运动表象训练对膝关节单髁置换术后膝关节功能的效果

doi:10.3969/j.issn.1006-9771.2023.07.001

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (7): 745-749.doi: 10.3969/j.issn.1006-9771.2023.07.001

• 专题运动系统功能康复 • 上一篇下一篇

运动表象训练对膝关节单髁置换术后膝关节功能的效果

李子怡¹, 宋为群¹(), 杜巨豹¹, 曹光磊¹, 张艳明¹, 李冉²

1.首都医科大学宣武医院，北京市 100053
2.首都医科大学附属复兴医院，北京市 100038

收稿日期:2023-02-13 修回日期:2023-05-22 出版日期:2023-07-25 发布日期:2023-08-30
通讯作者: 宋为群，女，博士，教授、主任医师，博士研究生导师。E-mail： songwq66@163.com
作者简介:李子怡(1987-)，女，汉族，河北张家口市人，治疗师，主要研究方向：膝关节置换术及骨折的骨科康复一体化康复、神经康复。
基金资助:
北京市优秀人才青年骨干个人项目(2018000020124G141)

Effect of motor imagery on knee function after unicompartmental knee arthroplasty

LI Ziyi¹, SONG Weiqun¹(), DU Jubao¹, CAO Guanglei¹, ZHANG Yanming¹, LI Ran²

1. Xuanwu Hospital, Capital Medical University, Beijing 100053, China
2. Fuxing Hospital Affiliated to Capital Medical University, Beijing 100038, China

Received:2023-02-13 Revised:2023-05-22 Published:2023-07-25 Online:2023-08-30
Contact: SONG Weiqun, E-mail: songwq66@163.com
Supported by:
Beijing Excellent Talents Foundation(2018000020124G141)

摘要/Abstract

摘要：

目的探究运动表象训练(MI)改善膝关节单髁置换术(UKA)后膝关节功能的效果。

方法选择2022年1月至9月在宣武医院首次行UKA的患者32例，随机分为对照组和试验组各16例，两组均行常规康复，试验组另行MI，至出院后4周。治疗前后分别采用牛津大学膝关节评分(OKS)、疼痛视觉模拟量表(VAS)、膝关节活动度(ROM)、计时起立-行走测试(TUGT)进行评定。

结果治疗后，除对照组ROM无明显变化外，两组各项指标均有改善(|t| > 2.517, P < 0.05)；除VAS评分外，试验组其他指标均明显优于对照组(F > 7.999, P < 0.01)。

结论 MI能有效改善UKA术后早期患者的膝关节功能，对早期疼痛的改善不明显。

关键词: 膝关节单髁置换术, 运动表象, 康复

Abstract:

Objective To explore the effect of motor imagery (MI) on knee function after unicompartmental knee arthroplasty (UKA).

Methods From January to September, 2022, 32 patients underwent UKA for the first time in Xuanwu Hospital were randomly divided into control group (n = 16) and experimental group (n = 16). All the patients accepted routine rehabilitation, and the experimental group accepted MI in addition, until four weeks after discharge. They were assessed with Oxford Knee Score (OKS), Visual Analogue Scale for pain (VAS), range of motion (ROM) of knee, and Timed Up and Go Test (TUGT) before and after treatment.

Results All the indexes improved after treatment (|t| > 2.517, P < 0.05), except ROM in the control group; and they improved more in the experimental group than in the control group (F > 7.999, P < 0.01), except the VAS score.

Conclusion MI can further improve the knee function after UKA, but do less for pain.

Key words: unicompartmental knee arthroplasty, motor imagery, rehabilitation

中图分类号:

R684.3

李子怡, 宋为群, 杜巨豹, 曹光磊, 张艳明, 李冉. 运动表象训练对膝关节单髁置换术后膝关节功能的效果[J]. 《中国康复理论与实践》, 2023, 29(7): 745-749.

LI Ziyi, SONG Weiqun, DU Jubao, CAO Guanglei, ZHANG Yanming, LI Ran. Effect of motor imagery on knee function after unicompartmental knee arthroplasty[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 745-749.

图/表 5

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表5

参考文献 31

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组别	n	性别 (男/女)/n	年龄/岁	手术侧 (左/右)/n
对照组	16	3/13	70.33±5.94	7/9
试验组	16	4/12	70.47±7.43	8/8
χ²/t值		0.183	0.314	0.125
P值		0.669	0.756	0.723

组别	n	治疗前	治疗后	t值	P值
对照组	16	30.81±7.43	26.27±7.16	3.184	0.006
试验组	16	34.06±4.57	19.60±4.29	19.044	< 0.001
F值		2.221	9.835
P值		0.147	0.004

组别	n	治疗前	治疗后	t值	P值
对照组	16	3.94±0.93	1.88±1.31	8.267	< 0.001
试验组	16	4.31±0.87	1.19±1.38	8.097	< 0.001
F值		1.385	2.093
P值		0.249	0.158

组别	n	治疗前	治疗后	t值	P值
对照组	16	106.3±11.45	106.56±8.70	-0.065	0.949
试验组	16	107.9±8.34	115.00±8.16	-2.517	0.024
F值		0.194	7.999
P值		0.663	0.008

组别	n	治疗前	治疗后	t值	P值
对照组	16	9.56±1.68	8.72±1.20	3.354	0.004
试验组	16	9.46±1.60	7.57±0.81	5.564	< 0.001
F值		0.031	10.144
P值		0.861	0.003

运动表象训练对膝关节单髁置换术后膝关节功能的效果

Effect of motor imagery on knee function after unicompartmental knee arthroplasty

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