中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (48): 9082-9084.doi: 10.3969/j.issn.1673-8225.2011.48.038

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

人工髋关节置换后的功能康复训练

叶新平   

  1. 赣南师范学院体育学院，江西省赣州市  341000
  • 收稿日期:2011-07-18 修回日期:2011-09-16 出版日期:2011-11-26 发布日期:2011-11-26
  • 作者简介:叶新平，男，1970年生，江西省赣州市人，汉族，1991年赣南师范学院毕业，讲师，主要从体育教学与训练研究。 yexinping1970@163.com

Functional rehabilitation training following hip replacement

Ye Xin-ping   

  1. College of Physical Education, Gannan Normal University, Ganzhou  341000, Jiangxi Province, China
  • Received:2011-07-18 Revised:2011-09-16 Online:2011-11-26 Published:2011-11-26
  • About author:Ye Xin-ping, Lecturer, College of Physical Education, Gannan Normal University, Ganzhou 341000, Jiangxi Province, China yexinping1970@163.com

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被引次数

11

摘要：

背景：人工髋关节置换后的功能康复训练可改善假体功能，促进患者恢复体力，增强肌力，增大关节活动度，恢复日常生活协调性。
目的：总结人工髋关节置换后功能康复训练的研究进展。
方法：以“人工髋关节，置换，功能康复；artificial hip joints, Replacement, Sports rehabilitation”为关键词，应用计算机检索1997/2011 PubMed数据库、中国期刊网、万方数据库、Springer Link数据库和Science Direct数据库，有关人工髋关节置换后的功能康复训练的文章。
结果与结论：人工髋关节置换可及时有效地缓解疼痛，重建髋关节功能，改善患者日常生活能力，提高生活质量。人工髋关节置换围手术期进行科学合理的功能康复训练指导，遵循个体化、循序渐进和全面训练的原则，训练程序根据具体情况、合并症及对疾病的耐受性和功能恢复的期望值而制定，活动量由小到大、时间由短到长、频率由少到多的详细训练计划，进行肌力训练才能使患者达到康复快、关节功能恢复效果好、并发症少的目的。提示早期功能康复训练对人工髋关节置换后患者功能恢复具有重要的意义，早期的康复训练可改善患者疼痛程度、行走功能，增强关节活动度功能；后期的功能康复训练能有效地预防肢体被迫制动而引起的肌张力降低和肌萎缩。

关键词: 人工髋关节, 置换, 功能训练, 假体, 医学植入物

Abstract:

BACKGROUND: Functional training following hip replacement can improve prosthesis function, patient rehabilitation, enhance muscle power, enlarge joint range of motion and restore concordant of daily life.
OBJECTIVE: To summarize advances in functional rehabilitation training following artificial hip replacement.
METHODS: A computer-based online search of PubMed, CNKI, Wanfang Springer Link and Science Direct was performed for related articles published between 1997 and 2011 with key words “artificial hip joints, Replacement, Sports rehabilitation”.
RESULTS AND CONCLUSION: Artificial hip replacement can effectively relieve pain, reconstruct joint function and improve quality of patient life. Perioperative functional rehabilitation training of hip replacement should be individualized and progressive. The training plan should be formulated according to patient condition, complication, disease tolerance, expectation of functional restoration, and be performed gradually in aspects of duration, amount and frequency to rapidly restore the function with few complications. Early functional rehabilitation training is very important for patients undergoing hip replacement, which can improve pain and walking, and enhance joint range of motion; later functional rehabilitation training can effectively prevent muscular tension reduction and myatrophy induced by limb immobilization. 

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