天津医药

天津医药 ›› 2016, Vol. 44 ›› Issue (1): 91-93.doi: 10.11958/57787

• 应用研究 • 上一篇    下一篇

不同角度股四头肌等速肌力训练对全膝关节置换术后膝关节功能的影响

李益平1 ， 张颖2△   

  1. 1天津医学高等专科学校医疗技术系 （邮编300222）； 2天津市南开大学人民医院
  • 收稿日期:2014-11-28 修回日期:2015-03-23 出版日期:2016-01-15 发布日期:2016-01-15
  • 通讯作者: △通讯作者 E-mail： ying_zhang_graduate@yahoo.com E-mail:1978liyiping@163.com
  • 作者简介:李益平 （1978）， 女， 副教授， 硕士， 主要从事临床康复与康复教育研究
  • 基金资助:
    天津市科学技术委员会市级成果 （津20111290）

The influence of different ranges of isokinetic quadriceps training for the knee function in patients after total knee arthroplasty

LI Yiping1 ， ZHANG Ying2△   

  1. 1 Department of Medical Technology, Tianjin Medical College， Tianjin 300222， China； 2 Tianjin Nankai University Union Medicine Centre
  • Received:2014-11-28 Revised:2015-03-23 Published:2016-01-15 Online:2016-01-15
  • Contact: △Corresponding Author E-mail： ying_zhang_graduate@yahoo.com E-mail:1978liyiping@163.com

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摘要： 摘要： 目的 研究不同角度股四头肌等速肌力训练对全膝关节置换术后膝关节功能的影响， 为全膝关节置换术后康复方案的选择提供依据。方法 全膝关节置换术患者 73 例， 随机分为 3 组， 0°~30°组 25 例、 31°~60°组 24 例和 61°~90°组 24 例， 进行 2 个月的股四头肌等速肌力训练。记录治疗前、 后每例膝关节的等速肌力测定值； 采用 IKS 评分标准评定膝关节功能。结果 治疗后， 3 组等速肌力测定值均较治疗前增加， 0°~30°组的 IKS 评分较治疗前明显增加 （P＜0.05）； 31°~60°组及 61°~90°组治疗前后 IKS 评分差异无统计学意义。治疗后 IKS 评分与 0°~30°组等速肌力测定值呈正相关 （P＜0.05）。结论 在膝关节屈曲 0°~30°范围内进行股四头肌等速训练可有效增强肌力， 改善膝关节功能。

关键词: 全膝关节置换术, 等速肌力训练, 膝关节功能, 股四头肌

Abstract: Abstract： Objective To study the effects of different ranges of isokinetic quadriceps training for improving the func⁃ tion of knee joint after total knee arthroplasty (TKA)， and provide the theoretical and clinical experiences for the early reha⁃ bilitation of TKA．Methods A total of 73 TKA cases were randomly allocated into 3 groups for isokinetic quadriceps train⁃ ing with ranges of 0°- 30° (n=25), 31°- 60° (n=24) and 61°- 90° (n=24)．The isokinetic quadriceps training was for two months. The isokinetic muscle strength and the IKS scores were recorded before and after the training in three groups. Re⁃ sults After training, the isokinetic muscle strength increased significantly in three groups (P < 0.05). The IKS scores in⁃ creased significantly only in 0°-30° training group after training (P < 0.05). There was no significant difference in IKS score before and after training in 31°-60° group and 61°-90°group. The IKS score after training was positively correlated with the isokinetic muscle strength only in 0°-30° group (P < 0.05). Conclusion After TKA, isokinetic quadriceps training with a 0°-30° range of motion can improve the strength of quadriceps and the knee function．

Key words: total knee arthroplasty, isokinetic training, knee function, quadriceps