《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (5): 459-461.

• 论文 • 上一篇    下一篇

持续被动运动在膝关节置换术后早期康复治疗中的作用

王东，魏更生，宋华伟，蒋毅，王艺伟，吴磊   

  1. 北京市海淀医院骨科，北京市 100080。
  • 收稿日期:2010-09-09 修回日期:1900-01-01 出版日期:2011-05-25 发布日期:2011-05-25

Effect of Continuous Passive Motion on Pain and Range of Motion after Knee Arthroplasty

WANG Dong, WEI Geng-sheng, SONG Hua-wei, et al.   

  1. Department of Orthropaedic Surgery, Beijing Haidian Hospital, Beijing 100080, China
  • Received:2010-09-09 Revised:1900-01-01 Published:2011-05-25 Online:2011-05-25

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被引次数

21

摘要： 目的评价持续被动运动(CPM)在膝关节置换术后早期康复治疗中对疼痛和膝关节主动屈伸活动度的作用。方法20例(40 膝)女性重度骨性关节炎患者行双膝关节同时置换术。分为实验组和对照组，每组10 例20 膝。实验组术后每天2 次行CPM和主动康复治疗，对照组每天2 次主动康复治疗。术前、术后2 周和3 个月应用疼痛视觉模拟评分(VAS)和角度测量仪评估两组患者的疼痛和膝关节主动屈伸活动度。结果术后2 周和3 个月，两组患者的疼痛评分和膝关节活动度均无显著性差异(P>0.05)。与术前相比，疼痛评分和膝关节主动屈伸活动度在术后3 个月均有明显改善(P<0.01)。结论进行主动康复治疗后，CPM的辅助应用对膝关节置换术后3 个月内疼痛和关节活动度的改善无明显促进作用。

关键词: 膝关节置换术, 持续被动运动, 主动康复治疗, 疼痛, 关节活动度

Abstract: Objective To evaluate the effect of continuous passive motion (CPM) as an adjunct to active physiotherapy on pain and range of motion (ROM) after knee arthroplasty. Methods 20 female osteoarthritis patients (40 knees) undergoing bilateral knee arthroplasty were assigned into two groups. The experimental group received CPM and active physiotherapy twice a day while the control group received active physiotherapy only. They were assessed with visual analogue scale (VAS) and goniometer on pain and ROM of knee before and after operation. Results There were no statistical difference between these two groups for any outcome measures either 2 weeks or 3 months after operation (P>0.05), and they all improved in pain and ROM 3 months after operation compared with before (P<0.01). Conclusion CPM as an adjunctive therapy is not found to have an additional effect on pain or ROM 3 months after operation while active physiotherapy was used.

Key words: knee arthroplasty, continuous passive motion, active physiotherapy, pain, range of motion