家庭运动和临床物理治疗对全膝关节置换术患者活动能力的影响：一项随机临床试验

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES Pub Date : 2025-09-10 DOI:10.1016/j.jbmt.2025.09.006

Mohammadamin Ahmadi , Esmaeil Teymoori , Armin Fereidouni , Seyed Alireza Hosseini , Zahra Maleki , Mohammadreza Zarei , Amirali Alizadeh , Samira Mahmoudi

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引用次数: 0

摘要

背景：全膝关节置换术（TKR）是膝关节骨关节炎的常见干预措施；然而，最有效的术后康复策略仍不确定。本研究旨在比较家庭运动与临床物理治疗对TKR患者功能活动能力的影响。方法对80例TKR患者进行单中心随机对照试验。参与者被随机分配到以家庭为基础的运动组（n = 40）或以临床为基础的物理治疗组（n = 40）。两组都遵循了结构化的、为期四周的康复方案。使用Lysholm膝关节评分量表评估干预前后的功能活动度。结果两组干预后功能活动能力均有显著改善（p < 0.001）。然而，两种康复方式之间无显著性差异（p = 0.078）。结论家庭康复与临床物理治疗对TKR术后活动能力的改善具有同等效果。康复计划的结构和患者的依从性可能比环境在决定结果方面发挥更关键的作用。试验注册号：irct20230928059543n3, 2024年7月25日。

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Impact of home-based exercise and clinic-based physiotherapy on mobility status of patients undergoing total knee replacement: A randomized clinical trial

Background

Total knee replacement (TKR) is a common intervention for knee osteoarthritis; however, the most effective post-surgical rehabilitation strategy remains uncertain. This study aimed to compare the effects of home-based exercise versus clinic-based physiotherapy on functional mobility in patients following TKR.

Methods

A single-center randomized controlled trial was conducted involving 80 TKR patients. Participants were randomly assigned to either a home-based exercise group (n = 40) or a clinic-based physiotherapy group (n = 40). Both groups followed structured, four-week rehabilitation protocols. Functional mobility was assessed pre- and post-intervention using the Lysholm Knee Scoring Scale.

Results

Both groups demonstrated statistically significant improvements in functional mobility after the intervention (p < 0.001). However, no significant difference was observed between the two rehabilitation approaches (p = 0.078).

Conclusion

These findings suggest that home-based rehabilitation is as effective as clinic-based physiotherapy for enhancing mobility after TKR. The structure of the rehabilitation program and patient adherence may play a more critical role than the setting in determining outcomes.

Trial registration

IRCT20230928059543N3, July 25, 2024.

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来源期刊

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES REHABILITATION-

CiteScore

2.80

自引率

0.00%

发文量

133

审稿时长

321 days

期刊介绍： The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina