[水疗法与运动治疗对骨关节炎原发性全膝关节假体的疗效:一项随机对照试验]。

IF 1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
A M Alonso-Rodríguez, H Sánchez-Herrero, S Nunes-Hernández, B Criado-Fernández, S González-López, M Solís-Muñoz
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引用次数: 1

摘要

背景:物理治疗被认为是全膝关节置换术后的有效治疗方法。本研究的目的是评估在TKA患者治疗的第二阶段,水疗法与健身运动疗法在改善步态测试、疼痛、僵硬、关节平衡、肌肉力量和炎症方面的疗效。方法:采用随机对照试验。TKA患者在健身房接受第一阶段的康复治疗(15次60分钟疗程)。在第二阶段(15次40分钟疗程),一组在健身房进行物理治疗,另一组在游泳池进行物理治疗。评估不同的变量(基础,15和30个疗程后):功能能力,疼痛和僵硬(WOMAC指数),关节平衡(角计);肌肉力量用洛维特量表,6分钟步态测试结果。结果:共115例患者参与,其中健身组59例(51.3%),泳池组56例(48.7%)。第二阶段康复后,池组临床改善程度较高,手术膝关节疼痛(p = 0.005)、僵硬(p = 0.010)、关节平衡(p = 0.027)、肌力(p = 0.049)、6分钟步态测试结果(p = 0.002)差异均有统计学意义。结论:在TKA患者康复治疗的第二阶段,水疗法在改善疼痛、僵硬、关节平衡、肌肉力量和步态测试方面比体育理疗更有效。
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 hydrotherapy versus gym treatment in primary total knee prosthesis due to osteoarthritis: a randomized controlled trial].

[Efficacy of hydrotherapy versus gym treatment in primary total knee prosthesis due to osteoarthritis: a randomized controlled trial].

[Efficacy of hydrotherapy versus gym treatment in primary total knee prosthesis due to osteoarthritis: a randomized controlled trial].

Background: Physiotherapy is postulated as an effective treatment after total knee arthroplasty (TKA). The objective of the study was to assess the efficacy of hydrotherapy versus gym kinesitherapy during the second phase of treatment in TKA patients, with regard to the improved gait test, pain, stiffness, joint balance, muscle strength and inflammation.

Methods: A controlled and randomized trial was carried out. TKA patients received a first rehabilitative phase (15 60-minutes sessions) at the gym. In the second phase (15 40-minute sessions), one group performed physiotherapy in a gym and another in a swimming pool. Different variables were assessed (basal, after 15 and after 30 ses-sions): functional capacity, pain and stiffness with WOMAC index, joint balance with goniometer; muscle strength with Lovett scale, and result of 6-minute gait test.

Results: A total of 115 patients participated, 59 (51.3%) in the gym group and 56 (48.7?%) in the pool group. After the second phase of re-habilitation, higher clinical improvements were observed in the pool group, with statistically significant differences in pain (p?=?0.005), stiffness (p?=?0.010), joint balance (p?=?0.027) and muscle strength (p?=?0.049) in the operated knee, and in the result of the 6-minute gait test (p?=?0.002).

Conclusions: In TKA patients, hydrotherapy during the second phase of rehabilitative treatment was more effective than gym physiother-apy in terms of improved pain, stiffness, joint balance, muscle strength and gait testing.

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来源期刊
Anales Del Sistema Sanitario De Navarra
Anales Del Sistema Sanitario De Navarra 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.30
自引率
30.00%
发文量
88
审稿时长
>12 weeks
期刊介绍: La revista Anales del Sistema Sanitario de Navarra es una revista de contenido médico sanitario de carácter generalista. En ella tienen cabida artículos referidos a temas de salud/enfermedad en general, salud pública, administración y gestión sanitaria y Atención Primaria de salud.
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