中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (35): 6509-6513.doi: 10.3969/j.issn.1673-8225.2011.35.012

• 人工假体 artificial prosthesis • 上一篇    下一篇

全膝置换后早期持续主动功能锻炼有利于关节功能的恢复

刘  伟，吴宇黎，丛锐军，符培亮，李晓华，吴海山   

  1. 上海长征医院关节外科中心，上海市  200003
  • 收稿日期:2011-05-07 修回日期:2011-06-17 出版日期:2011-08-27 发布日期:2011-08-27
  • 通讯作者: 吴宇黎，副主任医师、副教授，上海长征医院关节外科中心，上海市200003 wuyuli6019@189.cn
  • 作者简介:刘伟☆，男，1980年生，上海市人，汉族，在读博士，医师，主要从事人工关节外科及运动医学研究。 liuliumsn@hotmail.com

Controlled active motion and continuous passive motion are beneficial to function rehabilitation after total knee arthroplasty

Liu Wei, Wu Yu-li, Cong Rui-jun, Fu Pei-liang, Li Xiao-hua, Wu Hai-shan   

  1. Department of Joint Surgery, Changzheng Hospital, Shanghai  200003, China
  • Received:2011-05-07 Revised:2011-06-17 Online:2011-08-27 Published:2011-08-27
  • Contact: Wu Yu-li, Associate chief physician, Associate professor, Department of Joint Surgery, Changzheng Hospital, Shanghai 200003, China wuyuli6019@189.cn
  • About author:Liu Wei☆, Studying for doctorate, Physician, Department of Joint Surgery, Changzheng Hospital, Shanghai 200003, China liuliumsn@hotmail.com

PDF

939

被引次数

21

摘要：

背景：人工全膝关节置换后早期进行康复功能锻炼，可以最大限度改善膝关节功能。
目的：观察主动和被动功能锻炼对全膝置换后早期关节功能恢复的影响。
方法：将226例全膝关节置换患者随机分为2组，置换后分别使用可控主动运动夹板和持续性被动运动器进行关节功能康复，置换后1.5，3，6个月记录两组关节活动度、术后疼痛目测类比VAS评分及KSS功能评分。
结果与结论：置换后3个月可控主动运动组KSS功能评分优于持续性被动运动组，置换后6个月两组间KSS功能评分差异无显著性意义；置换后1.5，3个月可控主动运动组关节活动度优于持续性被动运动组，置换后6个月两组间差异无显著性意义。提示全膝关节置换后使用可控主动运动夹板进行功能训练，可以促进膝关节功能早期恢复。

关键词: 主动功能锻炼, 被动功能锻炼, 全膝置换, 关节活动度, VAS, KSS

Abstract:

BACKGROUND: Early rehabilitation training can improve the knee function to maximal extent after total knee arthroplasty (TKA).
OBJECTIVE: To acknowledge the difference between controlled active motion and continuous passive motion effects on function rehabilitation after TKA.
METHODS: 226 patients who underwent unilateral TKA were divided randomly into controlled active motion group and continuous passive motion group. Patient’s general condition, range of motion (ROM), visual analogue scale (VAS) score, knee society score (KSS) function score were recorded at 1.5, 3, 6 months postoperatively.
RESULTS AND CONCLUSION: At 3 months postoperatively, the KSS score in the controlled active motion group was superior to that in the continuous passive motion group; at 6 months postoperatively, there was no significant difference in the KSS score between the two groups. At 1.5 and 3 months after TKA, the ROM in the controlled active motion group was better than that in the continuous passive motion group; while, at 6 months, no significant difference was shown between the two groups. Controlled active motion can promote the function rehabilitation after TKA.

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