CAJ | 학술논문

目的：比较人工全膝关节置换术（TKA）术后医生指导下患者自主化康复训练与膝关节功能训练器（CPM）机康复训练早期疗效，探讨较好的功能恢复方法。方法：收集自2011年1月至2014年12月行TKA手术的患者136例，随机分为A组和B组，A组为医生指导下患者自主化康复训练；B 组为CPM机训练。两组患者术后第1、2、4周进行膝关节屈曲活动度（ROM）、膝关节功能评分（HSS）及膝关节周径比较，结果采用独立样本t检验（SPSS19．0软件）。结果：患者术后均获得随访，随访时间4周。 A组在ROM、HSS均优于B组，P值分别为0．032、0．015，差异有统计学意义。两组在膝关节周径方面比较P 值为0．006，差异有统计学意义。结论：两组在TKA后的早期康复训练中都为行之有效的方法，但在医生指导下患者主动行膝关节周围软组织平衡训练在膝关节术后早期康复训练中更具有优势，可以有效预防膝关节粘连及改善膝关节活动度。
목적：비교인공전슬관절치환술（TKA）술후의생지도하환자자주화강복훈련여슬관절공능훈련기（CPM）궤강복훈련조기료효，탐토교호적공능회복방법。방법：수집자2011년1월지2014년12월행TKA수술적환자136례，수궤분위A조화B조，A조위의생지도하환자자주화강복훈련；B 조위CPM궤훈련。량조환자술후제1、2、4주진행슬관절굴곡활동도（ROM）、슬관절공능평분（HSS）급슬관절주경비교，결과채용독립양본t검험（SPSS19．0연건）。결과：환자술후균획득수방，수방시간4주。 A조재ROM、HSS균우우B조，P치분별위0．032、0．015，차이유통계학의의。량조재슬관절주경방면비교P 치위0．006，차이유통계학의의。결론：량조재TKA후적조기강복훈련중도위행지유효적방법，단재의생지도하환자주동행슬관절주위연조직평형훈련재슬관절술후조기강복훈련중경구유우세，가이유효예방슬관절점련급개선슬관절활동도。
Objective To compare the early efficacy of two different ways of rehabilitation exercises in total knee arthroplasty (TKA) patients. Method From January 2011 to January 2014,136 patients having undergone TKA were randomly divided into two groups. In group A , patients exercised under the guidance with doctor. In group B, patients exercised by using continuous passive movement (CPM) machine. Compared the data from the two groups including range of motion (ROM) of the knee joint, knee function score (KFS) and circumference of the knee joint, t test of independent sample was utilized in the research. Results All patientswere followed up in 4 weeks. The ROM and KFS of Group A was significantly better than Group B (P < 0.05). The knee circumference had no statistically significant difference between two groups (P> 0.05).Conclusion Group A and B are effective methods in TKA patients in early rehabilitation training. But training under the guidance of doctor has greater advantages than CPM.