A Prospective Study on Knee Function Recovery After Total Knee Arthroplasty: A Comparison of Active and Passive Exercise and Pain Assessment

Yixuan Liu

doi:10.62051/5749k428

Authors

Yixuan Liu

DOI:

https://doi.org/10.62051/5749k428

Keywords:

Total Knee Arthroplasty; Rehabilitation; Kinesitherapy.

Abstract

目的：本研究的目的是确定术后疼痛水平是否降低，并检查主动和被动运动对全膝关节置换术（TKA）后膝关节功能恢复的影响。方法：采用前瞻性研究设计，将我院接受 TKA 的 204 例患者随机分配到连续被动运动（CPM）组或受控主动运动（CAM）组，每组 102 例患者。两组都接受了两组相同的标准锻炼方案。所有患者在术前、术后和出院后均进行评估。评估指标包括运动范围（ROM）、西安大略大学和麦克马斯特大学骨关节炎指数（WOMAC）、视觉模拟量表（VAS）、膝关节社会功能评分（KSS）和简式健康调查（SF-36）。结果：术后 1.5 个月和 3 个月，两组屈曲角度差异有统计学意义（P<0.05）。术后 3 个月和 6 个月，结果显示使用 WOMAC 评分的组疼痛评分存在统计学意义差异（P<0.05）。其他指标显示两组都有所改善。结论： CAM 组和 CPM 组均显著改善了 TKA 后患者的恢复情况;然而，CAM 组在膝关节屈曲、疼痛缓解和生活质量改善方面表现出卓越的结果。

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