Cai Libai, Liu Yanjin, Wei Zexu, Liang Hao, Liu Yangyang, Cui Miaoran
Department of Orthopedics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China.
Department of Nursing, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Res Nurs Health. 2023 Apr;46(2):203-209. doi: 10.1002/nur.22290. Epub 2022 Dec 12.
To evaluate the effects of robot-assisted rehabilitation training on knee function and the daily activity ability of older adults following total knee arthroplasty (TKA). Eighty-eight patients who underwent TKA were randomly assigned to a robot-assisted rehabilitation or traditional therapy group. The patients in the control group were treated with traditional manual rehabilitation therapy, while the patients in the experimental group were subjected to the robot-assisted rehabilitation program. Range of motion of the knee joint, Hospital for Special Surgery Knee Rating Score, and the modified Barthel Index were assessed on the first or second day after TKA (preintervention) and the discharge day (postintervention). Additionally, the length of hospital stay and related hospitalization expenses of the two groups were collected on the discharge day. Improvements in the active range of motion (p < 0.001), passive range of motion (p = 0.001), Hospital for Special Surgery Knee Rating Score (p < 0.001), and modified Barthel Index score (p = 0.004) were significantly better in the robot-assisted rehabilitation group than in the traditional therapy group. Interestingly, the length of hospital stay in the experimental group (9 days) was shorter than that in the control group (13 days), and the total cost of hospitalization was lower (p = 0.002). The robot-assisted rehabilitation training program is an effective intervention that significantly improves the daily activity ability and knee function of older adults following TKA.
评估机器人辅助康复训练对全膝关节置换术（TKA）后老年人膝关节功能和日常活动能力的影响。88例行TKA的患者被随机分为机器人辅助康复组或传统治疗组。对照组患者接受传统手法康复治疗，而实验组患者接受机器人辅助康复方案。在TKA后的第一天或第二天（干预前）和出院日（干预后）评估膝关节活动范围、特殊外科医院膝关节评分以及改良Barthel指数。此外，在出院日收集两组患者的住院时间和相关住院费用。机器人辅助康复组在主动活动范围（p < 0.001）、被动活动范围（p = 0.001）、特殊外科医院膝关节评分（p < 0.001）和改良Barthel指数评分（p = 0.004）方面的改善明显优于传统治疗组。有趣的是，实验组的住院时间（9天）短于对照组（13天），住院总费用也更低（p = 0.002）。机器人辅助康复训练方案是一种有效的干预措施，可显著提高TKA后老年人的日常活动能力和膝关节功能。
