| 王 巍,刘艳成,王连成,张 宽,李耀民.量化评估早期系统康复对全膝关节置换患者步态的影响[J].中国康复医学杂志,2022,(9):1180~1185 |
| 量化评估早期系统康复对全膝关节置换患者步态的影响 点此下载全文 |
| 王 巍 刘艳成 王连成 张 宽 李耀民 |
| 天津医院，天津市，300211 |
| 基金项目：天津市天津医院科技基金项目(TJYY1806) |
| DOI：10.3969/j.issn.1001-1242.2022.09.005 |
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| 摘要： |
| 摘要
目的：利用便携式步态分析仪(intelligent device for energy expenditure and physical activity， IDEEA)对全膝关节置换(total knee arthroplasty， TKA)患者的步态参数变化及特点进行测量，量化评估系统康复训练对TKA患者的康复效果，并对康复治疗方案的改进提供一定参考价值。
方法：将符合纳入标准的单侧膝骨关节炎(knee osteoarthritis， KOA)患者74例随机分为试验组与对照组。对照组接受骨科术后常规康复治疗，试验组接受系统化康复训练。分别于术前及术后第12周进行西安大略及麦克马斯特大学骨关节炎指数评分(Western Ontario and McMaster University Osteoarthritis index， WOMAC)、美国特种外科医院膝关节评分(The hospital for special surgery knee score，HSS)、膝关节活动度测量及步态分析。
结果：术后12周试验组患者在WOMAC评分、HSS评分及膝关节活动度方面明显优于对照组。试验组手术侧肢体摆动强度、蹬地强度、跖屈强度、步速、步频、步长、步幅在行系统康复后较对照组有明显改善。
结论：术后12周系统康复可明显减轻TKA患者膝关节疼痛，改善下肢功能；IDEEA可客观评估TKA患者康复治疗前后的步态参数，对康复治疗方案的改进提供一定参考价值。 |
| 关键词：步态分析 全膝关节置换术 早期系统康复 便携式步态分析仪 |
| Evaluation of the effect of early systematic rehabilitation on gait characteristics of patients undergoing total knee arthroplasty Download Fulltext |
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| Department of Rehabilitation，Tianjin Hospital，Tianjin，300211 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To measure the changes and characteristics of gait parameters of patients with total knee arthroplasty (TKA) by using a portable gait analyzer- intelligent device for energy expenditure and physical activity (IDEEA)， to quantitatively evaluate the rehabilitation effect of systematic rehabilitation training on TKA patients， and to provide some reference value for the improvement of rehabilitation treatment.
Method： Seventy-four patients with unilateral knee osteoarthritis (KOA) were randomly divided into experimental group and control group. The control group received routine rehabilitation treatment after orthopedic surgery， and the experimental group received systematic rehabilitation training. WOMAC score， HSS score， ranges of motion of the knees and gait analysis were performed before and 12 weeks after operation.
Result： After 12 weeks， WOMAC score， HSS score and ranges of motion of the knees of the experimental group were significantly better than that of the control group. Compared with the control group， the experimental group showed significant improvements in limb swing strength， ground pedal strength， plantar-flexor strength， step speed， step frequency， step length and stride length after systemic rehabilitation.
Conclusion： Our findings suggest that systemic rehabilitation can significantly reduce knee pain and improve lower limb function； IDEEA can objectively evaluate the gait parameters of TKA patients before and after rehabilitation treatment， and provide some reference value for the improvement of rehabilitation treatment. |
| Keywords:gait characteristics total knee arthroplasty early systematic rehabilitation intelligent device for energy expenditure and physical activity |
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