摘要
目的探讨持续被动运动(CPM)不同初始角度使用方法对全膝关节置换术后膝关节被动屈曲、伸展角度及肿胀的影响。方法 72例单侧全膝关节置换术患者随机分为CPM1组和cPM2组,每组36 例。所有患者均于术后第2天进行CPM,每日2次,每次1 h。CPM1组初始角度0-40°,每日增加10-20°; CPM2组初始角度90-50°,每日增加伸展角度10-15°,4 d内达到90-0°。结果 CPM2组在术后第7天、第 3个月时的膝关节屈曲、伸展角度均优于CPM1组,关节肿胀程度也较CPM1组轻。结论全膝关节置换术后 CPM早期屈曲角度越大越有利于康复。
Objective To investigate the effects of continuous passive motion （CPM） protocols on outcomes of total knee arthroplasty. Methods Seventy-two patients who underwent total knee arthroplasty were divided into 2 groups and treated with different CPM protocols： group 1 with CPM from 0 degree to 40 degrees and increased by 10 degrees per day, while group 2 with CPM from 90 degrees to 50 degrees （ early flexion） and gradually progressed to full extension over a 4-day period. The CPM was administered twice a day for 1 hour over a 7-day period. All the patients participated in the same postoperative physiotherapy program. Results Group 2 （the early flexion group） had significantly more range of motion than group 1. Conclusion The early flexion can help achieve favorable functional gain after total knee arthroplasty.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2006年第5期341-343,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
持续被动运动
全膝关节置换术
康复
Continuous passive motion
Total knee arthroplasty
Rehabilitation
