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Restoring physical function after knee replacement: a cross sectional comparison of progressive strengthening vs standard physical therapy.膝关节置换术后恢复身体功能:渐进强化与标准物理治疗的横断面比较。
Physiother Theory Pract. 2020 Jan;36(1):122-133. doi: 10.1080/09593985.2018.1479475. Epub 2018 Jun 7.
2
Quadriceps weakness preferentially predicts detrimental gait compensations among common impairments after total knee arthroplasty.在全膝关节置换术后常见的功能障碍中,股四头肌无力优先预示着有害的步态代偿。
J Orthop Res. 2018 Sep;36(9):2355-2363. doi: 10.1002/jor.23894. Epub 2018 Apr 24.
3
Factors associated with gait speed recovery after total knee arthroplasty: A longitudinal study.全膝关节置换术后步态速度恢复的相关因素:一项纵向研究。
Semin Arthritis Rheum. 2017 Apr;46(5):544-551. doi: 10.1016/j.semarthrit.2016.10.012. Epub 2016 Nov 1.
4
Does the addition of hip strengthening exercises improve outcomes following total knee arthroplasty? A study protocol for a randomized trial.增加髋关节强化训练能否改善全膝关节置换术后的疗效?一项随机试验的研究方案。
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5
Quadriceps strength affects patient satisfaction after total knee arthroplasty.股四头肌力量影响全膝关节置换术后患者的满意度。
J Orthop Sci. 2016 Jan;21(1):38-43. doi: 10.1016/j.jos.2015.10.002. Epub 2015 Nov 14.
6
Effectiveness of physiotherapy exercise following total knee replacement: systematic review and meta-analysis.全膝关节置换术后物理治疗运动的有效性:系统评价与荟萃分析。
BMC Musculoskelet Disord. 2015 Feb 7;16:15. doi: 10.1186/s12891-015-0469-6.
7
Quadriceps/hamstrings co-activation increases early after total knee arthroplasty.全膝关节置换术后早期,股四头肌/腘绳肌共同激活增加。
Knee. 2014 Dec;21(6):1115-9. doi: 10.1016/j.knee.2014.08.001. Epub 2014 Sep 11.
8
The effectiveness of Kinesio Taping® after total knee replacement in early postoperative rehabilitation period. A randomized controlled trial.全膝关节置换术后早期康复阶段应用肌内效贴布的有效性:一项随机对照试验。
Eur J Phys Rehabil Med. 2014 Aug;50(4):363-71. Epub 2014 May 13.
9
Hip abductor strength reliability and association with physical function after unilateral total knee arthroplasty: a cross-sectional study.髋关节外展肌力量的可靠性及其与单侧全膝关节置换术后身体功能的关系:一项横断面研究。
Phys Ther. 2014 Aug;94(8):1154-62. doi: 10.2522/ptj.20130335. Epub 2014 Mar 20.
10
Residual knee pain and functional outcome following total knee arthroplasty in osteoarthritic patients.骨关节炎患者全膝关节置换术后的残余膝关节疼痛及功能结果
Knee Surg Sports Traumatol Arthrosc. 2015 Jun;23(6):1841-7. doi: 10.1007/s00167-014-2910-z. Epub 2014 Feb 19.

全膝关节置换术后强化运动计划和肌内效贴布对患者功能恢复的影响。

The effect of intensive exercise program and kinesiotaping following total knee arthroplasty on functional recovery of patients.

作者信息

Oktas Birhan, Vergili Ozge

机构信息

Orthopaedie and Traumatology Department, Kirikkale University Faculty of Medicine, Yurtkur Sokak, No:1 Yahsihan, Kirikkale, Turkey.

Physiotherapy and Rehabilitation Department, Kirikkale University Faculty of Health Sciences, Kirikkale, Turkey.

出版信息

J Orthop Surg Res. 2018 Sep 12;13(1):233. doi: 10.1186/s13018-018-0924-9.

DOI:10.1186/s13018-018-0924-9
PMID:30208939
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6136220/
Abstract

BACKGROUND

Total knee arthroplasty (TKA) is a gold standard for terminal term gonarthrosis patients in order to diminish pain, correct deformities, and regain stability. Postoperative functional recovery of patients depends on the current postoperative rehabilitation program to an important extent. The purpose of our study is to compare midterm functional level of gonarthrosis patients who were included in physiotherapy rehabilitation program following TKA with people in similar ages without any surgical indication nor intervention. We have aimed also to compare functionality of people who had additional kinesiotaping (KT) treatment with people who had conservative treatment only after knee arthroplasty.

METHODS

Functional level and knee functionality of people in study were evaluated at the end of postoperative first month by 6-min walk test and Lysholm knee score respectively.

RESULTS

There was no statistical difference between groups with and without TKA in terms of height, weight, body mass index, Lysholm score, and 6-min walk test score (p > 0.05). In patient group with TKA, people with postoperative KT treatment had greater 6-min walk test score for postoperative first month (p = 0.005).

CONCLUSION

TKA is considered a gold standard procedure in order to increase the quality of life and improve functionality of terminal term gonarthrosis patients. It is necessary to immediately control pain and edema of knee and apply intensive rehabilitation program aimed at muscle strengthening around hip and knee in order to increase the success of operation.

摘要

背景

全膝关节置换术(TKA)是终末期膝关节炎患者减轻疼痛、纠正畸形和恢复稳定性的金标准。患者术后的功能恢复在很大程度上取决于当前的术后康复计划。我们研究的目的是比较接受TKA后纳入物理治疗康复计划的膝关节炎患者与年龄相仿、无手术指征且未接受干预的人群的中期功能水平。我们还旨在比较接受额外肌内效贴扎(KT)治疗的人群与仅接受膝关节置换术后保守治疗的人群的功能情况。

方法

分别通过6分钟步行试验和Lysholm膝关节评分在术后第一个月末评估研究对象的功能水平和膝关节功能。

结果

接受TKA和未接受TKA的组在身高、体重、体重指数、Lysholm评分和6分钟步行试验评分方面无统计学差异(p>0.05)。在接受TKA的患者组中,术后接受KT治疗的人群在术后第一个月的6分钟步行试验评分更高(p = 0.005)。

结论

TKA被认为是提高终末期膝关节炎患者生活质量和改善功能的金标准手术。为提高手术成功率,有必要立即控制膝关节疼痛和肿胀,并实施旨在加强髋部和膝关节周围肌肉的强化康复计划。