Abstract：Objective: To study application of comprehensive exercise training in knee joint replacement and its effect on joint mobility and function. Methods: 80 patients with comprehensive exercise training who received therapy from August 2014 to August 2016 in our hospital were selected. According to simple random number table, those patients were divided into the observation group (n=45) and the control group (n=45). After surgery, the control group was given simple passive training, the observation group was given comprehensive exercise training on the basis of the control group. After 1 month, treatment effect were compared between the two groups. Results: After surgery, the tibial angle, the knee joint line height and the maximum extension angle of the knee joint of tow groups were reduced, The maximum flexion angle of the knee joint and posterior tibial angle were increased(P<0.05), and the result of observation group was better than that of control group(P<0.05); the HSS score in the observation group was higher than that of the control group (90.85±2.17)scores VS(78.34±3.03)scores, the VAS score was lower than that of the control group (2.78±0.42)scores VS(4.59±0.53)scores(P<0.05);the total effective rate in the observation group was higher than that of the control group 93.33%(42/45) VS 75.56% (34/45)(P<0.05); the incidence rate of complication in observation group was lower than that in control group 2.22%(1/45)VS15.56(7/45)(P<0.05). Conclusion: The application of comprehensive exercise training after knee replacement can promote the recovery of joint mobility and function, reduce complications and improve prognosis. It is worthy of application and popularization.
常亮. 综合运动训练在膝关节置换术中的应用及对患者关节活动度和功能的影响[J]. 河北医学, 2018, 24(11): 1853-1856.
CHANG Liang. Application of Comprehensive Exercise Training in Knee Joint Replacement and its Effect on Joint Mobility and Function. HeBei Med, 2018, 24(11): 1853-1856.
[1] Albrecht E, Grape S, Baeriswyl M, et al. Sciatic nerve block and enhanced recovery after total knee arthroplasty - a reply[J].Anaesthesia,2016,71(12):1495~1496. [2] Palmer CG, Jagannathan S.Sciatic nerve block and enhanced recovery after total knee arthroplasty[J].Anaesthesia,2016,71(12):1495~1498. [3] Carbó E, Laguna R, Del Moral F,et al.Non traumatic posterior instability in primary total knee replacement and its revision[J].Acta Ortop Mex,2016,30(2):105~109. [4] 谢雅芬,李建新,吴武,等.早期康复介入对人工全膝关节置换术患者术后恢复的影响研究[J].齐齐哈尔医学院学报,2016,37(9):1170~1172. [5] 戴国华,杨晓峰,谭克益.超声引导下神经阻滞应用于全膝关节置换术术后镇痛效果分析[J].中国实用神经疾病杂志,2016,19(13):62~63. [6] 冉仁国,罗政,张岱阳,等.超声经皮促渗术联合骨伤膏对创伤性骨折愈合兔血清碱性磷酸酶活性水平及钙、磷含量的影响[J].河北中医,2016,38(5):720~724.
2018, Vol. 24 
冀公网安备13080202000786号