术后基于日志的股四头肌锻炼对全膝关节置换术后功能预后的影响

Chatchapol Ongkosit, Ruengsiri Panuwet
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引用次数: 0

摘要

目的:大多数接受全膝关节置换术(TKA)的患者是老年人。部分患者存在认知障碍,不能正确有效地进行居家康复。本研究旨在比较基于日志和非基于日志的股四头肌锻炼的功能结果。方法:在这项前瞻性队列研究中,我们比较了57名接受术后家庭康复和坐式膝关节伸展运动的患者(非日志组)和60名接受相同方案但提供包含日程、日期、时间和记录表格的日志(日志组)。术前、术后6周、12周和24周收集改良的西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分和活动范围(ROM)相关数据。结果:日志组术后6周功能和WOMAC总分的平均差异有显著改善(p < 0.05)。在任何随访时间点,两组之间的术前和术后ROM均无显著差异。结论:基于日志的股四头肌锻炼可显著改善早期功能结果。日志可以帮助接受TKA的患者准确地执行他们的家庭运动方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of Post-Operative Logbook-Based Quadriceps Exercises on Functional Outcome after Total Knee Arthroplasty
Purpose: Most patients who undergo total knee arthroplasty (TKA) are elderly. Some patients have recognition impairments and cannot correctly perform home-based rehabilitation effectively. This study aimed to compare the functional outcomes between logbook- and non-logbook-based quadricep exercises. Methods: In this prospective cohort study with retrospective case controls scheduled for unilateral primary/bilateral TKA, we compared 57 patients who received post-operative home-based rehabilitation and seated knee extension exercises (non-logbook group) with 60 patients who received the same protocol but were provided a logbook with paper handouts containing the schedule, date, time, and record form (logbook group). The modified Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores and data pertaining to range of motion (ROM) were collected pre-operatively and at 6, 12, and 24 weeks post-operatively. Results: The logbook group showed a significant improvement in the mean difference in function and total WOMAC scores at 6-weeks post-operatively (p < 0.05). There was no significant difference in the pre- and post-operative ROM at any follow-up time point between the groups. Conclusions: Logbook-based quadriceps exercises resulted in significant early improvement in the functional outcomes. Logbooks may help patients who have undergone TKA to perform their home-based exercise regimens accurately.
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