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[1]许倩,高学军,赵颜红,等.等速肌力康复对骨关节炎全膝关节置换术患者术后下肢肌力及康复的影响[J].医学研究与战创伤救治(原医学研究生学报),2022,24(2):147-151.[doi:10.3969/j.issn.1672-271X.2022.02.008]
　XU Qian,GAO Xue-jun,ZHAO Yan-hong,et al.Application analysis of isokinetic muscle strength rehabilitation on lower limb muscle strength and rehabilitation of patients with osteoarthritis after total kneearthroplasty[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2022,24(2):147-151.[doi:10.3969/j.issn.1672-271X.2022.02.008]
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等速肌力康复对骨关节炎全膝关节置换术患者术后下肢肌力及康复的影响()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第24卷
期数:
2022年2期
页码:
147-151
栏目:
临床研究
出版日期:
2022-03-20

文章信息/Info

Title:
Application analysis of isokinetic muscle strength rehabilitation on lower limb muscle strength and rehabilitation of patients with osteoarthritis after total kneearthroplasty
作者:
许倩; 高学军; 赵颜红; 藏磊
作者单位：100000北京，首都医科大学附属北京朝阳医院京西院区骨科（许倩、高学军、赵颜红、藏磊）
Author(s):
XU Qian;  GAO Xue-jun; ZHAO Yan-hong;  ZANG Lei
(Department of Orthopedics, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Jingxi District, Beijing 100000,China)
关键词:
等速肌力康复; 骨关节炎; 全膝关节置换术; 下肢肌力; 康复
Keywords:
isokinetic muscle strength rehabilitation;  osteoarthritis;  total knee arthroplasty;  lower limb muscle strength;  rehabilitation
分类号:
R684.3
DOI:
10.3969/j.issn.1672-271X.2022.02.008
文献标志码:
A
摘要:
目的探究等速肌力康复对骨关节炎全膝关节置换术（TKA）患者术后下肢肌力及康复的影响。方法选择2018年3月-2020年3月首都医科大学附属北京朝阳医院京西院区收治的80例接受TKA的骨关节炎患者，采用随机数字表法分为等速肌力组（n=40）、常规训练组（n=40），常规训练组TKA术后接受常规康复训练，等速肌力组在此基础上联合等速肌力康复干预。分别于干预前、干预3个月后、干预6个月后，评价2组患者关节活动度、疼痛视觉模拟评分（VAS）、膝关节伸屈肌肌力变化，并根据其干预3个月后Lysholm膝关节评分评价其康复效果。结果2组干预3个月后、干预6个月后患肢关节活动度较干预前上升，VAS评分较干预前下降；等速肌力组干预3个月后、干预6个月后关节活动度高于常规训练组，其VAS评分低于后者，组间比较差异有统计学意义（P＜0.05）。2组干预3个月后、干预6个月后膝关节屈肌、伸肌峰力矩、总功、单次最大做功量均较干预前升高，等速肌力组干预3个月后、干预6个月后膝关节屈肌、伸肌峰力矩、总功、单次最大做功量均高于常规训练组同期水平，组间比较差异有统计学意义（P＜0.05）。2组干预3个月后、干预6个月后Lysholm评分均较干预前升高，等速肌力组干预3个月后、干预6个月后Lysholm评分高于常规训练组同期水平，组间比较差异有统计学意义（P＜0.05）。等速肌力组干预3个月后膝关节功能优良率为73.02%（46/63），高于常规训练组的46.77%（29/62），组间比较差异有统计学意义（P＜0.01）。结论在常规训练方案的基础上，联合等速肌力康复能够促进骨关节炎患者TKA术后关节活动度、疼痛的改善，有助于下肢肌力的提高与膝关节功能的恢复。
Abstract:
ObjectiveTo explore the effect of isokinetic muscle strength rehabilitation on lower limb muscle strength and rehabilitation of patients with osteoarthritis after total knee arthroplasty (TKA).Methods80 osteoarthritis patients with received TKA from March 2018 to March 2020 in Beijing Chaoyang Hospital affiliated to Capital Medical University were randomly divided into isokinetic muscle strength group (n=40) and routine training group (n=40). The routine training group received routine rehabilitation training after TKA, and the isokinetic muscle strength group combined with isokinetic muscle strength rehabilitation intervention on this basis. The range of motion, visual analogue scale of pain (VAS) and knee extensor and flexor muscle strength were evaluated before and 3 months after intervention and six months after intervention, and the rehabilitation effect was evaluated according to Lysholm knee score after 3 months of intervention.ResultsAfter 3 months of intervention and six months after intervention, the range of motion of the affected limb joint in the two groups was higher than that before the intervention, and the VAS score was lower in the isokinetic muscle strength group than that in the conventional training group after 3 months of intervention, and the VAS score was lower than that in the control group (P<0.05). After 3 months of intervention and six months after intervention, the peak torque, total work and single maximum work of knee flexor and extensor in the two groups were higher than those before the intervention. In the isokinetic muscle strength group, the peak torque, total work and single maximum work of knee flexor and extensor after 3 months of intervention and six months after intervention in the isokinetic muscle strength group were higher than those in the conventional training group at the same period (P<0.05). Lysholm scores of two groups after 3 months of intervention and six months after intervention were higher than those before intervention. Lysholm score of isokinetic muscle strength group was higher than that of routine training group at the same time after 3 months of intervention and 6 months after intervention (P<0.05). After 3 months of intervention, the excellent and good rate of knee joint function in isokinetic muscle strength group was 73.02% (46/63), which was higher than 46.77% (29/62) of routine training group (P<0.01).ConclusionThe routine training program combined with isokinetic muscle strength rehabilitation promotes the improvement of joint range of motion and pain in patients with osteoarthritis after TKA, which is conducive to the improvement of lower limb muscle strength and the recovery of knee joint function.

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备注/Memo:
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更新日期/Last Update: 2022-04-18