《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (11): 1008-1009.

• 论文 • 上一篇    下一篇

等速-平衡-减重综合康复训练对老年人髋关节置换术后的疗效分析

沈良册1，吴立红1，朱江军2，杨秋红1，林建强1   

  1. 1.中国人民解放军全军创伤康复中心, 浙江杭州市 310007；2.中国人民解放军第117医院骨一科， 浙江杭州市 310007
  • 收稿日期:2010-04-16 修回日期:2010-09-21 出版日期:2010-11-25 发布日期:2010-11-25
  • 通讯作者: 林建强

Effect of Isokinetic, Balance, Weight-support Training on Senile Patients after Total Hip Arthroplasty

SHEN Liang-ce, WU Li-hong, ZHU Jiang-jun, et al   

  1. Traume Rehabilitation Centre of PLA, Hangzhou 310007, Zhejiang, China
  • Received:2010-04-16 Revised:2010-09-21 Published:2010-11-25 Online:2010-11-25

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摘要： 目的评价等速-平衡-减重综合康复训练对老年人髋关节置换术后患者的短期疗效。方法 50例髋关节置换患者分为康复A组和康复B组，每组25例。康复A组行等速-平衡-减重综合康复训练，康复B组行常规康复训练。于康复前，康复4周、8周、12周行Harris评分及生活质量满意度调查。结果康复8周后，两组Harris评分均较入院时改善(P<0.05)，康复A组在康复8周及12周时Harris评分较康复B组改善更明显(P<0.05)。康复12周髋关节功能优良率康复A组优于康复B组(P<0.05)。生活质量满意度调查：两组患者于康复4周、8周、12周时较入院时明显提高（P<0.01），12周时康复A组优于康复B组（P<0.05）。结论等速-平衡-减重综合康复训练可促进髋关节的功能恢复，提高患者生活质量。

关键词: 等速, 平衡, 减重, 髋关节置换术, 老年人, 康复

Abstract: ObjectiveTo evaluate the effect of the comprehensive rehabilitation training, including multi-joint isokinetic muscle strength, balance, and weight-support training, on the senile patients after total hip arthroplasty. Methods50 patients after total hip arthroplasty were divided into group A (n=25) and group B (n=25). The group A received the comprehensive rehabilitation training combined with the 3 systems, while the group B received the routine rehabilitation training. They were assessed with the Harris scale and the life satisfaction before and 4, 8 and 12 weeks after rehabilitation. ResultsCompared with that before rehabilitation, the Harris score of all the patients improved 8 weeks after rehabilitation (P<0.05), while it improved more in the group A than in the group B (P<0.05). The incidence of hip joint recovery was more in the group A than in the group B as well (P<0.05). The life satisfaction improved in both groups 4 weeks after rehabilitation (P<0.01), and it was more in the group A than in the group B 12 weeks after training (P<0.05). ConclusionThe rehabilitation combined with isokinetic, balance, weight-support training can promote the functional recovery after total hip arthroplasty

Key words: isokinetic, balance, weight-support, hip arthroplasty, senile, rehabilitation