实用老年医学

实用老年医学 ›› 2022, Vol. 36 ›› Issue (9): 938-941.doi: 10.3969/j.issn.1003-9198.2022.09.017

• 临床研究 • 上一篇    下一篇

基于“移动平台”的三主体双轨道交互式干预在全膝关节置换术后的应用效果

化龙昂, 计海彪, 陈高翔, 杨帅   

  1. 200025 上海市,上海交通大学医学院附属瑞金医院康复医学科
  • 收稿日期:2021-10-08 出版日期:2022-09-20 发布日期:2022-09-21
  • 通讯作者: 杨帅,Email: mystone123@sina.com
  • 基金资助:
    上海卫生健康委员会科研课题项目(20194Y0303)

Study on three-agent and dual-track interactive intervention based on mobile platform after total knee replacement

HUA Long-ang, JI Hai-biao, CHEN Gao-xiang, YANG Shuai   

  1. Department of Recovery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Received:2021-10-08 Online:2022-09-20 Published:2022-09-21

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摘要： 目的 观察基于“移动平台”的三主体双轨道交互式干预对全膝关节置换术后的康复效果。 方法 将86例全膝关节置换术后病人按随机数字表分为对照组和观察组,每组43例。对照组实施常规康复治疗,观察组在对照组的基础上接受基于“移动平台”的三主体双轨道交互式干预,采用膝关节主动活动范围(AROM)、膝关节美国特种外科医院(HSS)评分、计时“起立-行走”试验(TUGT)、Berg平衡量表(BBS)和世界卫生组织生活质量简表(WHOQOL-BREF)评价2组治疗效果。 结果 干预前,2组AROM范围、HSS评分、BBS评分、TUGT时间、WHOQOL-BREF评分差异无统计学意义;干预治疗12周后,2组病人AROM、HSS评分、BBS评分、WHOQOL-BREF评分均高于干预前,TUGT时间短于干预前,且干预后观察组各项评估指标均优于对照组(P＜0.05)。 结论 基于“移动平台”的三主体双轨道交互式干预能够增加全膝关节置换术后病人膝关节活动范围,促进膝关节功能恢复,提高病人步行能力和平衡能力,对提高病人生活质量具有积极意义。

关键词: 移动平台, 三主体双轨道交互式干预, 全膝关节置换术

Abstract: Objective To observe the rehabilitation effect of three-agent and dual-track interactive intervention based on mobile platform after total knee replacement. Methods A total of 86 patients receiving total knee replacement were divided into control group and observation group according to random number table, with 43 patients in each group. The control group received routine rehabilitation treatment, and the observation group received three-agent and dual-track interactive intervention based on the mobile platform. The active range of motion (AROM), hospital for special surgery(HSS) knee score, timed up and go test(TUGT), Berg Balance Scale(BBS) and World Health Organization Quality of Life-abbreviated version(WHOQOL-BREF)were used to evaluate the therapeutic effect of the two groups. Results There were no significant differences in AROM, HSS knee score, BBS score, time of TUGT and WHOQOL-BREF score between the two groups before intervention. After 12 weeks of intervention, AROM, the scores of HSS, BBS and WHOQOL-BREF in the two groups were higher than those before intervention, and the time of TUGT was less than that before intervention, especially in the observation group (P<0.05). Conclusions Three-agent and dual-track interactive intervention based on mobile platform can increase the knee range of motion in the patients receiving total knee arthroplasty, promote the recovery of knee joint function, improve the walking ability and balance ability, and has positive significance for improving the quality of life.

Key words: mobile platform, three-agent and dual-track interactive intervention, total knee arthroplasty

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