髋关节置换术后定向肌群引导训练

Orientational muscle group guided training in the rehabilitation after total hip arthroplasty

摘要:

[目的] 观察定向肌群引导训练对全髋关节置换术后康复效果。[方法] 2021 年 10 月—2022 年 10 月本科行髋关节置换术患者 60 例纳入本研究，随机分为两组。其中，30 例实施定向肌群引导训练（训练组），另外 30 例采用常规康复（常规组），比较两组临床资料。[结果] 所有患者均顺利完成手术，无严重住院期间并发症。随着时间推移，两组患者疼痛 VAS 评分、Harris 评分、关节 ROM 和 Tinetti 试验的表现导向活动评估（performance oriented mobility assessment, POMA）评分均显著改善（P＜0.05）。术后 1 个月训练组在 VAS 评分 [(0.9±0.7) vs (3.3±0.9), P＜0.001]、Harris 评分 [(81.8±5.8) vs (67.2±4.3), P＜0.001]、髋关节 ROM [(94.6±9.9) vs (77.2±7.4), P＜0.001] 和 POMA 评分 [(25.3±1.4) vs (21.5±1.1), P＜0.001] 均显著优于常规组。[结论]定向肌群引导训练能够改善髋关节置换术后关节功能，增加髋关节肌肉力量及平衡能力，提高患者下床适应能力。

Abstract:

[Objective] To observe the clinical consequences of orientational muscle group guided training (OMGGT) in the early reha- bilitation of total hip arthroplasty (THA). [Methods] A total of 60 patients who were undergoing THA in our hospital from October 2021 to October 2022 were enrolled into this study and randomly divided into the two groups. Of them, 30 patients in the training group received OMGGT, while other 30 patients in the conventional group received the conventional rehabilitation training after surgery. The clinical data were compared between the two groups. [Results] All patients in both groups had THA performed successfully without serious complica- tions. The VAS for pain, Harris scores, hip range of motion (ROM) and performance-oriented mobility assessment (POMA) improved signifi- cantly over time in both groups (P＜0.05). One month postoperatively, the training group proved significantly superior to the conventional group in terms of VAS score [(0.9±0.7) vs (3.3±0.9), P＜0.001], Harris score [(81.8±5.8) vs (67.2±4.3), P＜0.001], hip ROM [(94.6±9.9) vs (77.2±7.4), P＜0.001] and POMA score [(25.3±1.4) vs (21.5±1.1), P＜0.001]. [Conclusion] The orientational muscle group guided training does improve hip function recovery after total hip arthroplasty, increase the hip muscle strength and balance ability, improve the patient's ambulation adaptability.