等速力量联合常规训练在肘关节松解术后康复中的应用  

Application of isokinetic strength combined with conventional training in rehabilitation after elbow joint release surgery

作　　者：王伟[1] 金佳[1] 佘昶[1] 谢晔[1] WANG Wei;JIN Jia;SHE Chang;XIE ye(Department of Osteoarthrosis,the Second Affiliated Hospital of Soochow University,Suzhou Jiangsu 215000,China)

机构地区：[1]苏州大学附属第二医院骨关节科,江苏苏州215000

出　　处：《局解手术学杂志》2025年第4期315-319,共5页Journal of Regional Anatomy and Operative Surgery

基　　金：苏州市体育局体育科研局管课题(TY2023-102);国家自然科学基金(82070904);2022年度江苏省老年健康科研项目(LKM2022021)。

摘　　要：目的探讨等速力量联合常规训练在肘关节松解术后康复中的应用效果。方法采用回顾性队列研究方法分析2022年6月至2023年6月于我院择期行肘关节松解术的82例患者的临床资料,将其分为对照组和观察组,每组41例。对照组患者实施常规康复训练,观察组患者在此基础上联合实施等速力量训练。对比分析2组患者手术前后肘关节功能、肘关节活动度、疼痛程度及日常生活能力。结果术后3个月,与对照组比较,观察组患者Mayo肘关节功能评分更高(P<0.05),肘关节屈曲、伸展、前臂旋后及前臂旋前活动度更大(P<0.05),VAS评分更低(P<0.05),日常生活能力更优(P<0.05)。结论等速力量联合常规训练应用于肘关节松解术可促进肘关节功能康复,缓解疼痛程度,增强日常生活能力。Objective To explore the application effect of isokinetic strength combined with conventional training in the rehabilitation after elbow joint release surgery.Methods A retrospective cohort study was conducted to analyze the clinical data of 82 patients who underwent elective elbow joint release surgery in our hospital from June 2022 to June 2023.They were divided into the control group and the observation group,with 41 cases in each group.Patients in the control group received routine training,while patients in the observation group received isokinetic strength training on the basis of the control group.The elbow joint function,elbow joint range of motion,pain degree,and ability of daily living before and after surgery of patients in the two groups were compared and analyzed.Results Three months after surgery,compared with the control group,the Mayo elbow function score of patients in the observation group were higher(P<0.05),the elbow flexion,extension,forearm supination,and forearm pronation ranges of motion of patients in the observation group were greater(P<0.05),the VAS score of patients in the observation group was lower(P<0.05),the ability of daily living of patients in the observation group was better(P<0.05).Conclusion The application of isokinetic strength combined with conventional training in elbow joint release surgery can promote elbow joint functional recovery,alleviate pain degree,and enhance ability of daily living.

关 键 词：等速力量训练 康复训练 肘关节松解术 肘关节功能 疼痛程度 日常生活能力 

分 类 号：R473.6[医药卫生—护理学]