摘要
目的分析持续被动活动锻炼联合奥塔戈运动对全髋关节置换术后患者跌倒恐惧及功能康复的影响。方法选取2022年3月—2023年11月于聊城市退役军人医院行全髋关节置换术后的60例患者为研究对象,采用随机数字表法将其分为对照组和观察组,各30例。对照组采用持续被动活动锻炼干预,观察组在对照组基础上联合奥塔戈运动干预,两组患者均连续干预3个月。比较两组的跌倒恐惧情况、髋关节功能、平衡能力、生活质量及并发症发生情况。结果干预3个月后,观察组髋关节功能评分量表、Berg平衡量表、生活质量综合评定问卷各个维度评分均高于对照组,简明国际跌倒效能感量表评分低于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率为3.33%,低于对照组的26.67,差异有统计学意义(P<0.05)。结论持续被动活动锻炼联合奥塔戈运动能够有效改善全髋关节置换术后患者的髋关节功能,减轻跌倒恐惧程度,提高平衡能力,减少并发症发生风险,从而促进其生活质量提升。
Objective To analyze the effect of continuous passive activity exercise combined with Otago exercise on fall fear and functional recovery in patients after total hip replacement surgery.Methods A total of 60 patients who underwent total hip replacement surgery in Liaocheng Veterans Hospital from March 2022 to November 2023 were selected as the research objects,they were divided into a control group and an observation group according to the random number table method,with 30 patients in each group.The control group received continuous passive exercise intervention,while the observation group received combined Otago exercise intervention on the basis of the control group,both groups of patients received continuous intervention for 3 months.Compare two groups of fall fear condition,hip joint function,quality of life,and the occurrence of complications.Results After 3 months of intervention,the Harris Hip Scale,Berg Balance Scale,and various dimensions of the Generic Quality of Life Inventory-74 score of the observation group were higher than those of the control group,while the score of the Brief International Fall Efficacy Scale was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 3.33%,which was lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion Continuous passive activity exercise combined with Otago exercise can effectively improve the hip joint function of patients after total hip replacement surgery,reduce the fear of falls,reduce the risk of complications,and promote their quality of life improvement.
作者
赵志来
ZHAO Zhilai(Department of Orthopedics,Liaocheng Veterans Hospital,Liaocheng252000,China)
出处
《反射疗法与康复医学》
2024年第24期65-68,共4页
Reflexology And Rehabilitation Medicine
关键词
全髋关节置换术
持续被动活动锻炼
奥塔戈运动
跌倒恐惧
髋关节功能
Total hip replacement surgery
Continuous passive activity exercise
Otago exercise
Fall fear
Hip joint function
