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[1]雍福娟,付婷婷,斯焱,等.肌內(nèi)效貼貼扎聯(lián)合運動療法在全髖關節(jié)置換術后康復治療中的應用[J].中醫(yī)正骨,2021,33(03):9-13.
　YONG Fujuan,FU Tingting,SI Yan,et al.Application of kinesio taping therapy combined with exercise therapy to functional rehabilitation after total hip arthroplasty[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(03):9-13.
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肌內(nèi)效貼貼扎聯(lián)合運動療法在全髖關節(jié)置換術后康復治療中的應用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年03期
頁碼:
9-13
欄目:
臨床研究
出版日期:
2021-03-20

文章信息/Info

Title:
Application of kinesio taping therapy combined with exercise therapy to functional rehabilitation after total hip arthroplasty
作者:
雍福娟; 付婷婷; 斯焱; 劉輝; 張鑫
(四川省骨科醫(yī)院,四川 成都 610041)
Author(s):
YONG Fujuan; FU Tingting; SI Yan; LIU Hui; ZHANG Xin
Sichuan Provincial Orthopedics Hospital,Chengdu 610041,Sichuan,China
關鍵詞:
關節(jié)成形術; 置換; 髖;  疼痛; 手術后;  肌內(nèi)效貼;  運動療法;  康復
Keywords:
arthroplasty; replacement; hip;  pain; postoperative;  kinesio taping;  exercise therapy;  rehabilitation
摘要:
目的:探討肌內(nèi)效貼貼扎聯(lián)合運動療法在全髖關節(jié)置換術后康復治療中的應用價值。方法:選擇2020年5—12月接受單側人工全髖關節(jié)置換術的患者為研究對象。采用隨機數(shù)字表將符合要求的患者隨機分為2組。運動療法組自術后第1天開始按照訓練方案進行運動療法治療,連續(xù)訓練7 d; 肌內(nèi)效貼聯(lián)合運動療法組在運動療法治療基礎上,自術后第1天開始肌內(nèi)效貼貼扎,每2 d更換1次,連續(xù)治療7 d。分別于治療前和治療結束后,采用視覺模擬量表(visual analogue scale,VAS)評分評價患者髖關節(jié)疼痛程度,采用Harris髖關節(jié)評分評價臨床療效,采用日常生活活動能力(activity of daily living,ADL)量表評分評價患者日常生活活動能力,并記錄髖關節(jié)屈曲、外展及外旋活動度。結果:①分組結果。共納入91例患者,肌內(nèi)效貼聯(lián)合運動療法組46例,運動療法組45例。②髖關節(jié)疼痛VAS評分。治療前,2組患者的髖關節(jié)疼痛VAS評分比較,組間差異無統(tǒng)計學意義[(3.87±0.76)分,(3.78±0.76)分,t=-0.529,P=0.598]; 治療結束后,2組患者的髖關節(jié)疼痛VAS評分均低于治療前(t=12.700,P=0.000; t=10.244,P=0.000),肌內(nèi)效貼聯(lián)合運動療法組的髖關節(jié)疼痛VAS評分低于運動療法組[(2.18±0.72)分,(2.33±0.79)分,t=-2.089,P=0.040]。③Harris髖關節(jié)評分。治療前,2組患者的Harris評分比較,組間差異無統(tǒng)計學意義[(38.50±8.72)分,(35.58±7.58)分,t=1.688,P=0.095]; 治療結束后,2組患者的Harris評分均高于治療前(t=-13.915,P=0.000; t=-15.356,P=0.000),肌內(nèi)效貼聯(lián)合運動療法組的Harris評分高于運動療法組[(57.91±7.29)分,(52.60±5.41)分,t=3.942,P=0.000]。④ADL評分。治療前,2組患者的ADL評分比較,組間差異無統(tǒng)計學意義[(35.44±11.25)分,(32.00±3.44)分,t=1.961,P=0.053]; 治療結束后,2組患者的ADL評分均高于治療前(t=-13.866,P=0.000; t=-6.244,P=0.000),肌內(nèi)效貼聯(lián)合運動療法組的ADL評分高于運動療法組[(68.70±16.88)分,(59.00±12.59)分,t=3.110,P=0.003]。⑤髖關節(jié)活動度。治療前,2組患者的髖關節(jié)屈曲、外展及外旋活動度比較,組間差異均無統(tǒng)計學意義(24.02°±14.36°,28.33°±14.06°,t=-1.447,P=0.115; 3.04°±5.11°,3.98°±4.98°,t=-0.885,P=0.379; 3.48°±5.76°,2.22°±4.71°,t=1.137,P=0.259); 治療結束后,2組患者的髖關節(jié)屈曲、外展及外旋活動度均大于治療前(屈曲活動度:t=-7.647,P=0.000; t=-12.344,P=0.000; 外展活動度:t=-11.709,P=0.000; t=-12.322,P=0.000; 外旋活動度:t=-15.391,P=0.000; t=-13.259,P=0.000),肌內(nèi)效貼聯(lián)合運動療法組的髖關節(jié)屈曲活動度大于運動療法組(51.33°±11.31°,44.38°±6.91°,t=3.527,P=0.001),2組患者的髖關節(jié)外展、外旋活動度比較,組間差異均無統(tǒng)計學意義(19.02°±7.43°,16.78°±6.58°,t=1.524,P=0.131; 20.54°±7.17°,18.78°±4.90°,t=1.369,P=0.175)。結論:采用肌內(nèi)效貼貼扎聯(lián)合運動療法對全髖關節(jié)置換術后患者進行康復治療,能夠緩解髖關節(jié)疼痛,改善髖關節(jié)功能,提高患者髖關節(jié)活動度和生活活動能力,療效優(yōu)于單純的運動療法。
Abstract:
Objective:To explore the applied values of kinesio taping therapy combined with exercise therapy in postoperative functional rehabilitation in patients who received total hip arthroplasty(THA).Methods:Ninety-one patients who received unilateral artificial THA from May 2020 to December 2020 were selected as the subjects,and were randomly divided into combination therapy group(46 cases)and exercise therapy group(45 cases)by using random digits table.All patients in the 2 groups were instructed to perform functional rehabilitation exercises according to the training scheme from the postoperative day 1 for consecutive 7 days; moreover,the patients in combination therapy group were treated with kinesio taping therapy from the postoperative day 1 for consecutive 7 days and the kinesio taping were changed every other day.The hip pain degree,clinical curative effects and activity of daily living(ADL)were evaluated by using visual analogue scale(VAS)scores,Harris hip scores and ADL scores respectively before the treatment and after the end of the treatment,and the hip range of motion(ROM)including flexion-extension,abduction and outward rotation was recorded.Results:There was no statistical difference in hip pain VAS scores between the 2 groups before the treatment(3.87±0.76 vs 3.78±0.76 points,t=-0.529,P=0.598).The hip pain VAS scores decreased after the end of the treatment compared to pretreatment in the 2 groups(t=12.700,P=0.000; t=10.244,P=0.000),and were lower in combination therapy group compared to exercise therapy group(2.18±0.72 vs 2.33±0.79 points,t=-2.089,P=0.040).There was no statistical difference in Harris scores between the 2 groups before the treatment(38.50±8.72 vs 35.58±7.58 points,t=1.688,P=0.095).The Harris scores increased after the end of the treatment compared to pretreatment in the 2 groups(t=-13.915,P=0.000; t=-15.356,P=0.000),and were higher in combination therapy group compared to exercise therapy group(57.91±7.29 vs 52.60±5.41 points,t=3.942,P=0.000).There was no statistical difference in ADL scores between the 2 groups before the treatment(35.44±11.25 vs 32.00±3.44 points,t=1.961,P=0.053).The ADL scores increased after the end of the treatment compared to pretreatment in the 2 groups(t=-13.866,P=0.000; t=-6.244,P=0.000),and were higher in combination therapy group compared to exercise therapy group(68.70±16.88 vs 59.00±12.59 points,t=3.110,P=0.003).There was no statistical difference in hip ROM including flexion-extension,abduction and outward rotation between the 2 groups before the treatment(24.02±14.36 vs 28.33±14.06 degrees,t=-1.447,P=0.115; 3.04±5.11 vs 3.98±4.98 degrees,t=-0.885,P=0.379; 3.48±5.76 vs 2.22±4.71 degrees,t=1.137,P=0.259).The hip ROM including flexion-extension,abduction and outward rotation increased after the end of the treatment compared to pretreatment in the 2 groups(flexion-extension ROM:t=-7.647,P=0.000; t=-12.344,P=0.000; abduction ROM:t=-11.709,P=0.000; t=-12.322,P=0.000; outward rotation:t=-15.391,P=0.000; t=-13.259,P=0.000).The hip flexion-extension ROM was greater in combination therapy group compared to exercise therapy group(51.33±11.31 vs 44.38±6.91 degrees,t=3.527,P=0.001).There was no statistical difference in hip abduction and outward rotation ROM between the 2 groups(19.02±7.43 vs 16.78±6.58 degrees,t=1.524,P=0.131; 20.54±7.17 vs 18.78±4.90 degrees,t=1.369,P=0.175).Conclusion:For patients who received THA,combination of kinesio taping therapy with exercise therapy can relieve hip pain,improve hip function,increase hip ROM and promote ADL,moreover,its curative effect is better than that of monotherapy of exercise therapy.

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備注/Memo

備注/Memo:
基金項目:四川省醫(yī)學重點學科(實驗室)及重點專科立項建設項目(川衛(wèi)辦發(fā)[2018]53號)
通訊作者:張鑫 E-mail:[email protected]
更新日期/Last Update: 1900-01-01