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膝关节功能训练对膝关节置换术后关节功能康复的影响

Effect of knee joint function training on joint functional rehabilitation after knee replacement.

作者信息

Liu Shi-Chen, Hou Zhi-Ling, Tang Qing-Xi, Qiao Xiao-Feng, Yang Jian-Hua, Ji Qing-Hui

机构信息

First Ward of Orthopedics Department, First Affiliated Hospital of Jiamusi University, Jiamusi Department of Emergency Surgery, First Affiliated Hospital of Jiamusi University, Jiamusi Department of Orthopedics, Longgang District People's Hospital of Shenzhen, Shenzhen, Guangdong, China.

出版信息

Medicine (Baltimore). 2018 Jul;97(28):e11270. doi: 10.1097/MD.0000000000011270.

Abstract

This retrospective study investigated the effect of knee joint function training (KJFT) on joint functional rehabilitation after knee replacement in Chinese patients with severe knee osteoarthritis (KOA).Eighty-six eligible patients with severe KOA were included. Of those, 43 patients in the intervention group received KJFT and educational program, while the other 43 patients received educational program only. Primary outcome was measured by the Western Ontario and McMaster Universities Arthritis Index (WOMAC). Secondary outcomes were measured by the visual analogue scale (VAS), and Knee Injury and Osteoarthritis Outcome Score (KOOS). All outcomes were assessed at baseline, 1 week before and 3 months after the surgery.Patients in the intervention group showed encouraging benefit neither at 1 week before nor 3 months after the surgery in all outcome measurements, including WOMAC, VAS, and KOOS, when compared with the patients in the control group.The results of this study did not show promising effect of KJFT for joint functional rehabilitation in Chinese patients with KOA after KJR.

摘要

这项回顾性研究调查了膝关节功能训练(KJFT)对中国重度膝关节骨关节炎(KOA)患者膝关节置换术后关节功能康复的影响。纳入了86例符合条件的重度KOA患者。其中,干预组的43例患者接受了膝关节功能训练和教育计划,而另外43例患者仅接受了教育计划。主要结局通过西安大略和麦克马斯特大学骨关节炎指数(WOMAC)进行测量。次要结局通过视觉模拟量表(VAS)和膝关节损伤与骨关节炎疗效评分(KOOS)进行测量。所有结局均在基线、手术前1周和手术后3个月进行评估。与对照组患者相比,干预组患者在手术前1周和手术后3个月的所有结局测量中,包括WOMAC、VAS和KOOS,均未显示出令人鼓舞的益处。本研究结果未显示膝关节功能训练对中国KOA患者膝关节置换术后关节功能康复有显著效果。

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