全膝关节置换术患者物理治疗后的生活质量

IF 0.1 Q4 ORTHOPEDICS International Journal of Physiotherapy Pub Date : 2020-10-01 DOI:10.15621/ijphy/2020/v7i5/780
V. Chhaya, Kudtarkar Padmashri, V. Krishnan
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引用次数: 0

摘要

背景:膝骨关节炎(OA)是慢性疼痛的主要原因,也是许多个体功能残疾的主要来源。全膝关节置换术(TKR)是治疗骨关节炎的有效方法。减轻疼痛,改善身体机能是TKR后的主要预期结果。然而,对一些患者来说,结果并不令人满意。这种手术的功能益处并不令人信服,因为许多患者仍然存在较大的功能缺陷。方法:随机选取某三级公立医院骨科病房接受TKR手术的患者11例(男4例,女7例)。在书面知情同意后,术前使用EQ-5D和膝关节损伤和骨关节炎(oos)结局指标对患者进行评估。术后第1天起给予强力物理治疗,随访至6周,再对患者进行评估。结果:患者平均年龄64.36岁。配对t检验分析显示,kos各域及EQ-5D均有显著改善(p值< 0.05)。患者对物理治疗反应良好,生活质量改善有统计学意义(p值< 0.05)。结论:全膝关节置换术患者经物理治疗后生活质量明显改善。TKR术后亚急性恢复期应加强强化康复,以优化功能预后。
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QUALITY OF LIFE FOLLOWING PHYSIOTHERAPY MANAGEMENT IN PATIENTS WITH TOTAL KNEE REPLACEMENT
Background: Knee Osteoarthritis (OA) is a major cause of chronic pain & a leading source of functional disability in many individuals. Total knee Arthroplasty/Replacement (TKR) is an effective procedure for the treatment of OA. Reduction in pain, improvement in the physical function is the main expected outcomes after TKR. However, for some patients, the outcomes are not satisfactory. The functional benefits of this surgical procedure are not as convincing as large functional deficits persist in many patients. Methods: 11 patients ( four males and seven females) undergoing TKR were randomly selected from the orthopedic wards of a tertiary public sector hospital. Post written informed consent, patients were evaluated pre-operatively using EQ-5D and Knee injury and Osteoarthritis (KOOS) outcome measures. The TKR was followed by vigorous physiotherapy treatment from post-operation day 1, followed up to 6 weeks, and then patients were re-evaluated. Results: The patients who participated had a mean age of 64.36. Analysis with a paired t-test showed statistically significant improvement (p-value < 0.05) for all the domains of KOOS and also EQ-5D. The patients responded well to physiotherapy with statistically significant improvement (p-value < 0.05) in their quality of life. Conclusion: There is a significant improvement in the quality of life of patients undergoing total knee replacement surgery post physiotherapy. More intensive rehabilitation should be promoted in the sub-acute recovery period after TKR to optimize functional outcomes.
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