CAJ | 학술논문

目的：观察悬吊训练在膝关节置换术后康复中的作用。方法46例膝关节置换术后患者，随机分为悬吊训练(SET)组(n=23)和持续被动运动训练(CPM)组(n=23)。CPM组给予持续被动运动训练，SET组给予悬吊训练。术前、术后15 d、术后3个月采用膝关节活动度(ROM)、膝关节功能量表(HSS)和姿势控制能力进行评估。结果术后15 d，SET组患者的膝关节最大被动屈曲角度比CPM组增加6.0°(95%CI=0.9°~11.2°；P<0.01)，膝关节最大主动屈曲角度比CPM组增加5.7°(95%CI=0.4°~9.1°；P<0.01)；但两组最大主动伸展角度、最大被动伸展角度、HSS评分(除活动度外)、姿势控制能力均无显著性差异(P>0.05)。术后3个月，两组间所有评估项目均无显著性差异(P>0.05)。结论 SET在短期内增加膝关节ROM比CPM更有效，可以用于膝关节置换术后的早期康复。
목적：관찰현조훈련재슬관절치환술후강복중적작용。방법46례슬관절치환술후환자，수궤분위현조훈련(SET)조(n=23)화지속피동운동훈련(CPM)조(n=23)。CPM조급여지속피동운동훈련，SET조급여현조훈련。술전、술후15 d、술후3개월채용슬관절활동도(ROM)、슬관절공능량표(HSS)화자세공제능력진행평고。결과술후15 d，SET조환자적슬관절최대피동굴곡각도비CPM조증가6.0°(95%CI=0.9°~11.2°；P<0.01)，슬관절최대주동굴곡각도비CPM조증가5.7°(95%CI=0.4°~9.1°；P<0.01)；단량조최대주동신전각도、최대피동신전각도、HSS평분(제활동도외)、자세공제능력균무현저성차이(P>0.05)。술후3개월，량조간소유평고항목균무현저성차이(P>0.05)。결론 SET재단기내증가슬관절ROM비CPM경유효，가이용우슬관절치환술후적조기강복。
Objective To observe the effect of sling exercise therapy (SET) on rehabilitation after knee arthroplasty. Methods 46 pa-tients after knee arthroplasty were randomly divided into experimental group (n=23) and control group (n=23). The control group received continuous passive motion (CPM) training, while the experimental group received SET. They were evaluated with range of motion (ROM) of the knee, Hospital for Special Surgery Knee Score (HSS) and posture control ability before, 15 days and 3 months after operation. Re-sults 15 days after operation, the maximal passive knee flexion was 6.0° more in the SET group than in the CMP group (95%CI=0.9°~11.2°;P<0.01), and the maximal active knee flexion was 5.7° more in the SET group than in the CMP group (95%CI=0.4°~9.1°;P<0.01);howev-er, there was no significant difference in the maximal active knee extension, the maximal passive knee extension, HSS and posture control ability between 2 groups (P>0.05). 3 months after operation, there was no significant difference in all the items between 2 groups (P>0.05). Conclusion Compared with CPM, SET might be more effective on increasing knee ROM in the short-term, and could be used as an effec-tive intervention for patients after knee arthroplasty at the early stage.