术前肌力训练联合术后BIODEX平衡训练在全髋关节置换术患者中的应用效果  

Application effect of preoperative muscle strength training combined with postoperative BIODEX balance training in treatment of patients with total hip arthroplasty

作　　者：张占磊 陈果 雍福娟 张上上[1] 毕梦娜[1] 王一臣 马邹 ZHANG Zhanlei;CHEN Guo;YONG Fujuan;ZHANG Shangshang;BI Mengna;WANG Yichen;MA Zou(Department of Geriatric Orthopedics,Sichuan Provincial Orthopedic Hospital,Chengdu,Sichuan,610000)

机构地区：[1]四川省骨科医院老年骨科,四川成都610000

出　　处：《实用临床医药杂志》2024年第2期84-87,共4页Journal of Clinical Medicine in Practice

基　　金：四川省医学会科研青年创新课题(Q19011);四川省干部保健科研课题(川干研-2020-606)。

摘　　要：目的观察术前肌力训练联合术后BIODEX平衡功能训练在改善全髋关节置换术(THA)患者运动功能中的效果。方法选取2021年1月—2022年12月就诊的110例接受THA治疗患者作为研究对象,采用简单随机化法分为观察组和对照组,每组55例。对照组术后采用常规康复训练,观察组给予肌力训练联合BIODEX平衡功能训练。术后5 d时,比较2组影像学指标[髋臼外展角、前倾角、臼杯位于安全区比率、股骨假体居中率];比较2组治疗前及治疗1个月后关节运动功能(髋关节Harris评分)、平衡能力[Berg平衡量表(BBS)]、日常活动能力[日常生活能力表(ADL)]。结果术后5 d时,2组髋臼外展角、前倾角、臼杯位于安全区比率、股骨假体居中率比较,差异无统计学意义(P>0.05);治疗1个月后,2组髋关节Harris评分、BBS评分、ADL评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论术前肌力训练联合术后BIODEX平衡功能训练疗效显著,可有效改善THA治疗患者髋关节运动功能,提高其平衡控制能力。Objective To observe the effect of preoperative muscle strength training combined with postoperative BIODEX balance function training in improving the motor function of patients with total hip arthroplasty(THA).Methods A total of 110 patients with THA from January 2021 to December 2022 were selected as research objects,and were divided into observation group and control group by the simple randomization method,with 55 cases in each group.The control group received conventional postoperative rehabilitation training,while the observation group was treated with muscle strength training and BIODEX balance function training.Imaging indicators(acetabular abduction angle,anterior inclination angle,proportion of acetabular cup in safe zone,and centering rate of femoral prosthesis)at 5 days after surgery were compared between two groups;the joint motor function(Harris score for hip joint),balance ability[Berg Balance Scale(BBS)]and daily activity ability[Activities of Daily Life Scale(ADL)]before treatment and one month after treatment were compared between the two groups.Results There were no significant differences in acetabular abduction angle,anterior inclination angle,proportion of acetabular cup in safe zone and centering rate of femoral prosthesis between the two groups at 5 days after surgery(P>0.05);after one month of treatment,the Harris score for hip joint,the BBS score and ADL score in both group increased significantly,and the scores in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Preoperative muscle strength training combined with postoperative BIODEX balance function training shows a significant therapeutic effect,which can effectively improve the hip motor function and enhance the balance control ability in patients with THA.

关 键 词：肌力训练 BIODEX平衡训练 全髋关节置换术 平衡能力 股骨假体 

分 类 号：R687.4[医药卫生—骨科学] R493[医药卫生—外科学] R337[医药卫生—临床医学]