ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-06-063 康复与疾病管理 2025, (06)

阶段性抗阻训练联合运动表象训练在膝关节置换术后护理中的应用

滨州市滨州医学院附属医院

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摘要

摘要:目的 探讨在膝关节置换术后患者中应用阶段性抗阻训练联合运动表象训练(MIT)护理的效果。 方法 选取 2022 年 7 月至 2024 年 10 月本院收治的膝关节置换术后患者共计 98 例,根据随机数字表法分成干预组(n=49)与对照组(n=49),两组均采用常规康复训练,对照组采用 MIT,干预组采用阶段性抗阻训练联合 MIT,比较两组患者膝关节功能、步态稳定性与平衡情况、膝关节活动度。结果 干预后,两组美国纽约特种外科医院(HSS)膝关节评分量表评分升高(P<0.05),干预组较对照组更高(P<0.05);干预后,两组步频、Berg 平衡量表(BBS)评分升高(P<0.05),步长延长(P<0.05),干预组步频、BBS 评分较对照组更高(P<0.05),步长更长(P<0.05);干预后,两组膝关节伸直角度缩小(P<0.05),屈曲角度增大(P<0.05),干预组膝关节伸直角度较对照组更小(P<0.05),屈曲角度更大(P<0.05)。结论 在膝关节置换术后患者中应用阶段性抗阻训练联合 MIT 护理能够改善膝关节功能,促进膝关节活动度改善,并提升步态平衡及稳定性。

Abstract

Abstract: Objective To explore the effect of using staged resistance training and motor imagery training (MIT) nursing in patients after knee replacement surgery. Methods A total of 98 patients who underwent knee replacement surgery and were admitted to our hospital from July 2022 to October 2024 were selected. They were randomly divided into the intervention group (n=49) and the control group (n=49). Both groups received routine rehabilitation training, the control group was additionally given MIT, while the intervention group received staged resistance training combined with MIT. knee function gait stability and balance, and knee range of motion were compared between the two groups. Results After intervention, the Hospital for Special Surgery (HSS) scores in both groups were increased (P<0.05), while the HSS scores in the intervention group were significantly higher than those in the control group (P<0.05). After intervention, the step frequency and berg balance scale (BBS) scores in both groups were increased (P<0.05), and the step length was prolonged (P<0.05), compared to the control group, the intervention group had higher step frequency and BBS scores (P<0.05), and longer step length (P<0.05). After intervention, the extension angle of the knee joints in both groups was decreased (P<0.05), and the flexion angle was increased (P<0.05), compared to the control group, the extension angle of the knee joints in the intervention group was smaller (P<0.05), and the flexion angle was larger (P<0.05). Conclusion The application of staged resistance training combined with MIT nursing in patients after knee replacement surgery can improve knee joint function, promote improvement in knee joint range of motion, and enhance gait balance and stability.

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[1]李洋,田荣娜,孙丹丹.阶段性抗阻训练联合运动表象训练在膝关节置换术后护理中的应用[J],2025,01(06):.