股骨干骨折术后早期康复训练对膝关节功能康复的作用研究

目的探讨早期康复训练对股骨干骨折术后膝关节功能康复的作用。方法64例股骨干骨折患者随机分为治疗组和对照组,治疗组42例股骨干骨折患者术后进行早期康复治疗,包括持续被动运动、主动抗引力运动、关节屈伸运动及关节抗阻力运动、过渡性部分负重行走,直至完全负重行走。而对照组22例因条件限制无明确的康复训练计划。3个月后比较两组膝关节功能。结果治疗组经康复训练后3个月膝关节活动功能优良率88.1%,而对照组为54.6%,两者比较有显著性差异(P<0.05)。结论股骨干骨折术后行早期康复干预,可减轻肌肉萎缩及关节挛缩,有利于患肢关节功能恢复。

Effect of Early Rehabilitation Training on Functional Rehabilitation of Knee Joint after Operation of Femoral Shaft Fracture

Objective To investigate the effect of early rehabilitation training on the functional rehabilitation of knee joint after operation of femoral shaft fracture. Methods 64 cases of femoral shaft fracture were divided into the control group and experimental group randomly. The patients in experimental group received early rehabilitation training including continuous passive motion,active movement against gravity,joint flexion and joint movement against the resistance movement,partially weight bearing walking,until the full weight-bearing walking. The control group had no clear plan of rehabilitation training because of condition restriction. After 3 months function of knee joint was compared. Results The excellent and good rate was 88.1% in experimental group while 54.6% in control group,there was significant difference (P <0.05). Conclusion The early rehabilitation training has the advantage of abating muscular atrophy and joint contracture,which is the optimal method for the functional rehabilitation of knee joint.