《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (11): 1082-1084.

• 论文 • 上一篇    下一篇

综合康复对深度烧伤后膝关节僵硬及腘窝挛缩患者日常生活活动能力及膝关节功能的影响

陈晁1，刘四文2，石芝喜2   

  1. 1.国家电网公司职业病防治院，浙江建德市311600；2.广东省工伤康复中心，广东广州市510970。
  • 收稿日期:2012-02-11 修回日期:2012-10-22 出版日期:2012-11-25 发布日期:2012-11-25

Effect of Comprehensive Rehabilitation on Activities of Daily Living and Knee Function for Patients with Knee Ankylosis and Contracture of Popliteal Fossa after Severe Burn

CHEN Chao, LIU Si-wen, SHI Zhi-xi.   

  1. State Grid Corporation Occupational Disease Hospital,Jiande 311600, Zhejiang, China
  • Received:2012-02-11 Revised:2012-10-22 Published:2012-11-25 Online:2012-11-25

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摘要： 目的探讨综合康复对深度烧伤后膝关节僵硬及腘窝挛缩患者日常生活活动能力(ADL)及膝关节功能的影响。方法35 例下肢深度烧伤患者(包括腘窝周围皮肤烧伤)应用运动治疗、水疗、作业治疗(包括压力疗法)、理疗等方法进行综合康复。治疗前后进行功能独立性测量(FIM)、关节活动度及肌力评测。结果治疗后，患者FIM评分明显提高(P<0.01)，膝关节活动度及肌力明显提高(P<0.01)。结论综合康复能明显提高深度烧伤后膝关节僵硬及腘窝挛缩患者的ADL、膝关节活动度及肌力。

关键词: 烧伤, 康复, 膝, 日常生活活动能力, 关节活动度, 肌力

Abstract: Objective To explore the effect of comprehensive rehabilitation on patients with knee ankylosis and contracture of popliteal fossa after severe burn. Methods 35 patients with severe burn on lower limb (containing the around skin of popliteal fossa) accepted exercise therapy, hydrotherapy, occupation therapy (including pressure therapy), electrotherapy, etc. They were assessed with Functional Independence Measure (FIM), range of motion and muscle strength of knee before and after treatment. Results The scores of FIM, range of motion and muscle strength of knee improved after treatment (P<0.01). Conclusion Comprehensive rehabilitation can improve activities of daily living and function of knee after severe burn.

Key words: burn, rehabilitation, knee, activities of daily living, range of motion, muscle strength