| 张文芽,高晓平,王方富,吴礼勇.改良牵伸康复方案治疗下肢骨折后膝关节僵硬临床研究[J].中国康复,2022,37(7):424-426 |
| 改良牵伸康复方案治疗下肢骨折后膝关节僵硬临床研究 |
| Clinical study of modified stretching rehabilitation program in the treatment of patients with knee stiffness after lower limb fracture |
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| DOI： |
| 中文关键词: 康复 下肢骨折 膝关节僵硬 关节活动度 功能 |
| 英文关键词: traction rehabilitation lower limb fracture knee stiffness joint range of motion function |
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| 中文摘要: |
| 目的：探讨改良牵伸康复方案对下肢骨折后膝关节僵硬患者关节活动度及功能状态的影响。方法：回顾性纳入我院2018年1月-2020年3月收治下肢骨折后膝关节僵硬患者共146例，根据康复方案差异分组，其中采用常规康复干预治疗患者共86例（对照组），在此基础上加用改良牵伸康复方案治疗患者共60例（观察组）；比较2组治疗前后膝关节主动活动度、HSS评分及近期疗效。结果：2组治疗后较治疗前膝关节主动活动度和HSS评分均显著增加（P<0.05），且观察组显著高于对照组（P<0.05）；观察组近期治疗显效率显著高于对照组（P<0.05）。结论：改良牵伸康复方案用于下肢骨折后膝关节僵硬患者可有效缓解临床症状，提高关节活动度，并有助于改善关节功能状态。 |
| 英文摘要: |
| Objective: To investigate the influence of modified stretching rehabilitation technology on joint range of motion and functional state in patients with knee joint stiffness after lower limb fracture. Methods: Totally, 146 patients with knee joint stiffness after lower limb fracture were chosen in the period from January 2018 to March 2020 and divided into 2 groups according into treatment scheme differences including control group (86 patients) with routine rehabilitation intervention and experiment group (60 patients) with modified stretching rehabilitation technology on the basis of control group. The short-term clinical effect, active range of motion and HSS score of knee joint before and after treatment of 2 groups were compared. Results: The knee active range of motion and HSS score in two groups after treatment were significantly greater than before treatment (P<0.05). The knee active range of motion and HSS score in the experiment group after treatment were significantly increased as compared with those in the control group (P<0.05). The short-term excellent effective rate in the experiment group was significantly higher than in the control group (P<0.05). Conclusion: Modified stretching rehabilitation technology in the treatment of patients with knee joint stiffness after lower limb fracture can effectively relieve clinical symptoms, increase the joint interaction and be helpful to improve joint function. |
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