Gait during hydrokinesitherapy following total knee arthroplasty
Gait during hydrokinesitherapy following total knee arthroplasty
复制标题
全膝关节置换术后水动力治疗期间的步态
DOI：
10.1080/09638280600926413
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发表时间：
2007
影响因子：
2.2
通讯作者：
F. Margutti
中科院分区：
文献类型：
--
作者：
Salvatore Giaquinto;E. Ciotola;F. Margutti
目的：获得初次全膝关节置换术（TKA）后康复患者水疗（HT）期间的步态参数。 方法：本研究采用队列前瞻性设计。 接受TKA的患者遵循HT康复计划。连续招募了22名患者。其中4人因各种原因退出，独立于HT。因此，可评价18例患者（5例男性和13例女性）。18名年龄匹配的健康志愿者为对照组。9名患者接受了右侧TKA，9名患者接受了左侧TKA。平均HT持续时间为18.4天（SD 1.4）。结果：患者基线时的平均速度为912米/小时（SD 275）。 在最后一次会话中，平均速度为1330（SD 416）m/h。手术侧平均站立时间为1.75 s（SD 0.34），非手术侧为1.83 s（SD 0.41）。相比之下，平均摆动持续时间为1.10 s（SD 0.25）的手术侧和1.13 s（SD 0.34）的非手术侧。两侧的步进持续时间相同。HT开始时，手术侧的平均站立/摆动比为1.94，而非手术侧为1.77。在对照组中，该比率为1.46。开始时平均步幅为0.526 m（SD 0.147），18次训练后平均步幅为0.556 m（SD 0.138）。在个体水平上，恢复以非线性方式发生（最佳拟合，7级傅立叶有限序列）。结论：研究设计允许在康复过程中准确定义步幅参数，从而优化程序。 提高速度和恢复平衡是HT计划的主要目标，每天都要进行监测。
Purpose. To obtain gait parameters during hydrotherapy (HT) in patients who were referred for rehabilitation after primary total knee arthroplasty (TKA). Method. The study had a cohort prospective design. Patients who had undergone TKA followed a HT rehabilitation programme. Twenty-two consecutive patients were enrolled. Four of them dropped out for various reasons, independently of HT. Therefore 18 patients could be evaluated (5 men and 13 women). Eighteen age-matched healthy volunteers were the control subjects. Nine patients had a right TKA and nine a left TKA. On the average HT duration was 18.4 days (SD 1.4). Results. The patients presented with a mean speed of 912 (SD 275) meters per hour (m/h) at the baseline. At the last session the mean speed was 1330 (SD 416) m/h. The mean stance duration was 1.75 s (SD 0.34) on the operated side and 1.83 s (SD 0.41) on the non-operated side. By contrast, the mean swing duration was 1.10 s (SD 0.25) on the operated side and 1.13 s (SD 0.34) on the non-operated side. The step duration was the same on both sides. At the beginning of HT the mean stance/swing ratio was 1.94 on the operated side, whereas it was 1.77 on the non-operated side. In the controls the ratio was 1.46. At the beginning the mean stride length was 0.526 m (SD 0.147) and the value became 0.556 (SD 0.138) after 18 training sessions. At the individual level, recovery occurred in a non-linear fashion (Best Fitting, 7th-grade Fourier finite series). Conclusions. The study design permits accurate definition of stride parameters during rehabilitation which allows optimization of the programme. Increase in speed and regain of balance are the main targets of a HT programme and are monitored on a daily basis.