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乳清蛋白对全膝关节置换术后患者肌肉量和功能康复的研究。

Study of whey protein on muscle mass and functional rehabilitation in postoperative total knee arthroplasty patients.

机构信息

Shanxi Medical University, Taiyuan, Shanxi, China.

Department of Rehabilitation, Xinghualing District Central Hospital, Taiyuan, Shanxi, China.

出版信息

J Back Musculoskelet Rehabil. 2024;37(5):1381-1390. doi: 10.3233/BMR-240013.

Abstract

BACKGROUND

Patients who underwent total knee arthroplasty (TKA) often experience muscle loss due to pain and limited mobility. Nutritional supplementation and rehabilitation may positively affect the decline in muscle function.

OBJECTIVE

The purpose of this study is to evaluate whether whey protein intervention, in addition to conventional rehabilitation training, is beneficial in improving muscle function and quality of life in patients after TKA.

METHODS

72 patients who met the criteria were selected for this randomized controlled study. For the experimental group, whey protein was used as a daily supplement for 12 weeks, while the control group was given a placebo, during which both groups received conventional rehabilitation training. Muscle strength and each of the secondary observables needed to be measured and statistically analyzed preoperatively and at 4, 8, and 12 weeks post-intervention.

RESULTS

In total, 62 subjects completed the study: 32 in the experimental group and 30 in the control group. Both groups showed significant improvement in muscle strength, VAS, ROM, AKS and leg circumference after 12 weeks of treatment. Compared to the control group, patients in the experimental group showed significant improvement in muscle strength, VAS, ROM, AKS and leg circumference (p= 0.001, p= 0.002, p= 0.001, p= 0.001, p= 0.001, respectively) after 12 weeks of treatment.

CONCLUSION

The 12-week intervention of whey protein nutritional supplement showed significant improvement in muscle mass and function among post-TKA patients besides aiding with conventional rehabilitation exercise.

摘要

背景

接受全膝关节置换术(TKA)的患者常因疼痛和活动受限而导致肌肉流失。营养补充和康复可能会对肌肉功能下降产生积极影响。

目的

本研究旨在评估乳清蛋白干预除常规康复训练外,是否有益于改善 TKA 后患者的肌肉功能和生活质量。

方法

本随机对照研究共纳入 72 名符合标准的患者。实验组每天补充乳清蛋白,持续 12 周,对照组给予安慰剂,两组均接受常规康复训练。在术前和干预后 4、8 和 12 周,需要测量并进行统计学分析肌肉力量和每个次要观察指标。

结果

共有 62 名受试者完成了研究:实验组 32 名,对照组 30 名。两组在 12 周治疗后肌肉力量、VAS、ROM、AKS 和腿围均有显著改善。与对照组相比,实验组患者在 12 周治疗后肌肉力量、VAS、ROM、AKS 和腿围均有显著改善(p=0.001、p=0.002、p=0.001、p=0.001、p=0.001,分别)。

结论

乳清蛋白营养补充 12 周的干预除了辅助常规康复运动外,还能显著改善 TKA 后患者的肌肉质量和功能。

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