骨软骨瘤患者膝关节屈曲挛缩术后松解的运动方案:1例报告

Deva Natalia Motik, Ida Kurniawati
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摘要

膝关节屈曲挛缩是由肌肉的适应性缩短引起的,其标志是膝关节不能完全伸展。这种情况与长时间的固定、疼痛和肌肉无力有关,这些都是由各种病理条件引起的。术后康复主要是通过锻炼来恢复下肢的基本功能。病例描述:一名16岁的男性患者,有左侧膝关节疼痛和固定屈曲挛缩的病史,接受了手术释放手术,诊断为骨软骨瘤。物理治疗师术后评估发现肌肉萎缩,活动范围有限,手术肢体疼痛。指导患者进行肌肉强化和双腿积极运动。术后锻炼计划旨在提高肌肉力量,活动范围,肢体功能能力和日常生活活动能力。在三次物理治疗干预后,观察到左膝关节活动范围的改善。结论:运动方案可减轻骨软骨瘤患者松解术后的肌肉挛缩,提高膝关节活动范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exercise Program in Post-Surgical Release of Knee Flexion Contracture in Patient with Osteochondroma: A Case Report
Introduction: Knee flexion contracture is caused by adaptive shortening of the muscles which is marked by the incapability of the knee to fully extend. This condition is associated with long periods of immobilization, pain, and muscle weakness that are caused by various pathological conditions. Post-surgical rehabilitation program is mainly aimed to recover basic lower limb functions through an exercise program. Case description: A 16-year-old male patient with a history of left-sided knee pain and fixed flexion contracture was undergone a surgical release procedure and diagnosed with osteochondroma. Post-surgical evaluation by physical therapist found muscle atrophy, limited range of motion, and pain on the operated limb. The patient was instructed to do muscle strengthening and active exercise on both legs. Exercise program post-surgery aimed to improve muscle strength, range of motion, functional limb ability and activities of daily living. Improvement in the range of motion of the left knee joint was observed after three sessions of physical therapy intervention. Conclusion: Exercise program could reduce the muscle contracture and improve the knee joint range of motion in patients with osteochondroma following surgical release procedure.
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