文章摘要
李瑾,宋佳凝,李健,郄淑燕.本体感觉训练联合肌内效贴对全膝关节置换术后患者膝关节功能与本体感觉的影响[J].中国康复,2022,37(3):145-148
本体感觉训练联合肌内效贴对全膝关节置换术后患者膝关节功能与本体感觉的影响
Effects of Proprioception Training and Kinesio Taping on Knee Function and Proprioception in Patients after Total Knee Arthroplasty
  
DOI:
中文关键词: 膝关节置换术  肌内效贴  本体感觉  功能  康复
英文关键词: total knee arthroplasty  kinesio taping  proprioception  function  rehabilitation
基金项目:首都医科大学附属北京康复医院科技发展专项(NO.2019-042)
作者单位
李瑾 首都医科大学附属北京康复医院北京 100144 
宋佳凝 首都医科大学附属北京康复医院北京 100144 
李健 北京七星堂中医研究院北京 050010 
郄淑燕 首都医科大学附属北京康复医院北京 100144 
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中文摘要:
  目的:探讨本体感觉训练联合肌内效贴对全膝关节置换术后患者膝关节功能与本体感觉的影响。方法:将68例全膝关节置换术后患者随机分为本体感觉组和联合治疗组各34例。2组患者均进行基础治疗,并在治疗前及治疗4周后,分别采用膝关节评分(KSS)、“起立-行走”计时测试(TUGT)、主动关节角度重现偏差值进行评定,并评价术后6个月满意度。结果:治疗后,2组的KSS评分均明显高于治疗前(P<0.05),TUGT时间较治疗前显著降低(P<0.05);治疗后组间比较,联合治疗组的KSS评分明显高于本体感觉组(P<0.05),TUGT时间以及膝关节主动关节角度重现偏差值较本体感觉组明显降低(P<0.05),联合治疗组术后6个月的满意度明显高于本体感觉组(P<0.05)。结论:本体感觉训练联合肌内效贴治疗可有效改善全膝关节置换术后患者膝关节功能与本体感觉功能,且联合肌内效贴治疗较单纯本体感觉训练效果更佳。
英文摘要:
  Objective: To investigate the effect of proprioception training combined with kinesio taping on knee function and proprioception in patients after total knee arthroplasty (TKA). Methods: All 68 patients after TKA were divided into proprioception group and combined therapy group, 34 cases in each group. Both groups were evaluated with knee joint score (KSS), stand-walk timing test (TUGT), active joint angle recurrence deviation before and 4 weeks after surgery, and the satisfaction was analyzed at 6th month after surgery. Results: The KSS score was significantly higher, and TUGT time was significantly shorter after surgery in both groups than before treatment (P<0.05). After treatment, the KSS score was significantly increased, TUGT time and knee angle recurrence deviation were significantly decreased, and the satisfaction was significantly improved in combined therapy group as compared with those in proprioception group (P<0.05). Conclusion: Proprioception training combined with kinesio taping can effectively improve knee function and proprioception function after TKA, and the effectiveness of proprioception training combined with kinesio taping is better than simple proprioception training.
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