CAJ | 학술논문

目的观察康复机器人辅助步行训练对全膝关节置换术后患者功能恢复的影响.方法共选取全膝关节置换术后患者40例,采用随机数字表法将其分为治疗组及对照组.2组患者均给予常规康复干预,治疗组在此基础上给予康复机器人辅助步行训练,2组患者康复治疗周期均为2周.于术前、术后2周、1个月、3个月及12个月时分别采用美国特种外科医院膝关节评分(HSS)、膝关节本体感觉评分、Berg平衡量表及6 min步行距离测试对2组患者进行疗效评定.结果术后各时间点发现治疗组HSS评分、Berg平衡量表评分、6 min步行距离等均显著优于对照组水平(P＜0.05),但膝关节本体感觉改善方面2组间差异无统计学意义(P＞0.05).结论在常规康复干预基础上联用机器人辅助步行训练,能进一步提高膝关节置换术后患者膝关节功能、平衡能力及步行功能,该疗法值得临床推广、应用.
목적 관찰강복궤기인보조보행훈련대전슬관절치환술후환자공능회복적영향.방법 공선취전슬관절치환술후환자40례,채용수궤수자표법장기분위치료조급대조조.2조환자균급여상규강복간예,치료조재차기출상급여강복궤기인보조보행훈련,2조환자강복치료주기균위2주.우술전、술후2주、1개월、3개월급12개월시분별채용미국특충외과의원슬관절평분(HSS)、슬관절본체감각평분、Berg평형량표급6 min보행거리측시대2조환자진행료효평정.결과 술후각시간점발현치료조HSS평분、Berg평형량표평분、6 min보행거리등균현저우우대조조수평(P＜0.05),단슬관절본체감각개선방면2조간차이무통계학의의(P＞0.05).결론 재상규강복간예기출상련용궤기인보조보행훈련,능진일보제고슬관절치환술후환자슬관절공능、평형능력급보행공능,해요법치득림상추엄、응용.
Objective To investigate the effects of robot-assisted walking training after total knee replacement (TKR).Methods Forty TKR patients at 1 week post-operation were randomized into a control group (n =20) and a treated group (n =20).For 2 weeks the control group accepted routine rehabilitation therapy.The treated group received the same treatment as the control group,but also walking training using a robot-assisted walking training system.The results were evaluated using the Hospital for Special Surgery knee rating scale (HSS),knee proprioception grading,Berg scores,and 6 minute walking distance in both groups.All the analyses were administered before the operation and 2 weeks,l month,3 months and 12 months after the operation.Results The treated group had significantly better HSS scores,Berg scores,and 6 minute walking distances than the control group on average.However,there was no significant difference in average knee proprioception between the two groups.Conclusion Robot-assisted walking training was significantly more effective than conventional rehabilitation alone in improving knee joint function,balance ability and walking after TKR.