行政院國家科學委員會補助專題研究計畫成果報告:手術前居家運動對人工膝關節置換患者-High flexed knee 型-功能恢復之影響
Date Issued
2002
Date
2002
Author(s)
DOI
902314B002381
Abstract
The goals of total knee
arthrolplasty are to relief the knee pain and restoration the normal knee function. The purposes of this study are: 1. To develop an home exercise protocol for training of knee range of motion before TKR. 2. To evaluate the training effect of home exercise protocol for OA patients before surgery. 3 .To investigate the motor performance (propriception, strength, range of motion, function and gait) of knee of these patients with and without home exercise before TKR and to compare the difference between these two group. The subjects are patients with osteoarthritic knee planing to receiving total knee arthroplasty in a medical center. 30 patients without home exercise and 30 with home exercise will be recruited. The initial evaluation will be arranged in
orthopedic clinics when the doctor and patient decide to have the operation. The tests include knee strength, range of motion of knee, functional status, self-paced walk and timed stair-climbing test. The patients will be evaluated with the same program again, on the day before operation to show the change in a 1-month interval. At 2-4 months
post-operation, the patients were
evaluated for the third time to
investigate the difference of the motor performance between these two groups. There were 26 cases and 19 eases complete these three trials of evaluation. The group of home exercise showed significant increasing in the range of
motion of knee flexion and decreasing in extension deficits and the pain level. In the aspect of functional evaluation, no significant differences were noted between these two groups. The results of this study revealed that home exercise could improve the range of motion of knee joint, and the pain level during motion for patients with TKR. The pr-operative home exercise program is recommended for the patients planned to receive operation with TKR.
Publisher
臺北市：國立臺灣大學醫學院物理治療學系暨研究所
Type
journal article
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