《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2023, Vol. 29 ›› Issue (4): 491-496.doi: 10.3969/j.issn.1006-9771.2023.04.016
ZHAO Jing, WU Ming(), NI Chaomin, ZHANG Yang, CUI Juncai
Received:
2022-10-08
Revised:
2023-02-01
Published:
2023-04-25
Online:
2023-05-19
Contact:
WU Ming, E-mail: Supported by:
CLC Number:
ZHAO Jing, WU Ming, NI Chaomin, ZHANG Yang, CUI Juncai. Effect of perioperative occupational therapy on patients after total knee arthroplasty[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 491-496.
"
组别 | n | 术前 | 出院当天 | 术后1 d | 术后2 d | 术后3 d | 术后1个月 | 术后3个月 | 术后6个月 |
---|---|---|---|---|---|---|---|---|---|
对照组 | 50 | 94.68±6.21 | 74.60±12.50 | 49.36±15.90 | 62.96±15.94 | 68.94±14.10 | 88.94±6.48 | 92.52±5.44 | 95.42±3.99 |
观察组 | 50 | 94.00±9.26 | 77.44±10.26 | 59.98±15.70 | 68.92±11.73 | 73.06±9.52 | 93.94±4.76 | 94.48±3.67 | 97.80±1.41 |
t值 | -0.431 | 1.242 | 3.362 | 2.130 | 1.712 | 4.396 | 2.113 | 3.975 | |
P值 | 0.667 | 0.217 | 0.001 | 0.036 | 0.090 | < 0.001 | 0.037 | < 0.001 |
"
组别 | 对照组 (n = 50) | 观察组 (n = 50) | Z值 | P值 | 组别 | 对照组 (n = 50) | 观察组 (n = 50) | Z值 | P值 |
---|---|---|---|---|---|---|---|---|---|
术前 | 术后3 d | ||||||||
床椅转移 | 15(15, 15) | 15(15, 15) | 0.400 | 0.997 | 床椅转移 | 12(8, 12) | 12(11, 15) | 0.400 | 0.997 |
如厕 | 10(10, 10) | 10(10, 10) | 0.100 | 1.000 | 如厕 | 8(5, 8) | 8(8, 8) | 0.700 | 0.711 |
平地行走45 m | 15(12, 15) | 15(15, 15) | 0.600 | 0.864 | 平地行走45 m | 12(8, 12) | 12(12, 12) | 0.800 | 0.544 |
上下楼梯 | 8(0, 8) | 8(0, 10) | 0.600 | 0.864 | 术后1个月 | ||||
出院当天 | 床椅转移 | 12(12, 15) | 15(15, 15) | 1.500 | 0.022 | ||||
床椅转移 | 12(12, 15) | 12(12, 15) | 0.400 | 0.997 | 如厕 | 9(8, 10) | 10(10, 10) | 2.500 | < 0.001 |
如厕 | 8(8, 8) | 8(8, 8) | 0.500 | 0.964 | 平地行走45 m | 12(12, 12) | 12(12, 15) | 0.300 | 1.000 |
平地行走45 m | 12(12, 12) | 12(12, 12) | 0.300 | 1.000 | 上下楼梯 | 5(0, 8) | 8(3.75, 8) | 1.900 | 0.001 |
上下楼梯 | 0(0, 0) | 0(0, 0) | 0.100 | 1.000 | 术后3个月 | ||||
术后1 d | 床椅转移 | 15(15, 15) | 15(15, 15) | 0.400 | 0.997 | ||||
床椅转移 | 0(0, 12) | 8(8, 12) | 1.900 | 0.001 | 如厕 | 10(10, 10) | 10(10, 10) | 1.000 | 0.270 |
如厕 | 0(0, 5.75) | 8(0, 8) | 2.100 | < 0.001 | 平地行走45 m | 12(12, 15) | 15(12, 15) | 2.000 | 0.001 |
平地行走45 m | 0(0, 8) | 8(2.25, 12) | 2.100 | < 0.001 | 上下楼梯 | 5(0, 8) | 8(7.25, 8) | 1.500 | 0.022 |
术后2 d | 术后6个月 | ||||||||
床椅转移 | 12(6, 12) | 12(8, 12) | 0.800 | 0.544 | 床椅转移 | 15(15, 15) | 15(15, 15) | < 0.001 | 1.000 |
如厕 | 8(0, 8) | 8(5, 8) | 0.800 | 0.544 | 如厕 | 10(10, 10) | 10(10, 10) | 0.100 | 1.000 |
平地行走45 m | 8(0, 12) | 12(8, 12) | 1.100 | 0.178 | 平地行走45 m | 15(15, 15) | 15(15, 15) | 0.100 | 1.000 |
上下楼梯 | 8(0, 8) | 8(8, 8) | 1.700 | 0.006 |
"
组别 | 对照组(n = 50) | 观察组(n = 50) | Z值 | P值 |
---|---|---|---|---|
术前 | ||||
购物 | 1.5(0, 3) | 2.5(0, 3) | 0.400 | 0.997 |
外出 | 1(0.75, 3) | 3(1, 4) | 1.300 | 0.068 |
烹饪 | 3(1, 3) | 3(3, 3) | 0.500 | 0.964 |
家务 | 3(3, 3) | 3(3, 3) | 0.300 | 1.000 |
术后1个月 | ||||
购物 | 1(0, 2) | 2(2, 2) | 2.000 | 0.001 |
外出 | 1(0, 3) | 3(3, 4) | 2.100 | 0.000 |
烹饪 | 2(0, 3) | 3(3, 3) | 2.400 | < 0.001 |
家务 | 2(0, 3) | 3(3, 3) | 2.100 | < 0.001 |
术后3个月 | ||||
购物 | 1.5(0, 2) | 2(2, 3) | 2.100 | < 0.001 |
外出 | 1(0, 3) | 3(3, 4) | 2.800 | < 0.001 |
烹饪 | 2(1, 3) | 3(3, 3) | 1.800 | 0.003 |
家务 | 3(1, 3) | 3(3, 3) | 1.700 | 0.006 |
术后6个月 | ||||
购物 | 3(1, 3) | 3(3, 3) | 2.000 | 0.001 |
外出 | 2.5(1, 4) | 1(3, 4) | 0.600 | 0.864 |
烹饪 | 3(2.75, 3) | 3(3, 3) | 0.900 | 0.393 |
家务 | 3(3, 3) | 3(3, 3) | 0.900 | 0.393 |
[1] |
SHAN L, SHAN B, SUZUKI A, et al. Intermediate and long-term quality of life after total knee replacement: a systematic review and meta-analysis[J]. JBJS, 2015, 97(2): 156-168.
doi: 10.2106/JBJS.M.00372 |
[2] | VARACALLO M, LUO T D, JOHANSON N A. Total knee arthroplasty techniques[M]. Treasure Island (FL): StatPearls Publishing, 2022. |
[3] | AL THAHER Y, ALFUQAHA O A, DWEIDARI A. Health-related quality of life and outcome after total knee replacement: results from a cross-sectional survey in Jordan[J]. Adv Orthop, 2021, 2021: 5506809. |
[4] | SHAH A, AFZAL F, ANS M, et al. Quality of life before and after total knee arthroplasty in clinical settings across Lahore, Pakistan[J]. Pak J Pharm Sci, 2019, 32(2): 769-772. |
[5] |
ALRAWASHDEH W, ESCHWEILER J, MIGLIORINI F, et al. Effectiveness of total knee arthroplasty rehabilitation programmes: a systematic review and meta-analysis[J]. J Rehabil Med, 2021, 53(6): jrm00200.
doi: 10.2340/16501977-2827 |
[6] | GUPTA N. Optimal rehabilitation after total knee arthroplasty[M]. Singapore: Springer, 2022: 757-765. |
[7] |
DÁVILA CASTRODAD I M, RECAI T M, ABRAHAM M M, et al. Rehabilitation protocols following total knee arthroplasty: a review of study designs and outcome measures[J]. Ann Transl Med, 2019, 7(S7): S255.
doi: 10.21037/atm |
[8] |
BADE M J, STEVENS-LAPSLEY J E. Early high-intensity rehabilitation following total knee arthroplasty improves outcomes[J]. J Orthop Sports Phys Ther, 2011, 41(12): 932-941.
doi: 10.2519/jospt.2011.3734 pmid: 21979411 |
[9] | 张阳, 吴鸣, 赵婧, 等. 早期系统化康复训练对全膝关节置换术后出血量和出院功能转归的影响[J]. 中华物理医学与康复杂志, 2020, 42(8): 734-737. |
ZHANG Y, WU M, ZHAO J, et al. Effect of early systematic rehabilitation training on blood loss and discharge function after total knee arthroplasty[J]. Chin J Phys Med Rehabil, 2020, 42(8): 734-737. | |
[10] | BOOP C, CAHILL S M, DAVIS C, et al. Occupational therapy practice framework: domain and process fourth edition[J]. Am J Occup Ther, 2020, 74(Supplement_2): 7412410010p1-7412410010p87. |
[11] | PENDLETON H M H, SCHULTZ-KROHN W. Pedretti's occupational therapy-e-book: practice skills for physical dysfunction[M]. Elsevier Health Sci, 2017: 24-46. |
[12] |
BARKER K L, BEARD D, PRICE A, et al. Community-based rehabilitation after knee arthroplasty (CORKA): study protocol for a randomised controlled trial[J]. Trials, 2016, 17(1): 501.
doi: 10.1186/s13063-016-1629-1 pmid: 27737685 |
[13] |
CAUSEY-UPTON R, HOWELL D M, KITZMAN P H, et al. Factors influencing discharge readiness after total knee replacement[J]. Orthop Nurs, 2019, 38(1): 6-14.
doi: 10.1097/NOR.0000000000000513 |
[14] |
L SNELL D, HIPANGO J, SINNOTT K A, et al. Rehabilitation after total joint replacement: a scoping study[J]. Disabil Rehabil, 2018, 40(14): 1718-1731.
doi: 10.1080/09638288.2017.1300947 pmid: 28330380 |
[15] | CONNELL S G. Enhanced recovery after surgery protocol for total knee arthroplasty patients[J]. JBJS J Orthop Phys Assist, 2020, 8(2): e0036. |
[16] | NG Y L, CHAN Y C, WAN K Y, et al. Preliminary review of revised primary total knee arthroplasty rehabilitation programme: occupational therapy perspective[C]. Hong Kong:The 33rd Annual Congress of the Hong Kong Orthopaedic Association (HKOA), 2013. |
[17] |
GROOT L, LATIJNHOUWERS D, REIJMAN M, et al. Recovery and the use of postoperative physical therapy after total hip or knee replacement[J]. BMC Musculoskelet Disord, 2022, 23(1): 666.
doi: 10.1186/s12891-022-05429-z |
[18] |
UNNANUNTANA A, RUANGSOMBOON P, KEESUKPUNT W. Validity and responsiveness of the two-minute walk test for measuring functional recovery after total knee arthroplasty[J]. J Arthroplasty, 2018, 33(6): 1737-1744.
doi: S0883-5403(18)30033-0 pmid: 29454556 |
[19] |
GALBRAITH A S, MCGLOUGHLIN E, CASHMAN J. Enhanced recovery protocols in total joint arthroplasty: a review of the literature and their implementation[J]. Ir J Med Sci, 2018, 187(1): 97-109.
doi: 10.1007/s11845-017-1641-9 |
[20] |
DORE-SMITH E, KILLINGBACK C. What are the postoperative experiences of patients who have undergone hip and knee joint replacement? A literature review[J]. Phys Ther Rev, 2018, 23(4-5): 250-258.
doi: 10.1080/10833196.2018.1482989 |
[21] |
LAI Y F, LIN P C, CHEN C H, et al. Current status and changes in pain and activities of daily living in elderly patients with osteoarthritis before and after unilateral total knee replacement surgery[J]. J Clin Med, 2019, 8(2): 221.
doi: 10.3390/jcm8020221 |
[22] |
ISSA K, KUROWICKI J, NOVACK T A, et al. Factors complicating discharge to home following total knee arthroplasty: a single institution initiative[J]. J Knee Surg, 2021, 34(6): 644-647.
doi: 10.1055/s-0039-1700491 |
[23] | HARA R, HIRAGA Y, HIRAKAWA Y. Occupational therapy using coping lists after total knee arthroplasty: a case series[J]. Cureus, 2022, 14(7): e27374. |
[24] |
崔金龙, 施晓畅, 廖鹏, 等. 作业治疗专业思维在中国的发展历程(1986-2006)——历史文献研究(上)[J]. 中国康复理论与实践, 2019, 25(6): 676-682.
doi: 10.3969/j.issn.1006-9771.2019.06.011 |
CUI J L, SHI X C, LIAO P, et al. Professional reasoning of occupational therapy in China 1986-2006: a documentary analysis (Ⅰ)[J]. Chin J Rehabil Theory Pract, 2019, 25(6): 676-682. | |
[25] |
HIRAGA Y, HISANO S, NOMIYAMA K, et al. Effects of using activity diary for goal setting in occupational therapy on reducing pain and improving psychological and physical performance in patients after total knee arthroplasty: a non-randomised controlled study[J]. Hong Kong J Occup Ther, 2019, 32(1): 53-61.
doi: 10.1177/1569186119849117 |
[26] | FOUSSELL I, NEGLEY M, THOMPSON A, et al. Characteristics of early interventions for pain and function following lower extremity joint replacement: systematic review[J]. Occup Ther Health Care, 2022: 1-21. |
[27] |
SOREL J C, OVERVLIET G M, GADEMAN M G J, et al. The influence of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty[J]. Rheumatol Int, 2020, 40(12): 1961-1986.
doi: 10.1007/s00296-020-04644-y |
[28] |
WALLIS J A, GEARON E, NAYLOR J, et al. Barriers, enablers and acceptability of home-based care following elective total knee or hip replacement at a private hospital: a qualitative study of patient and caregiver perspectives[J]. PLoS One, 2022, 17(8): e0273405.
doi: 10.1371/journal.pone.0273405 |
[29] | DORSEY J, BRADSHAW M. Effectiveness of occupational therapy interventions for lower-extremity musculoskeletal disorders: a systematic review[J]. Am J Occup Ther, 2017, 71(1): 7101180030p1-7101180030p11. |
[30] | 吴鸣, 尚希福, 崔俊才, 等. 超早期规范化物理治疗对缩短全膝关节置换术平均住院日的影响[J]. 中国康复医学杂志, 2017, 32(7): 802-807. |
WU M, SHANG X F, CUI J C, et al. Effect of ultra-early standardized physical therapy on shortening the average length of stay in total knee arthroplasty[J]. Chin J Rehabil Med, 2017, 32(7): 802-807. | |
[31] | The International Society for Technology in Arthroplasty ISTA; NOBLE P, BREKKE A, DAYLAMANI D, et al. The key to satisfaction following TKA: results from the New Knee Society Scoring System[J]. Orthopaedic Proceedings, 2012, 94-B(Supp_XL): 123. |
[32] |
NAKAHARA H, OKAZAKI K, MIZU-UCHI H, et al. Correlations between patient satisfaction and ability to perform daily activities after total knee arthroplasty: why aren't patients satisfied?[J]. J Orthop Sci, 2015, 20(1): 87-92.
doi: 10.1007/s00776-014-0671-7 pmid: 25366699 |
[33] |
TANAKA R, HAYASHIZAKI T, TANIGUCHI R, et al. Effect of an intensive functional rehabilitation program on the recovery of activities of daily living after total knee arthroplasty: a multicenter, randomized, controlled trial[J]. J Orthop Sci, 2020, 25(2): 285-290.
doi: 10.1016/j.jos.2019.04.009 |
[34] |
DAVIS A M, PERRUCCIO A V, IBRAHIM S, et al. The trajectory of recovery and the inter-relationships of symptoms, activity and participation in the first year following total hip and knee replacement[J]. Osteoarthritis Cartilage, 2011, 19(12): 1413-1421.
doi: 10.1016/j.joca.2011.08.007 |
[35] |
HYLKEMA T H, STEVENS M, SELZER F, et al. Activity impairment and work productivity loss after total knee arthroplasty: a prospective study[J]. J Arthroplasty, 2019, 34(11): 2637-2645.
doi: S0883-5403(19)30585-6 pmid: 31278039 |
[36] |
GILLEN G, BERGER S M, LOTIA S, et al. Improving community skills after lower extremity joint replacement[J]. Phys Occup Therapy Geriatr, 2007, 25(4): 41-54.
doi: 10.1080/J148v25n04_03 |
[37] |
LO C W T, BRODIE M A, TSANG W W N, et al. Acceptability and feasibility of a community-based strength, balance, and Tai Chi rehabilitation program in improving physical function and balance of patients after total knee arthroplasty: study protocol for a pilot randomized controlled trial[J]. Trials, 2021, 22(1): 1-11.
doi: 10.1186/s13063-020-04976-x |
[38] | HACK S, WENTZ S. Development of a unique screening tool for acute care occupational therapy services in patients following total joint replacement surgery[J]. Arch Phys Med Rehabil, 2021, 102(10): e89. |
[1] | WANG Zihao, LI Xinhua, JIANG Huiping, GUO Sainan, LIANG Qiuman, SHI Tingqi. Short-term knee function after total knee arthroplasty and related factors [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 111-118. |
[2] | SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064. |
[3] | XU Yueying, ZHENG Jiejiao, GAO Wen, DING Jianwei, CHEN Xi. Effects of occupational therapy on upper extremity for patients with stroke: a systematic review using WHO-FICs [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(2): 140-150. |
[4] | LIU Junming, HUANG Fubiao, LIU Jingya, YANG Xu. Effects of cathodic transcranial direct current stimulation on motor function of upper limbs and fingers in patients with right brain injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(1): 82-87. |
[5] | ZHANG Qi,LIANG Yuan,ZHANG Ran,WANG Zhiwei,JI Changgao. Effects of kinematic alignment on range of motion after total knee arthroplasty [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 764-769. |
[6] | YANG Xiaolong,YANG Yaru,QIU Fubing,GUO Fengyi,WONG Kam Man,CAO Lei,ZHANG Tiantian,SONG Weiqun. Application of ICF in occupational therapy: conceptual framework and approaches [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 621-629. |
[7] | SU Lili,FANG Xiaoyang,LIN Ling,LI Haiyan. Effects of upper limb robot-assisted training on cognition and upper limb motor function for subacute stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 508-514. |
[8] | LI Ran, DU Jubao, CAO Guanglei, LI Zheng, LI Ziyi, GE Yali, QIAN Long. Effects of integrated orthopedic rehabilitation pathway on motor function after total knee arthroplasty [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(2): 144-149. |
[9] | TONG Xin,LU Yan,ZHANG Yongqing,YU Aiyan,DUAN Zaiyang,XU Lei. Effects of Digital Occupational Therapy System training under suspension on upper limb motor function for stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1259-1264. |
[10] | LIU Si-hai,WANG Fei,HAN Xin-zuo,CUI Zhi-gang,QI Pan,MIN Hong-wei,LIU Ke-min. Effect of Placing Drainage or Not on Rapid Rehabilitation after Primary Total Knee Arthroplasty [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 962-965. |
[11] | Jing-ya LIU,Wen-qiang ZHANG,Xu YANG,Fu-biao HUANG. Effect of Individualized Occupational Therapy on Occupational Performance of Patients with Schizophrenia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(6): 724-729. |
[12] | JIANG Shan,WANG Ying,WANG Hui. Development of Occupational Therapy for Chinese Aging Population: Opportunities and Challenges [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 237-241. |
[13] | DUAN Yi-nan,CAO Hong-li. Advance in Effect of Occupational Therapy on Quality of Life of Patients with Malignant Tumors (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(12): 1427-1431. |
[14] | HUANG Chu-hong,ZENG Qing,CHEN Huan,LI Yu-qi,HUANG Guo-zhi. Efficacy of Compound Wrist-hand Orthosis-assisted Therapy on Wrist-hand Dysfunction after Stroke [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(12): 1446-1452. |
[15] | ZHANG Li, LIU Xiao-dan, XUE Xin, JIN Xue-ming, ZHU Jin-jie, TAO Ran, HU Jun. Effect of Group Occupational Training Based on Cognitive Behavioral Therapy on Post-stroke Cognitive Impairment [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(9): 1070-1074. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||
|