早期“跨痛阈”主动功能锻炼对膝关节周围骨折术后功能恢复的作用

[摘要] Abstract：Objective To investigate the effect of early functional training overcoming pain threshold on rehabilitation of patients after surgical treatment for fractures around knee joint. Methods   Totally 60 patients undergoing surgical treatment for fractures around knee joint were assigned to the control group and intervention group, with 30 cases in each group. The control group received routine care and functional training after operation, and the early functional training overcoming pain threshold was carried out in the intervention group. The effect of intervention on knee joint function, Barthel index assessment and range of motion(ROM)were observed and compared between two groups 3 months after operation. Results  The excellent and good rate of knee joint function was 93.33%(28/30)in the intervention group and was 76.67%(23/30), with a significant difference(P<0.05). Patients in the intervention group had a higher score of Barthel index assessment and better ROM of knee joint compared with those in the control group(P<0.01). Conclusion   Application of early functional training overcoming pain threshold may improve there habilitation of knee joint function in patients after surgical treatment for fractures around knee joint, so as to improve the activity of daily living.

[学科分类] 护理学

[关键词] 膝关节;骨折;痛阈;功能锻炼;日常生活活动能力;关节活动度;康复护理