运动表象训练对膝关节单髁置换术后膝关节功能的效果  

Effect of motor imagery on knee function after unicompartmental knee arthroplasty

作　　者：李子怡[1] 宋为群[1] 杜巨豹[1] 曹光磊[1] 张艳明[1] 李冉 LI Ziyi;SONG Weiqun;DU Jubao;CAO Guanglei;ZHANG Yanming;LI Ran(Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Fuxing Hospital Affiliated to Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学宣武医院,北京市100053 [2]首都医科大学附属复兴医院,北京市100038

出　　处：《中国康复理论与实践》2023年第7期745-749,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：北京市优秀人才青年骨干个人项目(No.2018000020124G141)。

摘　　要：目的探究运动表象训练(MI)改善膝关节单髁置换术(UKA)后膝关节功能的效果。方法选择2022年1月至9月在宣武医院首次行UKA的患者32例,随机分为对照组和试验组各16例,两组均行常规康复,试验组另行MI,至出院后4周。治疗前后分别采用牛津大学膝关节评分(OKS)、疼痛视觉模拟量表(VAS)、膝关节活动度(ROM)、计时起立-行走测试(TUGT)进行评定。结果治疗后,除对照组ROM无明显变化外,两组各项指标均有改善(|t|>2.517,P<0.05);除VAS评分外,试验组其他指标均明显优于对照组(F>7.999,P<0.01)。结论MI能有效改善UKA术后早期患者的膝关节功能,对早期疼痛的改善不明显。Objective To explore the effect of motor imagery(MI)on knee function after unicompartmental knee arthroplasty(UKA).Methods From January to September,2022,32 patients underwent UKA for the first time in Xuanwu Hospital were randomly divided into control group(n=16)and experimental group(n=16).All the patients accepted routine rehabilitation,and the experimental group accepted MI in addition,until four weeks after discharge.They were assessed with Oxford Knee Score(OKS),Visual Analogue Scale for pain(VAS),range of motion(ROM)of knee,and Timed Up and Go Test(TUGT)before and after treatment.Results All the indexes improved after treatment(|t|>2.517,P<0.05),except ROM in the control group;and they improved more in the experimental group than in the control group(F>7.999,P<0.01),except the VAS score.Conclusion MI can further improve the knee function after UKA,but do less for pain.

关 键 词：膝关节单髁置换术 运动表象 康复 

分 类 号：R684.3[医药卫生—骨科学]