中国组织工程研究Issue(9)：1543-1548,6.DOI:10.3969/j.issn.2095-4344.2013.09.004
全膝关节表面置换早期推拿的疗效评价***☆
Therapeutic effect of early Tuina rehabilitation treatment after total knee arthroplasty
摘要
Abstract
BACKGROUND: The present study investigated the efficacy of Tuina rehabilitation on the patients with rheumatoid arthritis after total knee arthroplasty and the mechanism underlying Tuina rehabilitation. OBJECTIVE: To observe the clinical effect of early Tuina comprehensive rehabilitation therapy on rheumatoid arthritis patients after total knee arthroplasty, in order to provide some objective evidences for clinical rehabilitation treatment. METHODS: Sixty-six rheumatoid arthritis patients after total knee arthroplasty were equal y divided into two groups control group and Tuina group. The patients in the control group underwent continuous passive motion training after replacement, and the patients in the Tuina group underwent continuous passive motion training combined with Tuina rehabilitation. The effect of Tuina comprehensive rehabilitation was observed through Hospital for Special Surgery system and 36-Item Short-Form Health Survey. RESULTS AND CONCLUSION: Comparison of the Hospital for Special Surgery score among groups at 3 months after replacement found that the function (P=0.020), muscle strength (P=0.020), stability (P=0.011) and total scores (P=0.019) were improved, and there were significant differences when compared with those before treatment (P < 0.05). Comparison of the 36-Item Short-Form Health Survey scores among groups at 3 months after replacement found that the emotional health score (P=0.003) and total health score (P=0.008) were significantly improved, and there were significant differences when compared with those before treatment (P <0.05). Early Tuina rehabilitation could facilitate function restoration and improve strength, stability, emotional health and total health for the rheumatoid arthritis patients after total knee arthroplasty.关键词
骨关节植入物/人工假体/类风湿性关节炎/全膝关节置换/推拿手法/推拿功法/康复/肌力/精神健康/疼痛/关节活动度/稳定性/省级基金Key words
bone and joint implants/artificial prosthesis/rheumatoid arthritis/total knee arthroplasty/Tuina techniques/Tuina exercise/rehabilitation/muscle strength/mental health/pain/range of motion/stability/provincial grants-supported paper分类
医药卫生引用本文复制引用
王念宏,何勇,郭艳明,许洁,严隽陶,孙武权,胡永善,夏军,魏礼成,吴毅,贾杰,欧阳桂林..全膝关节表面置换早期推拿的疗效评价***☆[J].中国组织工程研究,2013,(9):1543-1548,6.基金项目
上海市科学技术委员会中药现代化专项(No.09dZ1977100,10DZ1973900) （No.09dZ1977100,10DZ1973900）
上海市重点学科建设项目(No. T0302)。Supported by：Special Fund of Chinese Medicine Modernization of Shanghai Science and Technology Commit ee, No.09dZ1977100*,10DZ1973900* （No. T0302）
Shanghai Leading Academic Discipline Project, No.T0302* （）
