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弹性带运动对全膝关节置换术后疼痛、运动恐惧、功能和心理状态的影响:一项随机对照试验。

The effects of elastic band exercise on the pain, kinesiophobia, functional, and psychological status after total knee arthroplasty: a randomized controlled trial.

机构信息

Department of Surgical Nursing, Faculty of Health Sciences, Aksaray University, Aksaray, Turkey.

Department Physical Therapy And Rehabilitation, Faculty of Medicine, Aksaray University, Aksaray, Turkey.

出版信息

Clin Rheumatol. 2022 Oct;41(10):3179-3188. doi: 10.1007/s10067-022-06266-0. Epub 2022 Jul 1.

DOI:10.1007/s10067-022-06266-0
PMID:35776283
Abstract

INTRODUCTION

Elastic band exercise not only improves muscle strength and elasticity, increases efficiency, balance, and quality of life but also decreases the injury risk. This study was conducted to determine the effect of elastic band exercise on pain, kinesiophobia, functional, and psychological status after total knee arthroplasty.

METHODS

This study was conducted out between October 2019 and April 2020 as a randomized controlled experimental study with a total of 60 patients. Data collection tools in this study included a descriptive information form, visual analog scale, Tampa Kinesiophobia, WOMAC Osteoarthritis Index, and Beck Depression Inventory.

RESULTS

Before intervention, the total score of VAS, WOMAC, Tampa Kinesiophobia, and Beck Depression showed no statistically significant difference between intervention group and control group. However, 4 weeks after intervention observed a statistically significant difference between the intervention and control groups in terms of VAS (U = 10,000; p < 0.001), WOMAC (U = 0.00; p < 0.001), Tampa Kinesiophobia (U = 221.5; p = 0.001), and Beck Depression means score (U = 112.5; p < 0.001). In addition, 4 weeks after the intervention, joint range and walking test assessments were statistically significant between the intervention and control groups (p < 0.001).

CONCLUSION

The results of the research showed that elastic band exercise had a positive effect on psychological and functional capacity.

TRIAL REGISTRATION

This study is registered in the Clinical Trial Registry (registration number NCT04981106) Key points • Patients with total knee arthroplasty require rehabilitation exercise to avoid physical function weakness. • Elastic band exercise significantly reduces patients' fear of movement and depression. • Elastic band exercise activities facilitate significant physical motion function. • Elastic band exercise inspires the will of patients to engage in home rehabilitation exercise patients after total knee arthroplasty.

摘要

简介

弹性带运动不仅可以提高肌肉力量和弹性,提高效率、平衡和生活质量,还可以降低受伤风险。本研究旨在确定弹性带运动对全膝关节置换术后疼痛、运动恐惧、功能和心理状态的影响。

方法

这是一项 2019 年 10 月至 2020 年 4 月进行的随机对照实验研究,共有 60 名患者。本研究的数据收集工具包括一般资料表、视觉模拟评分、坦帕运动恐惧调查表、WOMAC 骨关节炎指数和贝克抑郁量表。

结果

干预前,干预组和对照组的 VAS 总分、WOMAC、坦帕运动恐惧和贝克抑郁总分无统计学差异。然而,干预 4 周后,VAS(U=10000;p<0.001)、WOMAC(U=0.00;p<0.001)、坦帕运动恐惧(U=221.5;p=0.001)和贝克抑郁均数评分(U=112.5;p<0.001)差异有统计学意义。此外,干预 4 周后,干预组和对照组的关节活动度和步行测试评估差异有统计学意义(p<0.001)。

结论

研究结果表明,弹性带运动对心理和功能能力有积极影响。

试验注册

本研究在临床试验注册中心(注册号 NCT04981106)注册。

关键点

  1. 全膝关节置换术后患者需要进行康复运动以避免身体功能减弱。

  2. 弹性带运动显著降低了患者对运动的恐惧和抑郁。

  3. 弹性带运动活动促进了显著的身体运动功能。

  4. 弹性带运动激发了全膝关节置换术后患者在家中进行康复运动的意愿。

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Rehabil Nurs. 2019 Jan/Feb;44(1):60-66. doi: 10.1097/rnj.0000000000000109.
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Knee-Extension Training with a Single-Joint Hybrid Assistive Limb during the Early Postoperative Period after Total Knee Arthroplasty in a Patient with Osteoarthritis.骨关节炎患者全膝关节置换术后早期使用单关节混合辅助肢体进行膝关节伸展训练
Case Rep Orthop. 2016;2016:9610745. doi: 10.1155/2016/9610745. Epub 2016 Sep 28.
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Association between activity limitations and pain in patients scheduled for total knee arthroplasty.
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Sci Rep. 2023 Jul 3;13(1):10728. doi: 10.1038/s41598-023-37924-1.
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Factors for Assessing the Effectiveness of Early Rehabilitation after Minimally Invasive Total Knee Arthroplasty: A Prospective Cohort Study.评估微创全膝关节置换术后早期康复效果的因素:一项前瞻性队列研究
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