运动表象训练对膝关节单髁置换术后膝关节功能的效果

doi:10.3969/j.issn.1006-9771.2023.07.001

Abstract

Abstract:

Objective To explore the effect of motor imagery (MI) on knee function after unicompartmental knee arthroplasty (UKA).

Methods From January to September, 2022, 32 patients underwent UKA for the first time in Xuanwu Hospital were randomly divided into control group (n = 16) and experimental group (n = 16). All the patients accepted routine rehabilitation, and the experimental group accepted MI in addition, until four weeks after discharge. They were assessed with Oxford Knee Score (OKS), Visual Analogue Scale for pain (VAS), range of motion (ROM) of knee, and Timed Up and Go Test (TUGT) before and after treatment.

Results All the indexes improved after treatment (|t| > 2.517, P < 0.05), except ROM in the control group; and they improved more in the experimental group than in the control group (F > 7.999, P < 0.01), except the VAS score.

Conclusion MI can further improve the knee function after UKA, but do less for pain.

Key words: unicompartmental knee arthroplasty, motor imagery, rehabilitation

CLC Number:

R684.3

LI Ziyi, SONG Weiqun, DU Jubao, CAO Guanglei, ZHANG Yanming, LI Ran. Effect of motor imagery on knee function after unicompartmental knee arthroplasty[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 745-749.

Figures/Tables 5

References 31

[1]	KEUDELL A, SODHA S, COLLINS J, et al. Patient satisfaction after primary total and unicompartmental knee arthroplasty: an age-dependent analysis[J]. Knee, 2014, 21(1): 180-184. doi: 10.1016/j.knee.2013.08.004 pmid: 24148793
[2]	MISTRY J, ELMALLAH R, BHAVE A, et al. Rehabilitative guidelines after total knee arthroplasty: a review[J]. J Knee Surg, 2016, 29(3): 201-217. doi: 10.1055/s-0036-1579670 pmid: 26963074
[3]	RODRÍGUEZ-MERCHÁN E. The stiff total knee arthroplasty: causes, treatment modalities and results[J]. EFORT Open Rev, 2019, 4(10): 602-610. doi: 10.1302/2058-5241.4.180105
[4]	GUERRA Z, LUCCHETTI A, LUCCHETTI G. Motor imagery training after stroke: a systematic review and meta-analysis of randomized controlled trials[J]. J Neurol Phys Ther, 2017, 41(4): 205-214. doi: 10.1097/NPT.0000000000000200 pmid: 28922311
[5]	MOUKARZEL M, RIENZO F, LAHOUD J, et al. The therapeutic role of motor imagery during the acute phase after total knee arthroplasty: a pilot study[J]. Disabil Rehabil, 2019, 41(8): 926-933. doi: 10.1080/09638288.2017.1419289 pmid: 29275638
[6]	中国研究型医院学会关节外科学专业委员会膝关节部分置换研究学组. 膝关节单髁置换术围手术期管理专家共识[J]. 中华骨与关节外科杂志, 2020, 13(4): 265-271.
	Chinese Research Hospital Association Joint Surgery Professional Committee Knee Partial Replacement Research Group. Expert Consensus on Perioperative Management of Unicompartmental Knee Arthroplasty[J]. Chin J Bone Joint Surg, 2020, 13(4): 265-271.
[7]	JEANNEROD M. The representing brain: neural correlates of motor intention and imagery[J]. Behav Brain Sci, 1994, 17(2): 187-245. doi: 10.1017/S0140525X00034026
[8]	PARAVLIC A, SLIMANI M, TOD D, et al. Effects and dose-response relationships of motor imagery practice on strength development in healthy adult populations: a systematic review and meta-analysis[J]. Sport Med, 2018, 48(5): 1165-1187. doi: 10.1007/s40279-018-0874-8
[9]	KOBER S, SPŐRK R, BAUERNFEIND G, et al. Age-related differences in the within-session trainability of hemodynamic parameters: a near-infrared spectroscopy-based neurofeedback study[J]. Neurobiol Aging, 2019, 81: 127-137. doi: S0197-4580(19)30178-2 pmid: 31280116
[10]	DEIBER M, IBAÑEZ V, HONDA M, et al. Cerebral processes related to visuomotor imagery and generation of simple finger movements studied with positron emission tomography[J]. NeuroImage, 1998, 7(2): 73-85. doi: 10.1006/nimg.1997.0314 pmid: 9571132
[11]	GROSPRȆTRE S, RUFFION C, LEBON F. Motor imagery and cortico-spinal excitability: a review[J]. Eur J Sport Sci, 2016, 16(3): 317-324. doi: 10.1080/17461391.2015.1024756 pmid: 25830411
[12]	AVANZION L, GUEUGNEAU N, BISIO A, et al. Motor cortical plasticity induced by motor learning through mental practice[J]. Front Behav Neurosci, 2015, 9: 105. doi: 10.3389/fnbeh.2015.00105 pmid: 25972791
[13]	BONASSI G, BIGGIO M, BISIO A, et al. Provision of somatosensory inputs during motor imagery enhances learning-induced plasticity in human motor cortex[J]. Sci Rep, 2017, 7(1): 9300. doi: 10.1038/s41598-017-09597-0 pmid: 28839226
[14]	MARUSIC U, GROSPRȆTRE S, PARAVLIC A, et al. Motor imagery during action observation of locomotor tasks improves rehabilitation outcome in older adults after total hip arthroplasty[J]. Neural Plast, 2018, 2018: 1-9.
[15]	MOUKARZEL M, RIENZO F, LAHOUD J, et al. The therapeutic role of motor imagery during the acute phase after total knee arthroplasty: a pilot study[J]. Disabil Rehabil, 2019, 41(8): 926-933. doi: 10.1080/09638288.2017.1419289 pmid: 29275638
[16]	LI R, DU J B, YANG K, et al. Effectiveness of motor imagery for improving functional performance after total knee arthroplasty: a systematic review with meta-analysis[J]. J Orthop Surg Res, 2022, 17(1): 65. doi: 10.1186/s13018-022-02946-4 pmid: 35109909
[17]	PARAVLIC A, PISOT R, MARUSIC U. Specific and general adaptations following motor imagery practice focused on muscle strength in total knee arthroplasty rehabilitation: a randomized controlled trial[J]. PLoS One, 2019, 14(8): e0221089. doi: 10.1371/journal.pone.0221089
[18]	MOUKARZEL M, GUILLOT A, RIENZO F, et al. The therapeutic role of motor imagery during the chronic phase after total knee arthroplasty: a pilot randomized controlled trial[J]. Eur J Phys Rehabil Med, 2019, 55(6): 806-815.
[19]	FORWARD J, GREUTER N, CRISALL S, et al. Effect of structured touch and guided imagery for pain and anxiety in elective joint replacement patients: a randomized controlled trial: M-TIJRP[J]. Perm J, 2015, 19(4): 18-28. doi: 10.7812/TPP/14-236
[20]	HOYEK N, RIENZO F, COLLET C, et al. The therapeutic role of motor imagery on the functional rehabilitation of a stage II shoulder impingement syndrome[J]. Disabil Rehabil, 2014, 36(13): 1113-1119. doi: 10.3109/09638288.2013.833309 pmid: 24575717
[21]	PARACLIC A, MAFFULLI N, KOVAČ S, et al. Home-based motor imagery intervention improves functional performance following total knee arthroplasty in the short term: a randomized controlled trial[J]. J Orthop Surg Res, 2020, 15(1): 451. doi: 10.1186/s13018-020-01964-4 pmid: 33008432
[22]	ZAPPAROLI L, SACHELI L, SEGHEZZI S, et al. Motor imagery training speeds up gait recovery and decreases the risk of falls in patients submitted to total knee arthroplasty[J]. Sci Rep, 2020, 10(1): 8917. doi: 10.1038/s41598-020-65820-5 pmid: 32488010
[23]	李冉, 杜巨豹. 运动想象在运动功能康复中的应用进展[J]. 中国康复医学杂志, 2022, 37(10): 1421-1425.
[24]	WILSON H, MIDDLETON R, ABRAM S, et al. Patient relevant outcomes of unicompartmental versus total knee replacement: systematic review and meta-analysis[J]. BMJ, 2019, 364: 1352.
[25]	ATEŞ Y, AKDOĞAN M, ATILLA H. Which knee replacement do the patients forget? Unicondylar or total knee arthroplasty[J]. Acta Orthop Traumatol Turc, 2021, 55(5): 417-421. doi: 10.5152/j.aott.
[26]	TILLE E, BEYER F, AUERBACH K, et al. Better short-term function after unicompartmental compared to total knee arthroplasty[J]. BMC Musculoskelet Disord, 2021, 22(1): 326. doi: 10.1186/s12891-021-04185-w
[27]	李子怡, 宋为群, 杜巨豹, 等. 骨科康复一体化模式下膝关节单髁置换术后一年内膝关节功能康复转归的临床研究[J]. 中国康复医学杂志, 2023, 38(4): 459-465.
	LI Z Y, SONG W Q, DU J B, et al. Effect of integrated orthopaedic rehabilitation on the outcome of motor function in patients with unicompartmental knee arthroplasty within one year after surgery[J]. Chin J Rehabil Med, 2023, 38(4): 459-465.
[28]	李冉, 杜巨豹, 曹光磊, 等. 骨科康复一体化模式对全膝关节置换术患者运动功能的效果[J]. 中国康复理论与实践, 2022, 28(2): 144-149. doi: 10.3969/j.issn.1006-9771.2022.02.003
	LI R, DU J B, CAO G L, et al. Effects of integrated orthopedic rehabilitation pathway on motor function after total knee arthroplasty[J]. Chin J Rehabil Theory Pract, 2022, 28(2): 144-149.
[29]	PODSIADLO D, RICHARDON S. The Timed "Up & Go": a test of basic functional mobility for frail elderly persons[J]. J Am Geriatr Soc, 1991, 39(2): 142-148. doi: 10.1111/jgs.1991.39.issue-2
[30]	STEFFEN T, HACKER T, MOLLINGER L. Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds[J]. Phys Ther, 2002, 82(2): 128-137. doi: 10.1093/ptj/82.2.128
[31]	CLEMENT N. Patient factors that influence the outcome of total knee replacement: a critical review of the literature[J]. OA Orthopaedics, 2013, 1: 11.

组别	n	性别 (男/女)/n	年龄/岁	手术侧 (左/右)/n
对照组	16	3/13	70.33±5.94	7/9
试验组	16	4/12	70.47±7.43	8/8
χ²/t值		0.183	0.314	0.125
P值		0.669	0.756	0.723

组别	n	治疗前	治疗后	t值	P值
对照组	16	30.81±7.43	26.27±7.16	3.184	0.006
试验组	16	34.06±4.57	19.60±4.29	19.044	< 0.001
F值		2.221	9.835
P值		0.147	0.004

组别	n	治疗前	治疗后	t值	P值
对照组	16	3.94±0.93	1.88±1.31	8.267	< 0.001
试验组	16	4.31±0.87	1.19±1.38	8.097	< 0.001
F值		1.385	2.093
P值		0.249	0.158

组别	n	治疗前	治疗后	t值	P值
对照组	16	106.3±11.45	106.56±8.70	-0.065	0.949
试验组	16	107.9±8.34	115.00±8.16	-2.517	0.024
F值		0.194	7.999
P值		0.663	0.008

组别	n	治疗前	治疗后	t值	P值
对照组	16	9.56±1.68	8.72±1.20	3.354	0.004
试验组	16	9.46±1.60	7.57±0.81	5.564	< 0.001
F值		0.031	10.144
P值		0.861	0.003

Effect of motor imagery on knee function after unicompartmental knee arthroplasty

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 5

References 31

Related Articles 15

Metrics

Comments

Recommended 0

[1]	LUO Lihua, WANG Yusheng, LI Jianfeng, DONG Jige. Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 105-110.
[2]	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.
[3]	CHEN Junwen, CHEN Qian, CHEN Cheng, LI Shuyue, LIU Lingling, WU Cunshu, GONG Xiang, LU Jun, XU Guangxu. Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 74-80.
[4]	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.
[5]	CAI Huanian, FEI Sixian, ZHANG Yichen, SUN Qing, GUO Shuai, SONG Tao. Motion assistance analysis for robot-assisted tele-rehabilitation based on bilateral admittance control [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1104-1109.
[6]	LIU Yang, ZHANG Peng, HUANG Ying, CHEN Han, XU Chen, LI Min. Path analysis of mediating effect of perceived stress affecting impact of event in rehabilitation patients with traumatic injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 954-960.
[7]	YI Qifeng, HUANG Zhuoer, YANG Guoli, XIE Lihua, XIE Shengfeng, WU Xiaoxia, YAN Jin. Development, and reliability and validity testing of a knowledge needs questionnaire of respiratory rehabilitation training for in-service healthcare workers [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 985-992.
[8]	REN Yi, WANG Rui, ZHANG Yaohua. Effect of proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation on chronic ankle instability [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 750-755.
[9]	LI Fang, HUO Su, DU Jubao, LIU Xiuzhen, LI Xiaoshuang, SONG Weiqun. Effect of transcranial direct current stimulation combined with task-oriented rehabilitation training on forelimb motor dysfunction in rats with spinal cord injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 777-781.
[10]	WANG Jingxuan, LÜ Diyang, FANG Boyan. Non-drug rehabilitation for gait abnormality of Parkinson's disease: a review based on ClinicalTrials.gov [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 816-821.
[11]	MA Tiantian, YU Zifu, QIN Fang, LENG Xiaoxuan, LIU Xihua. Application of constraint-induced movement therapy in the field of rehabilitation: a visualized analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 822-832.
[12]	TANG Qiang, ZHENG Shuang, WANG Lei, WANG Yan, LI Baolong, LIU Guijun, ZHU Luwen. Development of traditional Chinese medicine rehabilitation curriculum based on World Health Organization rehabilitation competency framework [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 862-868.
[13]	WU Qianhao, HOU Rongjie, FU Liyuan. Pelvic floor rehabilitation domestic and abroad in the last decade: a visualized analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 673-685.
[14]	ZHAO Yaxian, TANG Zhiqing, SUN Xinting, WANG Rongrong, LIU Tianhao, ZHANG Hao. Effects of different intensity of wearable lower limb rehabilitation robot-assisted training on lower limb function after stroke [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 497-503.
[15]	JIA Fan, ZHAO Ying, WANG Zhao, CHEN Jie, LU Sihan, ZHANG Ming. Effect of graded motor imagery combined with repetitive transcranial magnetic stimulation on upper limb function of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 516-520.