本体感觉组合训练改善全膝关节置换术后平衡能力的临床观察  

Clinical Observation of Proprioception Combined Training in Improving Balance Function after Total Knee Arthroplasty

作　　者：付婷婷[1] 刘波[1] 沈海[1] 肖依诚 刘辉[1] FU Tingting;LIU Bo;SHEN Hai;XIAO Yicheng;LIU Hui(Sichuan Province Orthopedic Hospital,Chengdu 610041,China)

机构地区：[1]四川省骨科医院,成都610041

出　　处：《中国中医骨伤科杂志》2022年第11期28-31,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：四川省骨科医院院内课题(2017-11)。

摘　　要：目的:探讨本体感觉组合训练改善全膝关节置换术后平衡能力的临床疗效及安全性。方法:选取2018年6月至2021年3月初次单侧全膝关节置换术(TKA)后患者92例,随机分为观察组和对照组(各46例)。两组患者术后均给予常规肌力训练,观察组在常规肌力训练基础上给予本体感觉组合训练,比较两组患者在训练前及训练8周后的BIODEX静态平衡整体得分、Berg平衡量表评分及并发症发生情况。结果:训练前两组的BIODEX静态整体平衡得分及Berg平衡量表评分比较,组间差异无统计学意义(P>0.05);训练后两组的BIODEX静态整体平衡得分及Berg平衡量表评分,训练前与训练后8周比较,差异均有统计学意义(P<0.01);安全性方面,两组患者训练期间均未发生关节肿痛、跌倒等不良事件。结论:本体感觉组合训练能够改善全膝关节置换术后平衡能力,降低患者跌倒风险,值得临床推广应用。Objective:To explore the clinical efficacy and safety of proprioception combined training in improving balance function after total knee arthroplasty.Methods:92 patients who underwent primary unilateral total knee arthroplasty from June 2018 to March 2021 were selected and randomly divided into observation group(46 cases) and control group(46 cases).The control group was treated with muscles strengthening.The observation group was given proprioception combined training on the basis of muscles strengthening.The BIODEX static balance scores of overall and Berg Balance Scale(BBS) were evaluated and compared in the two groups on rehabilitation beginning and 8 weeks after the rehabilitation training.Results:There was no statistical difference in the BIODEX static balance testing scores of overall and the Berg Balance Scale scores between the two groups before the training(P>0.05).There were statistically significant differences in the BIODEX static balance testing scores of overall and the Berg Balance Scale scores in two groups before and after training(P<0.01).There was no joint swelling and pain, fall and other adverse events in both groups during training.Conclusion:Total knee replacement combined with proprioception combined training can improve balance function, reduce the risk of falls, which is worthy of clinical application.

关 键 词：全膝关节置换术 本体感觉训练 肌力训练 平衡能力 跌倒风险 

分 类 号：R684.3[医药卫生—骨科学]