三维动作捕捉系统辅助评价超声波药物离子导入联合主动和被动训练对单侧膝骨关节炎全膝关节置换术后康复的影响
摘要
目的评估超声波药物离子导入联合主动和被动训练对于单侧膝骨关节炎全膝关节置换术后患者的康复效果。方法选取单侧膝骨关节炎全膝关节置换术患者40例,实验组予以超声波药物离子导入联合主动和被动训练,对照组采用主动和被动训练,用VAS视觉模拟疼痛评分表对康复治疗前和治疗后12周患者疼痛程度进行评估,利用三维动作捕捉系统比较康复治疗12周后实验组和对照组患者膝关节最大屈曲角度、膝关节伸展度、膝关节内旋和外旋角度。结果实验组和对照组VAS评分比较,在TKA术后和康复12周后没有显著性差异(P>0.05);康复12周后实验组膝关节屈曲度、膝关节伸展度、膝关节内旋和外旋均明显高于对照组,具有显著性差异(P<0.05)。结论结合三维动作捕捉系统的辅助测评,超声波药物离子导入联合主动和被动训练对于全膝关节置换术后的膝关节炎患者康复有显著的疗效。
引文
[1]Bak?rhan S. Effects of two different continuous passive motion application protocols on total knee arthroplasty patients’ functional activities during their stay in the hospital[J].Acta Orthop Traumatol Turc,2015,49(5):497-502.
[2]LeitchKK,DalgorfD,BorkhoffCM,etal.Bilateraltotalknee arthroplasty--staged or simultaneous? Ontario’s orthopedic surgeons reply[J].Can J Surg,2005,48(4):273-276.
[3]Ers?zlüS, Sahin O, Ozgür AF, et al. The effects of two different continuous passive motion protocols on knee range of motion after total knee arthroplasty:a prospective analysis[J].Acta Orthop Traumatol Turc,2009,43(5):412-418.
[4]Childs JD, Sparto PJ, Fitzgerald GK, et al. Alterations in lower extremity movement and muscle activation patterns in individuals with knee osteoarthritis[J].Clinical Biomechanics,2014,19(1):44-49.
[5]Rigby JH, Mortensen BB, Draper DO. Wireless Versus Wired Iontophoresis for Treating Patellar Tendinopathy:A Randomized Clinical Trial[J].Journal of Athletic Training,2015,50(11):1165-1173.
[6]Stefanou A, Marshall N, Holdan W, et al. A randomized study comparing corticosteroidinjectiontocorticosteroidiontophoresisforlateral epicondylitis[J].J Hand Surg Am,2012,37(1):104-109.
[7]Malliaras P, Barton CJ, Reeves ND, et al. Achilles and patellar tendinopathy loading programmes:a systematic review comparing clinical outcomes andidentifyingpotentialmechanismsforeffectiveness[J].Sports Med,2013,43(4):267-286.
[8]Ta?S, Güneri S, Kaymak B, et al. A comparison of results of 3-dimensional gaitanalysisandobservationalgaitanalysisinpatientswithknee osteoarthritis[J].Acta Orthop Traumatol Turc 2015,49(2):151-159.
[9]GurneyAB,WascherDC.Absorptionofdexamethasonesodium phosphate in human connective tissue using iontophoresis[J].Am J Sports Med,2008,36(4):753-759.
[10]Parely BS, Bertolusso R. Influence of gender on age of treatment with TKA and functional outcome[J].Clin Orthop Relat Res,2010,468(7):1759-1764.
[11]Schurman DJ, Rojer DE. Total knee arthroplasty:range of motion across five systems[J].Clinical Orthopaedics&Related Research,2005,430(5):132-137.
[12]ShemshakiH,DehghaniM,EshaghiMA,etal.Fixedversus mobile weight-bearing prosthesis in total knee arthroplasty[J].Knee Surgery Sports Traumatology Arthroscopy Official Journal of the Esska,2012,20(12):2519-2527.
[13]Sims SE, Miller K, Elfar JC, et al. Non-surgical treatment of lateral epicondylitis:a systematic review of randomized controlled trials[J].Hand(NY),2014,9(4):419-446.
[2]LeitchKK,DalgorfD,BorkhoffCM,etal.Bilateraltotalknee arthroplasty--staged or simultaneous? Ontario’s orthopedic surgeons reply[J].Can J Surg,2005,48(4):273-276.
[3]Ers?zlüS, Sahin O, Ozgür AF, et al. The effects of two different continuous passive motion protocols on knee range of motion after total knee arthroplasty:a prospective analysis[J].Acta Orthop Traumatol Turc,2009,43(5):412-418.
[4]Childs JD, Sparto PJ, Fitzgerald GK, et al. Alterations in lower extremity movement and muscle activation patterns in individuals with knee osteoarthritis[J].Clinical Biomechanics,2014,19(1):44-49.
[5]Rigby JH, Mortensen BB, Draper DO. Wireless Versus Wired Iontophoresis for Treating Patellar Tendinopathy:A Randomized Clinical Trial[J].Journal of Athletic Training,2015,50(11):1165-1173.
[6]Stefanou A, Marshall N, Holdan W, et al. A randomized study comparing corticosteroidinjectiontocorticosteroidiontophoresisforlateral epicondylitis[J].J Hand Surg Am,2012,37(1):104-109.
[7]Malliaras P, Barton CJ, Reeves ND, et al. Achilles and patellar tendinopathy loading programmes:a systematic review comparing clinical outcomes andidentifyingpotentialmechanismsforeffectiveness[J].Sports Med,2013,43(4):267-286.
[8]Ta?S, Güneri S, Kaymak B, et al. A comparison of results of 3-dimensional gaitanalysisandobservationalgaitanalysisinpatientswithknee osteoarthritis[J].Acta Orthop Traumatol Turc 2015,49(2):151-159.
[9]GurneyAB,WascherDC.Absorptionofdexamethasonesodium phosphate in human connective tissue using iontophoresis[J].Am J Sports Med,2008,36(4):753-759.
[10]Parely BS, Bertolusso R. Influence of gender on age of treatment with TKA and functional outcome[J].Clin Orthop Relat Res,2010,468(7):1759-1764.
[11]Schurman DJ, Rojer DE. Total knee arthroplasty:range of motion across five systems[J].Clinical Orthopaedics&Related Research,2005,430(5):132-137.
[12]ShemshakiH,DehghaniM,EshaghiMA,etal.Fixedversus mobile weight-bearing prosthesis in total knee arthroplasty[J].Knee Surgery Sports Traumatology Arthroscopy Official Journal of the Esska,2012,20(12):2519-2527.
[13]Sims SE, Miller K, Elfar JC, et al. Non-surgical treatment of lateral epicondylitis:a systematic review of randomized controlled trials[J].Hand(NY),2014,9(4):419-446.