Thigh and calf girth following knee injury and surgery.
Thigh and calf girth following knee injury and surgery.
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膝盖受伤和手术后的大腿和小腿围。
DOI：
10.2519/jospt.1998.27.1.9
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发表时间：
1998
期刊：
影响因子：
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通讯作者：
T. Worrell
中科院分区：
文献类型：
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作者：
M. Ross;T. Worrell
周长测量通常用于评估肌肉萎缩或关节积液。然而，人们对膝盖受伤和随后的手术后周长测量的变化知之甚少。因此，本研究的目的是比较急性和慢性膝关节损伤受试者在膝关节手术前后受累和非受累四肢的大腿和小腿围测量值。在接受研究的 40 名受试者中，22 名受试者被置于急性组（从受伤时间到术前测量时间少于 6 个月），18 名受试者被置于慢性组（从受伤时间到手术前测量时间超过 6 个月）。在手术前以及手术后开始门诊康复之前测量大腿和小腿围。对于急性组和慢性组，使用三向方差分析（ANOVA）对四肢、肌肉和时间因素进行重复测量来分析数据。对于每组，三向方差分析揭示了肢体和时间因素之间显着的双向相互作用。事后分析显示，急性组和慢性组的手术前和术后时间段内受累肢体和非受累肢体之间存在显着差异。虽然手术前后受累肢体和非受累肢体之间的大腿和小腿围测量存在差异，但两组的大部分围围测量差异在手术前都存在。根据这项研究的结果，建议对膝盖受伤和手术后的大腿和小腿进行评估和康复。
Girth measures are commonly used to assess muscle atrophy or joint effusion. Little is known, however, regarding girth measurement changes following knee injury and subsequent surgery. Therefore, the purpose of this study was to compare the thigh and calf girth measurements of involved and noninvolved extremities prior to and following knee surgery for subjects with acute and chronic knee injuries. Of the 40 subjects that were studied, 22 subjects were placed in the acute group (less than 6 months from time of injury to presurgery measurement) and 18 subjects were placed in the chronic group (greater than 6 months from time of injury to presurgery measurement). Thigh and calf girth measurements were taken prior to surgery and then prior to the initiation of outpatient rehabilitation following surgery. For the acute and chronic groups, a three-way analysis of variance (ANOVA) with repeated measures on the extremity, muscle, and time factors was used to analyze the data. For each group, the three-way ANOVA revealed a significant two-way interaction between the extremity and time factors. Post hoc analysis revealed significant differences between involved and noninvolved extremities at both the pre- and post-surgery time periods for the acute and chronic groups. While thigh and calf girth measurement differences existed between the involved and noninvolved extremities prior to and after surgery, the bulk of the girth measurement differences existed prior to surgery for both groups. Based upon the results of this study, the assessment and rehabilitation of the thigh and calf following knee injury and surgery are recommended.