Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan.
Clin Rehabil. 2013 Aug;27(8):697-709. doi: 10.1177/0269215513476722. Epub 2013 Mar 5.
To evaluate the effectiveness of additional balance training on mobility and function outcome in patients with knee osteoarthritis after total knee replacement.
A prospective intervention study and randomized controlled trial.
A university-based teaching hospital.
Patients who received total knee replacement surgery were recruited sequentially from the orthopedic department. They were randomly assigned to either the experimental group or control group.
The control group received conventional function training for eight weeks. The experimental group not only received the same conventional training as the control group, but also received additional balance exercises in each admission.
Before and after training we took the following measurements: distance of functional forward reach; duration of single leg stance; timed sit-to-stand test; timed up-and-down stair test; timed 10-m walk; timed up-and-go test; and the Western Ontario and McMaster Universities Osteoarthritis Index score.
58 patients in the experimental group with a mean (SD) age of 71.4 (6.6) years and 55 in the control group with mean (SD) age of 72.9 (7.3) years, completed the study. After eight-weeks intervention with additional balance exercises, the experimental group demonstrated significant changes in 10-m walk (P < 0.001, 95% confidence interval (CI): 3.6 to 4.4 seconds) and in timed up-and-go (P < 0.001, 95% confidence interval: 2.6 to 3.4 seconds) tests. Significant changes of all other measures and Western Ontario and McMaster Universities Osteoarthritis Index score were also observed in the experimental group (all P < 0.001).
Additional balance training exerted a significant beneficial effect on the function recovery and mobility outcome in patients with knee osteoarthritis after total knee replacement.
评估在全膝关节置换术后的膝骨关节炎患者中，附加平衡训练对移动性和功能结果的效果。
前瞻性干预研究和随机对照试验。
一所大学附属医院。
从骨科部门连续招募接受全膝关节置换手术的患者。他们被随机分配到实验组或对照组。
对照组接受为期八周的常规功能训练。实验组不仅接受与对照组相同的常规训练，而且在每次就诊时还接受额外的平衡练习。
在训练前后，我们进行了以下测量：功能前伸距离；单腿站立时间；计时坐站测试；计时上下楼梯测试；计时 10 米步行；计时起立行走测试；以及西部安大略省和麦克马斯特大学骨关节炎指数评分。
实验组有 58 名患者，平均（标准差）年龄为 71.4（6.6）岁，对照组有 55 名患者，平均（标准差）年龄为 72.9（7.3）岁，完成了研究。经过八周的附加平衡练习干预，实验组在 10 米步行（P < 0.001，95%置信区间（CI）：3.6 至 4.4 秒）和计时起立行走（P < 0.001，95%CI：2.6 至 3.4 秒）测试中表现出显著变化。实验组还观察到所有其他测量指标和西部安大略省和麦克马斯特大学骨关节炎指数评分的显著变化（均 P < 0.001）。
附加平衡训练对全膝关节置换术后膝骨关节炎患者的功能恢复和移动性结果有显著的有益影响。
