运动表象训练在膝关节置换术后患者功能锻炼中的应用  

Effectiveness of motor imagery training on functional exercise in patients after knee replacement

作　　者：赵娟 项红霞 张红霞 何爽 张璐 师姗姗 Zhao Juan;Xiang Hongxia;Zhang Hongxia;He Shuang;Zhang Lu;Shi Shanshan(Orthopedics Department III(Sports Medicine),Xinxiang Central Hospital,Fourth Clinical College of Xinxiang Medical University,Xinxiang 453000,China;Oncology Department,Xinxiang Central Hospital,Fourth Clinical College of Xinxiang Medical University,Xinxiang 453000,China)

机构地区：[1]新乡市中心医院,新乡医学院第四临床学院骨科三(运动医学),新乡453000 [2]新乡市中心医院,新乡医学院第四临床学院肿瘤科,新乡453000

出　　处：《中华现代护理杂志》2024年第23期3200-3204,共5页Chinese Journal of Modern Nursing

摘　　要：目的考察运动表象训练对膝关节置换术后患者膝关节功能、运动恐惧及功能锻炼依从性的影响。方法采用便利抽样法,选取2022年6月—2023年8月在新乡医学院第四临床学院收治的膝关节置换术后患者为研究对象。按入组时间分为对照组(n=98例)和观察组(n=98例)。对照组患者应用术后常规康复训练,观察组在对照组基础上应用运动表象训练(MIT)。比较两组患者干预前后的膝关节功能、运动恐惧水平、患者的功能锻炼依从性。结果干预后,观察组患者骨关节炎指数量表评分低于对照组,特种外科医院膝关节评分高于对照组,运动恐惧Tampa评分低于对照组,功能锻炼依从性高于对照组,差异均有统计学意义(P<0.05)。结论在康复训练基础上应用运动表象训练可减轻膝关节置换术后患者运动恐惧,提高患者的锻炼依从性,改善患者膝关节功能。ObjectiveTo explore the effectiveness of motor imagery training(MIT)on knee function,kinesiophobia,and functional exercise compliance in patients after knee replacement.MethodsFrom June 2022 to August 2023,convenience sampling was used to select patients who underwent knee replacement and were admitted to the Fourth Clinical College of Xinxiang Medical University as participants.The patients were divided into control group(n=98 cases)and observation group(n=98 cases)according to their enrollment time.The control group received routine postoperative rehabilitation,while the observation group was treated with MIT in addition to the control group.The knee function,kinesiophobia,and functional exercise compliance of two groups of patients were compared before and after intervention.ResultsAfter intervention,in observation group,the Western Ontario and McMaster Universities Osteoarthritis Index score was lower than that in control group,the score of Hospital for Special Surgery was higher than that in control group,the Tampa Scale of Kinesiophobia score was lower than that in control group,and the compliance with functional exercise was higher than that in control group,with statistical differences(P<0.05).ConclusionsApplying MIT on the basis of rehabilitation training can alleviate the kinesiophobia in patients after knee replacement,improve their exercise compliance and knee function.

关 键 词：膝关节置换术 运动表象训练 膝关节功能 运动恐惧 功能锻炼依从性 

分 类 号：R473.6[医药卫生—护理学]