滚轮按摩器对全膝关节置换术后老年人膝关节活动度和肌肉疼痛的急性影响。
The acute effect of roller massager on knee joint range of motion and muscle pain in older adults with total knee arthroplasty.
机构信息
Department of Rehabilitation, Takeda General Hospital, Aizuwakamatsu, Fukushima, Japan.
Department of Rehabilitation, Fukushima Medical University, Fukushima, Japan.
出版信息
J Musculoskelet Neuronal Interact. 2023 Jun 1;23(2):223-227.
OBJECTIVES
Older adults with total knee arthroplasty (TKA) have a limited range of knee joint motion due to pain and stiffness. A roller massager (RM) has recently been suggested to decrease pain and increase joint range of motion (ROM). Therefore, this study aimed to investigate the acute effect of RM intervention on pain and knee joint ROM in older adults with TKA in the second postoperative week.
METHODS
The participants were 23 patients (76.3±5.4 years) who had undergone TKA for knee OA. The degree of pain during the ROM measurements was measured using the visual analog scale before and immediately after the RM intervention. The RM intervention was performed on the thigh's lateral, central, and medial parts for three sets of 60 s using an RM.
RESULTS
RM intervention could significantly increase knee flexion ROM (p<0.01, d=0.41, Δchange: 4.1±3.2°) and decrease pain during the knee ROM measurements (p<0.01, d=-0.53, Δchange: -11.9±21.0).
CONCLUSIONS
The three sets of 60-s RM intervention significantly increased knee flexion ROM and reduced pain in older adults with TKA in the second postoperative week. These results show that RM intervention is an effective tool for treating stiffness and pain after TKA.
目的
全膝关节置换术（TKA）后的老年人由于疼痛和僵硬，膝关节活动范围有限。最近有研究提出，使用滚轴按摩器（RM）可以减轻疼痛并增加关节活动度（ROM）。因此，本研究旨在探讨 RM 干预对 TKA 后第二周老年患者疼痛和膝关节 ROM 的急性影响。
方法
参与者为 23 名（76.3±5.4 岁）接受 TKA 治疗膝骨关节炎的患者。在 RM 干预前后，使用视觉模拟量表测量 ROM 测量过程中的疼痛程度。使用 RM 对大腿的外侧、中央和内侧部分进行三组，每组 60 秒。
结果
RM 干预可显著增加膝关节屈曲 ROM（p<0.01，d=0.41，Δ变化：4.1±3.2°）并降低膝关节 ROM 测量过程中的疼痛（p<0.01，d=-0.53，Δ变化：-11.9±21.0）。
结论
三组 60 秒 RM 干预可显著增加 TKA 后第二周老年患者膝关节的屈曲 ROM，并减轻疼痛。这些结果表明 RM 干预是治疗 TKA 后僵硬和疼痛的有效工具。
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