Department of Physical Therapy, Florida International University, Miami, Florida, USA.
Physiother Theory Pract. 2010 Apr 22;26(3):204-14. doi: 10.3109/09593980902751020.
The purpose of this case report was to present a method for assessing entire lower extremity performance and describe a Medical Exercise Therapy (MET) training program early after simultaneous bilateral total knee replacement (TKR). We also documented perceived function, mobility, and weight-bearing ability during functional tasks. The patient was a 50-year-old male who underwent a simultaneous bilateral procedure and began physical therapy (PT) 16 days postsurgery. Lower extremity performance (weight, repetitions, and loadvolume) was assessed weekly using a one-legged horizontal press. Perceived physical abilities, mobility, and body weight placed over each limb during a sit to stand and a squat at two different flexion angles were assessed. At discharge loadvolume for the weakest limb was 87% of the strongest side. At discharge, sit-to-stand, and 30 and 60 degree squat asymmetry ranged from 4% to 6%. Perceived abilities and mobility improved from initial visit to discharge. The patient was able to tolerate the closed-chain assessment of lower extremity performance and MET training program early after surgery. The patient made improvements in all functional tests and more importantly maintained a fairly equal distribution of body weight over both limbs during functional activities.
本病例报告的目的是介绍一种评估整个下肢功能的方法，并描述一种在双侧全膝关节置换术后早期进行的医疗运动疗法（MET）训练方案。我们还记录了患者在完成功能性任务时的感知功能、活动能力和负重能力。该患者为 50 岁男性，接受了双侧同期手术，术后 16 天开始接受物理治疗（PT）。使用单腿水平按压每周评估一次下肢功能（重量、重复次数和负荷量）。在从坐立到站立和从不同弯曲角度的深蹲过程中，评估患者每条肢体的感知身体能力、活动能力和体重分布情况。出院时，最弱侧肢体的负荷量为最强侧的 87%。出院时，坐立到站立和 30 度及 60 度深蹲的不对称性范围为 4%至 6%。从初次就诊到出院，患者的感知能力和活动能力都有所改善。患者能够耐受术后早期下肢功能的闭链评估和 MET 训练方案。患者在所有功能测试中都有所改善，更重要的是，在功能性活动中，能够使身体重量较均匀地分布在双腿上。
