[1]尹正录,孟兆祥,林舜艳,等.MOTOmed智能运动训练结合神经肌肉本体感觉促进技术对全膝关节置换术后功能恢复的影响[J].中华老年骨科与康复电子杂志,2017,(01):50-54.[doi:10.3877/cma.j.issn.2096-0263.2017.01.010]
　Yin Zhenglu,Meng Zhaoxiang,Lin Shunyan,et al.Effects of MOTOmed intelligent motor training and proprioceptive neuromuscular facilitation on postoperative function recovery in total knee arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(01):50-54.[doi:10.3877/cma.j.issn.2096-0263.2017.01.010]
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MOTOmed智能运动训练结合神经肌肉本体感觉促进技术对全膝关节置换术后功能恢复的影响()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2017年01期
页码:
50-54
栏目:
论著
出版日期:
2017-02-05

文章信息/Info

Title:
Effects of MOTOmed intelligent motor training and proprioceptive neuromuscular facilitation on postoperative function recovery in total knee arthroplasty
作者:
尹正录 1; 孟兆祥 1; 林舜艳 2; 黄吉军 3; 王继兵 1; 黄灵慧 1
225001 江苏省扬州苏北人民医院康复科 1，麻醉科 2，骨科 3
Author(s):
Yin Zhenglu1;  Meng Zhaoxiang1;  Lin Shunyan2;  Huang Jijun3; Wang Jibing1;  Huang Linghui1
1Department of Rehabilitation; 2Department of Anesthesiology; 3Department of Orthopedics. Northern Jiangsu People’s Hospital. Yangzhou 225001, China
关键词:
关节成形术; 置换; 膝;  神经肌肉本体感觉促进技术;  MOTOmed智能运动训练
Keywords:
Arthroplasty;  replacement;  knee;  Proprioceptive neuromuscular facilitation;  Active and passive exercise
DOI:
10.3877/cma.j.issn.2096-0263.2017.01.010
文献标志码:
A
摘要:
目的 观察 MOTOmed智能运动训练结合神经肌肉本体感觉促进技术（PNF）对全膝关节置换术（TKA）后患者膝关节功能恢复及平衡功能的疗效和安全性。方法 前瞻性收集 2015年 01月至 2015年 12月江苏省扬州苏北人民医院行择期 TKA术后的患者 45例，随机分为治疗组（n=23）和对照组（n=22），两组患者均进行 4周康复训练，主要内容包括康复教育、肌力、关节活动度、站立平衡训练及物理因子治疗等。对照组采取常规训练方法进行康复训练，治疗组在对照组的基础上应用 MOTOmed智能运动训练系统和 PNF技术进行康复训练。随访并比较两组患者的美国特种外科医院（HSS）膝功能评分及 Berg 平衡量表评分（BBS）。结果 治疗 4 周后，治疗组和对照组患者 HSS 评分分别由治疗前的（50.6±4.8）分和（51.7±4.5）分改善至（90.1±4.3）分和（83.5±3.9）分，差异有统计学意义（t=-5.658， t=-4.269，P＜0.05）；其中治疗组膝关节功能和稳定性评分为（19.1±1.1）分和（8.4±1.6）分，优于对照组的（17.0±1.3）分和（7.2±1.5）分，差异均有统计学意义（t=-3.659，t=-2.536，P＜0.01）。治疗组和对照组患者治疗 4周后 BBS评分分别为（53.8±1.7）分和（50.1±1.9）分，优于治疗前的（45.6±2.9）分和（46.1±3.3）分，差异均有统计学意义（t=-2.514，t=-2.127，P＜0.05）。治疗前两组患者评分没有差异（t=-0.324，P=0.153），而治疗后治疗组评分优于对照组，差异有统计学意义（t=-7.658，P＜0.01）。结论 MOTOmed智能运动训练结合PNF技术能有效改善TKA术后患者膝关节的关节稳定性和运动控制能力，提高患者平衡功能。
Abstract:
Objective To observe the effects of MOTOmed intelligent motor training combined with proprioceptive neuromuscular facilitation (PNF) on knee function recovery and balance in patients underwent total knee arthroplasty (TKA). Methods Forty- five patients with elective TKA in Northern Jiangsu People’s Hospital between January 2015 and December 2015 were included in a prospective study. They were randomly divided into treatment group (n=23) and control group (n=22), both groups were given a 4 weeks of rehabilitation training, which mainly include rehabilitation, education training, muscle strength training, range of motion, standing balance training and physical therapy. Patients in control group conducted conventional rehabilitation and the treatment group with additional MOTOmed intelligent motor training and PNF. The hospital for special surgery knee score (HSS) and Berg Balance Scale (BBS) were followed up and compared between two group. Results After 4 weeks treatment, the HSS scores of the treatment group and control group were improved to (90.1±4.3) points and (83.5±3.9) points from before treantment [(50.6±4.8) points and (51.7±4.5)] points with statistical significance (t=-5.658, t=-4.269, P<0.05); The knee function and stability score in the treatment group were (19.1 ± 1.1) and (8.4 ± 1.6) points , higher than that of the control group [(17.0±1.3) points, (7.2±1.5) points] with statistical significance (t=-3.659, t=-2.536, P<0.01). The BBS scores of two groups were (53.8±1.7) points and (50.1±1.9) points conpared to [(45.6±2.9) points and (46.1±3.3)] points preoperatively, differences were statisticaliy significant (t=-2.514, t=-2.127, P<0.05), the preoperative innergroup comparison of the BBS scores had no statistical differences, but the post-therapy score of the treatment group was higher than the control group with statistical significance (t=- 7.658, P<0.01). Conclusion MOTOmed intelligent motor training combined with PNF can significantly improve the joint stability, knee motion, control capabilities and balance function in patients underwent TKA.

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　Bai Weixia,Niu Yingzhen,Ma Hongrui,et al.Application of ammoniacal acid in primary total knee arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(01):362.[doi:10.3877/cma.j.issn.2096-0263.2017.06.009]
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　Huang Zida,Zhang Zijie,Li Wenbo,et al.Incidence and outcome of postoperative venous thromboembolism in elderly patients underwent knee or hip arthroplasty with multimodal thromboprophylaxis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(01):80.[doi:10.3877/cma.j.issn.2096-0263.2018.02.004]
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　Bai Jin,Xu Keke,Zhao Shuhua,et al.Review of rehabilitation after geriatric total hip arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(01):125.[doi:10.3877/cma.j.issn.2096-0263.2018.02.011]
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　Yin Zhenglu,Jin Xing,Huang Jijun,et al.Application of proprioceptive neuromuscular facilitation on postoperative function recovery in patients after total knee arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(01):219.[doi:10.3877/cma.j.issn.2096-0263.2018.04.006]
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　Zhu Linhua,Zhang Yuanyuan,Chen Xiaoqing.Observation on effect of acupoint sticking combined with Moxibustion on prevention of urinary retention after artificial joint replacement[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(01):331.[doi:10.3877/cma.j.issn.2096-0263.2018.06.003]
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　Wang Qi,Wang Guodong,Ma Longfei,et al.Comparison of early clinical outcomes between rotating platform and fixed platform prosthesis in total knee arthroplasty: a short-term result[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(01):93.[doi:10.3877/cma.j.issn.2096-0263.2019.02.006]

备注/Memo

备注/Memo:
基金项目：国家自然科学基金青年科学基金（81301673）
更新日期/Last Update: 2017-04-01