奥塔戈运动计划在人工膝关节置换术前功能锻炼的应用研究

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英文篇名：Otago exercise program as a functional exercise approach for patients before total artificial knee replacement 作者：宗淑君 ; 胡士丽 ; 李璐 ; 槐靓 ; 王贺 英文作者：Zong Shujun;Hu Shili;Li Lu;Huai Liang;Wang He;Department of Orthopedic Surgery,Zhengzhou People′s Hospital; 关键词：人工全膝关节置换术 ; 术前康复训练 ; 奥塔戈运动计划 ; 膝关节功能 ; 康复护理 英文关键词：artificial total knee arthroplasty;;pre-operative functional exercise;;Otago exercise program;;knee function;;rehabilitation nursing care 中文刊名：HLXZ 英文刊名：Journal of Nursing Science 机构：郑州人民医院骨关节外科; 出版日期：2018-06-25 出版单位：护理学杂志 年：2018 期：v.33 语种：中文; 页：HLXZ201812011 页数：3 CN：12 ISSN：42-1154/R 分类号：30-32

摘要

目的探讨奥塔戈运动计划在人工膝关节置换术前功能锻炼的干预效果。方法将全膝关节置换术患者61例随机分为对照组(31例)和干预组(30例),对照组术前采用常规骨科护理,干预组在此基础上采用奥塔戈运动计划干预。结果术后不同时间,两组膝关节屈曲度比较,干预效应、时间效应、交互效应存在统计学意义(P<0.05,P<0.01);干预组术后2周HSS膝关节评分及术后1个月的跌倒效能评分显著高于本组入组时及对照组干预后(P<0.05,P<0.01)。结论术前采用奥塔戈运动计划训练能改善全膝关节置换术后患者膝关节屈曲度、膝关节功能,有助于预防跌倒的发生。
        Objective To investigate the effect of Otago exercise program as a functional exercise approach for patients before total artificial knee replacement.Methods Totally,61 patients to receive total knee arthroplasty were divided into a control group of 31 cases and an intervention group of 30 by random number table.The former received routine preoperative orthopedic care,while the latter additionally joined in an Otago exercise program.Results ROM of the knee joint had significant group effect,time effect,and group by time effect between the 2 groups(P<0.05,P<0.01).The intervention group had significantly higher HSS knee scores two weeks after the surgery,and higher scores of modified falls efficacy at one month post-operatively,than baseline levels,and than the controls(P<0.05,P<0.01).Conclusion Otago exercise program as a functional exercise approach for patients before total artificial knee replacement is significant in improving post-operative ROM of the knee,and knee function,which therefore reduces the occurrence of falls.

引文

[1]Djahani O,Rainer S,Pietsch M,et al.Systematic analysis of painful total knee prosthesis,a diagnostic algorithm[J].J Bone Joint,2013,1(2):48-50.
    [2]闫汝蕴,张大成,彭英,等.双侧全膝关节置换术后系统康复的临床研究[J].中国康复医学杂志,2003,18(9):517-519.
    [3]杨华丽,周琴,金爱莲.全膝关节置换术后两种早期康复训练方法的临床效果对比[J].国际护理学杂志,2017,36(6):812-814.
    [4]Liu-Ambrose T,Donaldson M G,Ahamed Y,et al.Otago home-based strength and balance retraining improves executive functioning in older fallers:a randomized controlled trial[J].J Am Geriat Soc,2008,56(10):1821-1830.
    [5]Gardner M M,Buchner D M,Robertson M C,et al.Practical implementation of an exercise-based falls prevention programme[J].Age Ageing,2001,30(1):77-83.
    [6]宫伟.奥塔戈运动项目对社区老年人跌倒效能影响的研究[D].长春:吉林大学,2011.
    [7]曹烈虎,杨宗德,苏佳灿.骨与关节损伤评分[M].上海:第二军医大学出版社,2013:136-140.
    [8]郝燕萍,刘雪琴.修订版跌倒效能量表在我国老年人群中的测试研究[J].中华护理杂志,2007,42(1):19-21.
    [9]武迪,段敏,王卫青.全膝关节置换术后膝关节肿胀、疼痛程度对膝关节功能的影响及护理[J].中国医药导报,2012,9(9):128-129.
    [10]李莺,程云.奥塔戈运动项目对老年脑卒中患者跌倒的影响[J].护理学杂志,2014,29(21):1-4.
    [11]杨虹,赵巧玉.奥塔戈运动在老年全髋关节置换术患者出院后跌倒管理中的应用[J].护理管理杂志,2016,16(3):192-194.
    [12]于彤,王玉,芦英洁,等.居家不出老年人奥塔戈运动锻炼项目的实施[J].护理学杂志,2017,32(17):87-90.