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全膝关节置换患者与老年健康受试者之间坐立和静态站立平衡能力的比较。

Comparison of sit-to-stand and static standing balance ability between patients with total knee arthroplasty and elderly healthy subjects.

作者信息

Shin Jaewook, Lee Hyunok, Bae Wonsik, Kim Jwajun

机构信息

Rehabilitation Center, Busan Medical Center, Busan, Korea.

Department of Physical Therapy, Catholic University of Pusan, Busan, Korea.

出版信息

J Back Musculoskelet Rehabil. 2018;31(3):425-430. doi: 10.3233/BMR-170969.

DOI:10.3233/BMR-170969
PMID:29504522
Abstract

BACKGROUND

Identifying the functional status of patients after total knee arthroplasty is important. This study aimed to examine the differences in sit-to-stand and static standing ability balance between patients who underwent total knee arthroplasty and healthy participants.

METHODS

Twenty patients (mean age 70.05 years) who underwent total knee arthroplasty and 20 healthy participants (mean age 69.20 years) participated in this study. To assess the participants' sit-to-stand, the Good Balance System (Metitur Ltd, Finland) was used to measure each participant's mediolateral center of pressure (COP) displacement and time required to complete the sit-to-stand movement. To assess the participants' static standing balance, the Good Balance System was used to measure each patient's mediolateral COP displacement, anteroposterior COP displacement, and velocity moment when standing with eyes open and with eyes closed.

RESULTS

A significant difference was found in the mediolateral COP displacement and the time required to complete the sit-to-stand movement in the two groups (P< 0.05). A significant difference was also found in the mediolateral and anteroposterior COP displacement and the velocity moment when standing with eyes open and with eyes closed in the two groups (P< 0.05).

CONCLUSIONS

Patients who had total knee arthroplasty showed decreased sit-to-stand and static standing balance ability compared with the control group in the initial period after surgery.

摘要

背景

确定全膝关节置换术后患者的功能状态很重要。本研究旨在探讨全膝关节置换术患者与健康参与者在从坐到站及静态站立能力平衡方面的差异。

方法

20例接受全膝关节置换术的患者(平均年龄70.05岁)和20名健康参与者(平均年龄69.20岁)参与了本研究。为评估参与者从坐到站的情况,使用了良好平衡系统(芬兰Metitur有限公司)来测量每位参与者的内外侧压力中心(COP)位移以及完成从坐到站动作所需的时间。为评估参与者的静态站立平衡,使用良好平衡系统测量每位患者在睁眼和闭眼站立时的内外侧COP位移、前后向COP位移以及速度矩。

结果

两组在内外侧COP位移以及完成从坐到站动作所需时间方面存在显著差异(P<0.05)。两组在睁眼和闭眼站立时的内外侧和前后向COP位移以及速度矩方面也存在显著差异(P<0.05)。

结论

与对照组相比,全膝关节置换术患者在术后初期从坐到站及静态站立平衡能力下降。

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