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评估髋膝关节置换术后早期康复路径与森田疗法相结合的疗效。

Assessing the Efficacy of the Early Rehabilitation Pathway in Combination with Morita Therapy after Hip and Knee Arthroplasty.

机构信息

Department of Kinesiologic Medical Science, Graduate School, Dankook University, Cheonan, Republic of Korea.

The First Affiliated Hospital, Department of Pain, Hengyang Medical School, University of South China, Hengyang 421001, China.

出版信息

J Healthc Eng. 2022 Mar 24;2022:4285197. doi: 10.1155/2022/4285197. eCollection 2022.

Abstract

Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are effective methods for the treatment of end-stage osteoarthritis. Furthermore, rehabilitation training and psychological interventions play significant roles in the recovery of hip and knee joint function after THA and TKA. A total of 46 patients who received hip replacement and knee replacement are equally divided into two groups, with the control group being prescribed routine rehabilitation intervention and the observation group prescribed an early rehabilitation pathway with Morita therapy intervention. According to the results, the observation group displayed a significantly decreased incidence of deep venous thrombosis, while simultaneously reducing the recovery time of lower limb function ( < 0.05), including straight leg raising time, walking time, and vertical knee flexion time. In addition, the treatment program demonstrates a significant ability to improve the joint function score, pain score, quality of life score, and range of motion score ( < 0.05). Moreover, serum D-dimer, fibrin degradation products (FDP), and femoral vein blood flow peak also are significantly reduced ( < 0.05). Therefore, we have determined that an early rehabilitation pathway combined with Morita therapy can effectively reduce stress pain, improve the recovery process of joint motor function, and reduce the incidence of thrombosis. However, an increased sample size would facilitate the confirmation of the safety and efficacy of the program. In addition, the overall financial expenditure and feasibility of the treatment need to be considered.

摘要

全髋关节置换术(THA)和全膝关节置换术(TKA)是治疗终末期骨关节炎的有效方法。此外,康复训练和心理干预在 THA 和 TKA 后髋关节和膝关节功能的恢复中起着重要作用。共有 46 名接受髋关节置换和膝关节置换的患者被平均分为两组,对照组接受常规康复干预,观察组接受 Morita 治疗干预的早期康复路径。结果显示,观察组深静脉血栓形成的发生率明显降低,同时下肢功能的恢复时间也缩短(<0.05),包括直腿抬高时间、行走时间和垂直膝关节屈曲时间。此外,该治疗方案还显著提高了关节功能评分、疼痛评分、生活质量评分和关节活动度评分(<0.05)。此外,血清 D-二聚体、纤维蛋白降解产物(FDP)和股静脉血流峰值也明显降低(<0.05)。因此,我们确定 Morita 治疗联合早期康复路径可以有效减轻应激疼痛,改善关节运动功能的恢复过程,降低血栓形成的发生率。然而,增加样本量将有助于确认该方案的安全性和有效性。此外,还需要考虑治疗的总体财务支出和可行性。

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