老年全髋置换者臀大肌及臀中肌的肌力训练  

Gluteus maximus and gluteus medius exercise following elder total hip arthroplasty

作　　者：杨明[1] 王海龙[1] 覃鼎文[1] 郭险峰[1] 

机构地区：[1]北京积水潭医院康复科,北京市100035

出　　处：《中国组织工程研究与临床康复》2011年第17期3202-3205,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:人工全髋关节置换后早期介入功能训练对老年患者髋关节功能恢复有着重要作用。目的:观察老年人全髋关节置换后臀大肌、臀中肌肌力训练对髋关节功能恢复的影响。方法:将60例全髋关节置换者分为2组,对照组全髋关节置换后给予常规的功能训练,训练组在常规训练基础上强调臀大肌、臀中肌肌力训练。结果与结论:置换后16周应用Biodex系统对两组患者臀大肌、臀中肌肌力进行测试,训练组患侧臀大肌、臀中肌肌力分别为健侧的78.13%,75.28%;对照组臀大肌、臀中肌肌力分别为健侧的63.32%,61.32%。训练组Trendelenburg征阳性1例,对照组8例。臀大肌、臀中肌肌力训练组明显优于对照组(P<0.01)。根据Harris髋关节评分,置换后功能恢复训练组明显优于对照组(P<0.05)。提示全髋关节置换后早期开展臀大肌、臀中肌肌力训练能够增强髋关节的稳定性,促进髋关节功能恢复。BACKGROUND：Early functional training is important for function recovery of the hip after elder total hip arthroplasty（THA）.OBJECTIVE：To study the effects of gluteus maximus and gluteus medius strength exercise on function recovery of the hip following elder THA.METHODS：Totally 60 THA elder patients were randomly allocated into rehabilitation group and control group.Conventional rehabilitation principles were conducted in the control group,while gluteus maximus and gluteus medius strength training was emphasized besides conventional principles in the rehabilitation group.RESULTS AND CONCLUSION：In the rehabilitation group,the strength of gluteus maximus involved was 78.13% to intact side,and 75.28% of gluteus medius.In the control group,the strength of gluteus maximus and gluteus medius were 63.32% and 61.32% to intact side respectively.There was 1 patient with Trendelenburg sign in the rehabilitation group,while 8 patients in the control group.The strength of gluteus maximus and gluteus medius in the rehabilitation group was significantly better than that in the rehabilitation group（P 0.01）.The mean Harris score was 90.79 in the rehabilitation group,and 76.88 in the control group;the function was significantly better in the rehabilitation group（P 0.05）.Strengthening exercise of gluteus maximus and gluteus medius of THA patients as rehabilitation protocols was good for enhancing hip stability,preventing dislocation relieving pain,transforming gait and facilitating function.

关 键 词：臀大肌 臀中肌 全髋关节置换 功能训练 老年 

分 类 号：R318[医药卫生—生物医学工程]