| 龙 涛,袁 博,王郑浩,冯昱宁,李 波,严雅静,杨爱国,李开南,贾子善.下肢康复系统辅助全髋关节置换术后功能康复的临床应用[J].中国康复医学杂志,2023,(9):1199~1206 |
| 下肢康复系统辅助全髋关节置换术后功能康复的临床应用 点此下载全文 |
| 龙 涛 袁 博 王郑浩 冯昱宁 李 波 严雅静 杨爱国 李开南 贾子善 |
| 成都大学附属医院骨科，四川省成都市，610081 |
| 基金项目：国家重点研发计划项目（2019YFB1311403） |
| DOI：10.3969/j.issn.1001-1242.2023.09.004 |
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| 摘要： |
| 摘要
目的：观察下肢康复系统对全髋关节置换术后患者下肢运动功能、平衡功能及步行能力的影响，探讨下肢康复系统的临床应用价值。
方法：对比分析2020年1月—2021年4月收治的因各种原因行全髋关节置换术的患者76例，随机分成常规康复治疗组（A组）和下肢康复系统组（B组），各38例，两组均进行常规康复治疗，B组在此基础上加用下肢康复系统训练。分别在术前、康复治疗4周后及术后4月随访时采用Berg平衡量表（Berg balance scale，BBS）、Holden功能性步行分级法（functional ambulation category，FAC）进行评价分析，利用下肢康复系统计算和统计患足支撑时间百分比（患足支撑时间/步态周期×100%）、标准化步幅（步幅/身高×100%）、步频、10m最大步行速度（cm/s）。
结果：两组患者一般资料比较均无显著性差异，具有可比性。康复治疗4周后，两组患者的BBS评分、单足支撑时间百分比、标准化步幅、步频、最大步行速度、FAC分级均较康复治疗前明显升高，组内比较有显著性差异（P<0.05）。而康复治疗后B组评分高于A组，组间比较有显著性差异（P<0.05），可以认为B组患者恢复更快、更好。在术后4个月复查时，两组患者的BBS评分及FAC分级比较无显著性差异（P>0.05），可以认为两组患者的下肢功能比较接近。但两组患者的单足支撑时间百分比、标准化步幅、步频及最大步行速度比较有显著性差异（P<0.05），可以认为B组的行走功能更好。
结论：下肢康复系统结合常规康复训练能在术后早期明显提高全髋关节置换术后患者的下肢运动功能、平衡功能及步行能力，使患者更快恢复，在临床有较大的应用价值。 |
| 关键词：下肢 康复 全髋关节置换 运动功能 |
| Clinical application of lower limb rehabilitation system assisted functional rehabilitation after total hip arthroplasty Download Fulltext |
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| Dept. of Orthopaedics， Affiliated Hospital of Chengdu University， Chengdu， 610081 |
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| Abstract: |
| Abstract
Objective：To observe the effects of lower extremity rehabilitation system on balance function and walking ability of patients after total hip replacement， and to explore the clinical application value of lower extremity rehabilitation system.
Method：Totally 76 patients admitted from January 2020 to April 2021 for rehabilitation after total hip replacement were enrolled. They were randomly divided into the conventional group （Group A） and the lower extremity rehabilitation system (an equipment for lower extremity rehabilitation） group （Group B）， 38 cases in each Both groups received conventional rehabilitation treatment， and the group B was trained with additional lower extremity rehabilitation system. Berg Balance Scale （BBS） and Holden functional ambulation category （FAC） were used for evaluation and analysis before surgery， 4 weeks after rehabilitation and after 4months follow-up.
Result：There was no significant difference in general data between the two groups. After 4 weeks rehabilitation， BBS score， percentage of single foot support time（affected foot support time/gait cycle × 100%）， standardized stride length（stride length/height × 100%）， stride frequency， 10m maximum walking speed（cm/s） and FAC grade of 2 groups were significantly higher than those before rehabilitation （P<0.05）. And the scores of the group B were higher than those of the group A（P<0.05）， indicating that patients in group B recovered faster and better. At 4 months after surgery， there were significant differences in percentage of single foot support time， standardized stride length， stride frequency and maximum walking speed between the two groups （P<0.05）， suggesting that the walking function improved still in both groups and group B improved better than group A. There was no significant difference in BBS score between the two groups （P>0.05）， suggesting that there is ceiling effect they met.
Conclusion：Lower extremity rehabilitation system combined with routine rehabilitation training can significantly improve the lower extremity motor function， balance function and walking ability of patients after total hip replacement in the early postoperative stage， which has great clinical application value in accelerate the recover process. |
| Keywords:lower extremity rehabilitation total hip replacement motor function |
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