文章摘要
徐珑,樊巍,汪鑫,张振江,张蓉,周文颖,王春华.自我效能干预在创伤后膝关节活动受限中的应用[J].中国康复,2021,36(7):414-417
自我效能干预在创伤后膝关节活动受限中的应用
Application of Self-Efficacy Intervention in Rehabilitation of Posttraumatic Knee Joint Motion Limitation
  
DOI:
中文关键词: 膝关节  自我效验  膝损伤  康复治疗
英文关键词: knee joint  self-efficacy  knee injuries  rehabilitation
基金项目:
作者单位
徐珑 湘雅博爱康复医院长沙 410010 
樊巍 华中科技大学同济医学院附属同济医院康复医学科武汉 430030 
汪鑫 湘雅博爱康复医院长沙 410010 
张振江 湘雅博爱康复医院长沙 410010 
张蓉 湘雅博爱康复医院长沙 410010 
周文颖 湘雅博爱康复医院长沙 410010 
王春华 湘雅博爱康复医院长沙 410010 
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中文摘要:
      目的:观察自我效能干预对于创伤后膝关节活动受限的影响。方法:将符合纳入标准的创伤后膝关节活动受限患者99例,随机分为对照组49例和观察组50例,2组均接受常规综合康复治疗,包括肌力训练、关节松动术、物理因子治疗、中医治疗和牵伸技术,观察组在常规治疗基础上给予自我效能干预。2组治疗前和治疗4周后采用膝关节ROM,视觉模拟评分法(VAS),Lysholm膝关节功能评分,改良Bathel 指数(MBI),一般自我效能感量表(GSES)对患者治疗前后膝关节功能进行评价。结果:治疗后,2组患者的膝关节屈伸角度AROM,Lysholm,MBI和GSES评分较治疗前均明显提高(P<0.01),VAS评分较治疗前明显降低(P<0.01);治疗后,观察组膝关节屈曲角度,AROM, Lysholm和GSES评分与治疗前差值均明显高于对照组治疗前后差值(P<0.05)。结论:在常规综合康复治疗基础上,进行自我效能干预能更好地改善膝关节活动度和功能情况,提高患者自我效能。
英文摘要:
      Objective: To observe the effect of self-efficacy intervention on the knee function in patient with post-traumatic knee joint motion limitation. Methods: Totally, 99 patients with posttraumatic knee joint motion limitation were randomly assigned into two groups: control group (49 cases) and experimental group (50 cases). Both groups received the same conventional rehabilitation treatments including exercise therapy, mobilization, physical factor therapy, traditional Chinese medicine and stretching therapy for 4 weeks. Experimental group was treated by self-efficacy on the basis of conventional therapy. The active range of movement (AROM), visual analogue scale (VAS), Lysholm knee function scale (Lysholm), modified Barthel index (MBI), and general self-efficacy scale (GSES) were measured before and after 4 weeks of treatment. Results: Both groups had significant improvements on AROM, Lysholm, MBI and GSES (P<0.01), and decrease in VAS score after treatments (P<0.01). As compared with control group, the change of Flexion, AROM, Lysholm, and GSES showed significant improvements in the experimental group (all P<0.05). Conclusion: On the basis of conventional rehabilitation treatments, the self-efficacy intervention might be more effective to improve function performance and self-efficacy of patients with post-traumatic knee joint motion limitation.
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