卧式踏车联合步态适应性训练在老年膝关节置换术后康复中的应用  

Application of horizontal treadmill combined with gait adaptive training in rehabilitation of elderly patients after knee arthroplasty

作　　者：邱阿芳 庄健 徐小妹 陈玉霞 QIU Afang;ZHUANG Jian;XU Xiaomei;CHEN Yuxia(Department of Rehabilitation,Shangrao People's Hospital,Shangrao,Jiangxi,334000,China)

机构地区：[1]上饶市人民医院康复科,江西上饶334000

出　　处：《当代医学》2024年第23期163-167,共5页Contemporary Medicine

摘　　要：目的探究卧式踏车联合步态适应性训练在老年膝关节置换术后康复中的应用效果。方法选取2021年12月至2022年6月于上饶市人民医院行膝关节置换手术的60例老年患者作为研究对象,以随机数字表法分为对照组与观察组,各30例。对照组采用步态适应性训练,观察组采用卧式踏车联合步态适应性训练,比较两组步态指标(步长、步速、步宽)、步行功能[功能性步行量表(functional ambulation category scale,FAC)分级、Fugl-Meyer评分法(Fugl-Meyer assessment,FMA)评分]、膝关节功能[美国特种外科医院膝关节评分(Hospital for Special Surgery,HSS)]和肌力分级。结果干预后,两组步长均长于干预前,步宽宽于干预前,步速快于干预前,且观察组步长长于对照组,步宽宽于对照组,步速快于对照组,差异有统计学意义(P<0.05);干预后,两组FAC分级优于干预前,FMA评分均高于干预前,且FAC分级优于对照组,FMA评分高于对照组,差异有统计学意义(P<0.05);干预后,两组疼痛、功能、活动度、肌力、屈曲畸形、稳定性评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组肌力等级均优于干预前,且观察组优于对照组,差异有统计学意义(P<0.05)。结论卧式踏车联合步态适应性训练的康复训练可增强老年膝关节置换术后患者的步行能力、膝关节弯曲能力,改善步态指标、膝关节功能,提升患者的生活自理能力,改善预后。Objective To explore the application effect of horizontal treadmill combined with gait adaptive training in the rehabilitation of elderly patients after knee arthroplasty.Methods 60 elderly patients who receivied knee arthroplasty in Shangrao People's Hospital from December 2021 to June 2022 were selected as the research subjects,and they were divided into the control group and the observation group according to the random number table method,with 30 cases in each group.The control group was trained with gait adaptive training,and the observation group trained with horizontal treadmill combined with gait adaptive training.Gait indicators(step length,step speed,step width),walking function(functional ambulation category scale[FAC]grade,Fugl-Meyer assessment[FMA]score),knee function(Hospital for Special Surgery[HSS]knee score)and muscle strength grading were compared between the two groups.Results After intervention,the step length of the two groups was longer than that before intervention,the step width was wider than that before intervention,and the step speed was faster than that before intervention,and the step length in the observation group was longer than that in the control group,the step width was wider than that in the control group,and the step speed was faster than that in the control group,the differences were statistically significant(P<0.05).After intervention,the FAC grade of the two groups were better than that before intervention,and the FMA score were higher than that before intervention,and the FAC grade in the observation group was better than that in the control group,and the FMA score was higher than that in the control group,the differences were statistically significant(P<0.05).After intervention,the pain,function,mobility,muscle strength,flexion deformity,stability scores of the two groups were higher than that before intervention,and the the observation group was higher than the control group,the differences were statistically significant(P<0.05).After intervention,the muscle strength gra

关 键 词：卧式踏车 膝关节置换术 步态适应性训练 康复效果 

分 类 号：R47[医药卫生—护理学]