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接受膝关节周围截骨术患者术前与出院评估之间的关系。

Relationship between preoperative and discharge evaluations in patients receiving around-the-knee osteotomy.

作者信息

Hasegawa Takashi, Nishi Keita, Matsumoto Shinichi, Yamashita Yuh, Moriuchi Takefumi, Higashi Toshio

机构信息

Graduate School of Biomedical Sciences, Nagasaki University: 1-7-1 Sakamoto, Nagasaki 852-8520, Japan.

出版信息

J Phys Ther Sci. 2024 Nov;36(11):717-720. doi: 10.1589/jpts.36.717. Epub 2024 Nov 1.

Abstract

[Purpose] This study aimed to determine the relationship between preoperative and discharge assessments in patients undergoing around-the-knee osteotomy. [Participants and Methods] We enrolled patients admitted to our hospital who underwent around-the-knee osteotomy. We measured knee joint range of motion, pain numeric rating scale, pain catastrophizing scale, hospital anxiety and depression scale, and 10-m walk time were measured preoperatively and before discharge. Pre-post comparisons and correlation testing were performed. [Results] A total of 18 patients were analyzed. Resting and exercise pain numeric rating scale, knee flexion and extension range of motion, and pain catastrophizing scale were significantly better during discharge. A significant correlation was observed between the preoperative pain catastrophizing scale total score and 10-m walking time, knee flexion and extension range of motion, pain catastrophizing scale total score, and hospital anxiety and depression scale-depression subscale preoperatively. [Conclusion] Appropriate postoperative rehabilitation after around-the-knee osteotomy improved physical function and cognitive/psychological evaluation at discharge. The correlation between the preoperative pain catastrophizing scale total score and 10-m walking time at discharge suggests that the prolonged walking pain that occurred preoperatively may have affected the cognitive and psychological evaluation of pain.

摘要

[目的]本研究旨在确定接受膝关节周围截骨术患者术前评估与出院评估之间的关系。[参与者与方法]我们纳入了我院接受膝关节周围截骨术的住院患者。术前及出院前测量膝关节活动范围、疼痛数字评定量表、疼痛灾难化量表、医院焦虑抑郁量表以及10米步行时间。进行术前与术后比较及相关性测试。[结果]共分析18例患者。出院时静息和运动时的疼痛数字评定量表、膝关节屈伸活动范围以及疼痛灾难化量表均显著改善。术前疼痛灾难化量表总分与术前10米步行时间、膝关节屈伸活动范围、疼痛灾难化量表总分以及医院焦虑抑郁量表抑郁分量表之间存在显著相关性。[结论]膝关节周围截骨术后进行适当的康复治疗可改善出院时的身体功能及认知/心理评估。术前疼痛灾难化量表总分与出院时10米步行时间之间的相关性表明,术前出现的长时间步行疼痛可能影响了对疼痛的认知和心理评估。

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