摘要
对院内康复治疗和院外锻炼对股骨干骨折术后病人及不同康复时机对下肢骨折术后病人膝关节活动范围的影响进行临床观察，结果表明：康复治疗组术后１２个月时患肢膝关节活动范围为１２９．２９°±２５．８６°，对照组为６２．１２°±４８．３９°，两组差异非常显著（Ｐ＜０．０１）；在本组病例中下肢骨折术后１２个月时膝关节活动范围的改善与术后开始康复治疗间隔时间呈显著负相关（ｒ＝－０．７３，Ｐ＜０．０１）。说明下肢骨折术后康复治疗在改善制动后膝关节功能方面明显优于自行锻炼，康复治疗得越早，效果越明显。
The effects of
rehabilitation on the mobility of knee joints in the inpatients and
out patients with femurus fracture and immobilization was studied.The
results showed:1.rehabilitation in hospitalized group achieved an
average of 129.29°f knee flexion at 1 2 months
postoperation,exercise at home group average of 62.12°at 12～36
months postoperation. There was significant difference in knee joint
ROM between the two groups. Rehabilitation group had an advantage
over exercise group in recovery of knee joint after immobilization.2,
In 35 cases who had undergone lower extremity fracture,significant
negative correlective coefficient was obtained for recovery of knee
joint ROM at 12 months postoperation and a period of delay to
beginning the rehabilitation(r=-0.73,P<0.01).It means that the
shorter the period,the better recovery of knee joint ROM. The result
of this study suggest that patients who undergo immobitization after
operation had better be introduced to rehabilitation department as
earlier as possible. Author’s address:Rehabilitation Medicine
Department,Xinan Hospital,The Third Military Medical
University,630010
出处
《中国康复医学杂志》
CAS
CSCD
1995年第4期161-164,共4页
Chinese Journal of Rehabilitation Medicine
关键词
下肢
骨折
制动
膝关节
活动范围
康复治疗
Lower extremity
fracture
Immobilization
Range of motion of knee joint
