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題 名 | Muscle Strength of Unilateral Osteoarthritis Patients with Total Knee Replacement--Preliminary Result=單側退化性膝關節炎病人經全人工關節置換手術之肌力評估--初步報告 |
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作 者 | 王淑芬; 林居正; 詹美華; 鄭誠功; 劉堂桂; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 20:2 1995.09[民84.09] |
頁 次 | 頁91-101 |
分類號 | 416.61 |
關鍵詞 | 全人工膝關節置換; 肌力; Total knee replacement; Muscle strength; |
語 文 | 英文(English) |
中文摘要 | 人工關節置換手術,對減少疼痛之成功率達80"以上。然而由於病人長 期疼痛及功能活動下降,所導致之肌肉萎縮。仍影響手術後之功能恢復。本研究 探討單側退化性關節病人,比較術前及術後病人患側與健側之肌力變化,IC位術 前及13位術後6個月之病人參與本實驗。術前之病人在臉彎曲30'6G度時,其膝伸 肌與膝屈肌作最大等長收縮。統計結果顯示,膝彎曲3O度時,患側膝之伸肌, 屈肌均明顯甲<0.05小於健側肌力。但當膝彎曲60度時,只有膝伸肌較健側無力 (p<0.0引,而屈肌則無顯著差異(p>0.05;。手術後之病人均接受例行之床遨物理 治療,手術後6個月之病人,伸肌肌力依然明顯小於健側(p<0.05)。但屈肌則無顯 著差異(p>0.05)當以120及180度/秒之等速測驗時,患側之伸肌與屈肌肌力仍均明 顯小於健側(p<0.05)。此外,屈肌伸肌之比值(Flexor/extensorrattio)手術後6個月之 病人在臉彎曲60度時,患側與健側有明顯差異(p<0.05)。本實驗結果,提供手術 後病人運動訓練之方向,除例行床邊物理治療外,仍可在出院後加強伸肌及快速 肌力之訓練。同時,伸肌、屈肌之比值等可作為,伸屈肌力恢復之指標。(中華 物療誌1995;20(2):91-101) |
英文摘要 | Total knee replacement (TKR) for the patients with degenerated joints and intractable pain has the rate of success over 80. However, muscle wasting resultedfrom pain and disuse remained to be a function deficit after surgery. This study wasto compare the muscle strength of involved and uninvolved knees for patients beforeand after unilateral TKR. Ten patients before and 13 patients post-6 month of unilateral TKR were included. Before surgery, the isometric peak torque were tested at 30and 60 degrees of knee flexion. Both the peak torque of the flexor and extensor of the involved leg were significantly lower than the uninvolved side at 30 degrees of kneeflexion (p<0.05). In contrast, only the extensor of the involved knee was significantlyweaker than the uninvolved knee tested at 60 degrees of knee flexion (p<0.05). Forpatients post-6 month of operation, the extensor of the involved knee was significantlyweaker than the uninvolved knee during isometric contraction at 30 or 60 degrees ofknee flexion (p<0.05). However, the peak torque of flexor at either 30 or 60 degreesof knee flexion is not significantly different between the uninvolved and involved knees.Isokinetic tests were also performed at post-operation follow-up. At the test speed of120 and 180 degrees/sec, the peak torque of flexor and extensor of the operated kneewere all significantly lower than the uninvolved leg (p<0.05). Furthermore, the hamstring/quadriceps (H/Q) ratio measured at post-6 month operation in 60 degrees ofknee flexion in the involved knee is significantly higher than the uninvolved knee. This result is valuable in designing an effective strengthening program for patients afterTKR. This result suggests that quadriceps strengthening and fast speed exercises for both flexor and extensor could be considered during the period of post operation.(JPTA ROC 1995;20(2):91-101) |
本系統中英文摘要資訊取自各篇刊載內容。