异总体上有统计学意义(t=-0.222,P=0.000),除治疗前以外(t=0.689,P=0.084),治疗开始后7 d、14 d治疗组的膝关节活动度评分均高于对照组(t=-0.763,P=0.000; t=-0.148,P=0.000); 时间因素和分组因素之间存在交互效应(F=10.254,P=0.024)。②总体疗效。治疗组优36例、良5例、可1例,对照组优2例、良13例、可17例、差14例。治疗组的总体疗效优于对照组(Z=-2.670,P=0.024)。结论:持续被动运动可以有效改善全膝关节置换术后膝关节活动度,促进膝关节功能恢复。
Abstract:
Objective:To study the role of continuous passive motion(CPM)in the postoperative rehabilitation after total knee arthroplasty(TKA).Methods:TKA was performed in 88 patients(58 males and 30 females)between the ages of 45 and 72 years(Median=55 yrs).Unilateral TKA was performed in 80 patients and bilateral TKA was performed in 8 patients.Sixty-one patients were diagnosed as knee osteoarthritis(KOA),23 patients as rheumatoid arthritis(RA)and 4 patients as traumatic osteoarthritis(TOA).The course of disease ranged from 3 to 13 months(Median=8 months).The patients were randomly divided into 2 groups,42 cases in treatment group,46 cases in control group.The patients in the treatment group were treated with combination therapy of CPM and conventional rehabilitation,while those in the control group were treated with monotherapy of conventional rehabilitation.The knee range of motion(ROM)was evaluated before treatment and at the 7th and 14th day after the beginning of the treatment respectively,and the total curative effect was evaluated according to Judet knee function evaluation standard.Results:There was statistical difference in knee ROM scores between different timepoints(treatment group:12.23+/-2.27,39.99+/-3.87,99.24+/-4.86 points; control group:14.29+/-1.07,30.04+/-3.96,70.14+/-4.28 points,F=16.816,P=0.039),in other words,there was time effect.In general,there was statistical difference in knee ROM scores between the 2 groups(t=-0.222,P=0.000).The knee ROM score of the treatment group was higher than that of control group at the 7th and 14th day after the beginning of the treatment(t=-0.763,P=0.000; t=-0.148,P=0.000),and there was no statistical difference in knee ROM scores between the two groups before the treatment(t=0.689,P=0.084).There was interaction between time factor and grouping factor(F=10.254,P=0.024).Thirty-six patients obtained an excellent result,5 good and 1 fair in the treatment group; while 2 patients obtained an excellent result,13 good,17 fair and 1 poor in the control group.The treatment group surpassed the control group in the total curative effect(Z=-2.670,P=0.024).Conclusion:The therapy of continuous passive motion can effectively improve the knee ROM and promote the recovery of knee joint function after TKA.

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更新日期/Last Update: 2014-09-30