摘要
目的探究水中步行训练对胫骨平台骨折术后患者膝关节功能及肌力恢复的影响.方法选取该院2019年5月—2020年8月收治的106例胫骨平台骨折术后患者,按照随机数字表法分为对照组和观察组,每组53例.对照组采用常规肌肉力量、关节活动度训练以及持续被动运动,观察组在对照组基础上采用水中步行训练.比较两组干预前后膝关节功能及肌力恢复情况.结果干预前,两组膝关节功能及肌力恢复情况比较,组间差异无统计学意义(P>0.05);干预后,观察组疼痛、功能、活动度、肌力、屈曲畸形、稳定性评分分别为(27.39±2.80)分、(15.86±1.84)分、(16.41±1.75)分、(7.89±0.84)分、(8.33±0.87)分、(8.44±0.96)分,均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组徒手肌力检查(manual muscle testing)分级Kendall百分比法评分为(60.17±4.50)分,高于对照组,差异有统计学意义(P<0.05).结论水中步行训练能够有效改善胫骨平台骨折术后患者的膝关节功能,促进肌力恢复,具有临床推广应用价值.
Objective To investigate the effect of water walking training on knee joint function and muscle strength recovery in patients after tibial plateau fracture surgery.Methods 106 patients after tibial plateau fracture surgery admitted to the hospital from May 2019 to August 2020 were selected and divided into a control group and an observation group according to the random number table method,with 53 cases in each group.The control group received regular muscle strength training,joint range of motion training and continuous passive exercise,the observation group received water walking training on the basis of the control group.The knee joint function and muscle strength recovery were compared between the two groups before and after intervention.Results Before intervention,there was no significant difference in the knee joint function and muscle strength recovery between the two groups(P>0.05).After intervention,the pain,function,activity,muscle strength,flexion deformity and stability scores of the observation group were(27.39±2.80)points,(15.86±1.84)points,(16.41±1.75)points,(7.89±0.84)points,(8.33±0.87)points,(8.44±0.96)points,respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the Kendall percentage grading score of manual muscle testing in the observation group was(60.17±4.50)points,which was higher than that in the control group,the difference between the groups was statistically significant(P<0.05).Conclusion Water walking training can effectively improve the knee joint function of patients after tibial plateau fracture surgery and promote the recovery of muscle strength,which has clinical application value.
作者
罗昌禄
王连
徐远坤
LUO Changlu;WANG Lian;XU Yuankun(Department of Rehabilitation Medicine,Guizhou Provincial People's Hospital,Guiyang Guizhou,550002,China;Department of Orthopedics,The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang Guizhou,550001,China)
出处
《反射疗法与康复医学》
2021年第7期56-58,共3页
Reflexology And Rehabilitation Medicine
关键词
胫骨平台骨折
手术
水中步行训练
持续被动运动
膝关节功能
肌力
Tibial plateau fracture
Surgery
Water walking training
Continuous passive movement
Knee joint function
Muscle strength
