Abbas C, Daher J
Windsor Regional Hospital Ouellette Campus, Windsor, Ontario, Canada.
Advanced Wellness Centre, Leamington, Ontario, Canada.
J Bodyw Mov Ther. 2017 Oct;21(4):823-829. doi: 10.1016/j.jbmt.2017.01.009. Epub 2017 Jan 18.
The aim of this study was to assess the feasibility of introducing a functional closed kinetic chain exercise program to an acute care setting to reduce length of hospital stay and assess tolerance to exercise immediately following total hip or total knee arthroplasty.
A protocol change implementing a functional closed kinetic chain based exercise program, post total hip (n = 535) and total knee (n = 695) arthroplasty, was performed at Windsor Regional Hospital Ouellette Campus in Windsor, Ontario Canada. A chart review was performed to compare the length of stay, post-surgery, of the new protocol to the length of stay of the previous range of motion and open kinetic chain based protocols of the previous two years.
A significant (P-value <0.05) number of total hip and total knee arthroplasty patients reduced the length of hospital stay to less than 4 days using the closed kinetic chain program.
Evidence suggests that closed kinetic chain exercises are tolerated in the acute care setting and may be useful in reducing hospital length of stay post total hip and total knee arthroplasty.
本研究旨在评估在急性护理环境中引入功能性闭链运动计划以缩短住院时间，并评估全髋关节或全膝关节置换术后立即进行运动的耐受性的可行性。
在加拿大安大略省温莎市温莎地区医院韦莱特校区，对535例全髋关节置换术和695例全膝关节置换术后实施基于功能性闭链运动的锻炼计划进行方案变更。进行图表回顾，以比较新方案术后住院时间与前两年基于活动范围和开链运动的方案的住院时间。
大量（P值<0.05）全髋关节和全膝关节置换术患者使用闭链运动计划将住院时间缩短至少于4天。
有证据表明，急性护理环境中患者可耐受闭链运动，这可能有助于缩短全髋关节和全膝关节置换术后的住院时间。
