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中华关节外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (05) : 639 -642. doi: 10.3877/cma.j.issn.1674-134X.2022.05.019

临床经验

Otage运动在老年全髋关节置换术后功能锻炼的应用
肖美慧1, 屈婧1, 席明霞2,(), 蒋小剑3, 汤慧2, 彭康琳1, 陈明艳2, 向婷婷3, 李超3, 李奥4   
  1. 1. 410011 长沙,中南大学湘雅二医院临床护理教研室
    2. 410004 长沙市中心医院骨科
    3. 410208 长沙,湖南中医药大学
    4. 421001 衡阳,南华大学
  • 收稿日期:2021-01-05 出版日期:2022-10-01
  • 通信作者: 席明霞
  • 基金资助:
    湖南省卫生健康委2018年度科研计划课题(A20182004)

Application of Otage exercise in elderly patients with total hip arthroplasty

Meihui Xiao1, Jing Qu1, Mingxia Xi2,(), Xiaojian Jiang3, Hui Tang2, Kanglin Peng1, Mingyan Chen2, Tingting Xiang3, Chao Li3, Ao Li4   

  1. 1. Department of Clinical Nursing, Second Xiangya Hospital of Central South University, Changsha 410011, China
    2. Changsha Central Hospital, Changsha 410004, China
    3. Hunan University of Traditional Chinese Medicine, Changsha 410208, China
    4. University of South China, Hengyang 421001, China
  • Received:2021-01-05 Published:2022-10-01
  • Corresponding author: Mingxia Xi
引用本文:

肖美慧, 屈婧, 席明霞, 蒋小剑, 汤慧, 彭康琳, 陈明艳, 向婷婷, 李超, 李奥. Otage运动在老年全髋关节置换术后功能锻炼的应用[J/OL]. 中华关节外科杂志(电子版), 2022, 16(05): 639-642.

Meihui Xiao, Jing Qu, Mingxia Xi, Xiaojian Jiang, Hui Tang, Kanglin Peng, Mingyan Chen, Tingting Xiang, Chao Li, Ao Li. Application of Otage exercise in elderly patients with total hip arthroplasty[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(05): 639-642.

目的

探讨奥塔戈(Otage)运动对老年全髋关节置换术(THA)患者功能锻炼的影响。

方法

选取2019年11月至2020年6月长沙市中心医院接受髋关节置换术治疗符合纳排标准的68例患者作为研究对象,采用随机数字表将研究对象随机分为对照组和干预组各34例。对照组给予常规康复指导,干预组在对照组的基础上实施奥塔戈运动,两组患者于干预前、出院时、8周末测量髋关节功能(Harris)评分、平衡力的Berg平衡量表(BBS)得分,统计并发症发生率、双下肢完全负重时间及住院时长。计量资料采用t检验,计数资料采用卡方检验或Fisher精确检验,组间不同时间比较采用重复测量方差分析。

结果

干预组Harris评分出院时、8周末均高于对照组(t=3.264、4.372,均为P<0.05);干预组BBS得分出院时高于对照组(t=1.937,P>0.05),干预组BBS得分8周末高于对照组(t=5.230,P<0.05);并发症发生率、双下肢完全负重时间及住院时长低于对照组(χ2=4.660,t=3.381、2.139,均为P<0.05)。

结论

Otage运动可以提高老年THA术后患者平衡力,减少并发症的发生、双下肢完全负重时间及住院时长,对促进患者髋关节功能恢复有一定效果。

Objective

To explore the effect of Otage exercise on functional exercise in elderly patients with total hip arthroplasty (THA).

Methods

From November 2019 to June 2020, 68 patients who met the criteria for hip arthroplasty treatment in Changsha Central Hospital were selected as research subjects, and the subjects were randomly divided into the control group and the intervention group with 34 cases each using a random number table.The control group received routine rehabilitation instruction, and the intervention group carried out Otage exercise on the basis of the control group. Harris hip function (Harris hip) score, Berg balance scale (BBS) score, incidence of complications, time to full load both lower limbs and length of hospital stay were measured in both groups before intervention, at discharge, and eight weeks after intervention.The measurement data were analyed by t test, and the counting data were analyzed by chi-square test or Fisher precision test. Repeated measurement for variance was used for different time comparisons between groups.

Results

Harris scores in the intervention group were higher than those in the control group at the end of eight weeks (t=3.264, 4.372, both P<0.05). The BBS score of the intervention group was higher than that of the control group at discharge (t=1.937, P>0.05); the BBS score of the intervention group was higher than that of the control group at eight weeks (t=5.230, P<0.05); the incidence of complications, time of full lower limb loading and length of hospital stay in the intervention group were less than those in the control group (χ2=4.660, t=3.381, 2.139, all P<0.05).

Conclusion

Otage exercise can improve the balance force of elderly patients after THA, reduce the incidence of complications, the time of full load of lower limbs and the length of stay in hospital, and has a certain effect on promoting the recovery of hip function.

表1 两组一般资料比较
表2 两组患者干预前后Harris评分比较[分,(±s)]
表3 两组患者干预前后BBS评分比较[分,(±s)]
表4 两组并发症发生情况比较[例(%)]
表5 两组双下肢完全负重时间与住院时间比较[d,(±s)]
[1]
Weber M, Zeman F, Craiovan B, et al. Predicting outcome after total hip arthroplasty: the role of preoperative patient-reported measures[J/OL]. Biomed Res Int, 2019: 4909561. DOI: 10.1155/2019/4909561.
[2]
Nilsdotter AK, Petersson IF, Roos EM, et al. Predictors of patient relevant outcome after total hip replacement for osteoarthritis: a prospective study[J]. Ann Rheum Dis, 2003, 62(10): 923-930.
[3]
Monticone M, Ambrosini E, Rocca B, et al. Task-oriented exercises and early full weight-bearing contribute to improving disability after total hip replacement: a randomized controlled trial[J]. Clin Rehabil, 2014, 28(7): 658-668.
[4]
Campbell AJ, Robertson MC, Gardner MM, et al. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women[J]. BMJ, 1997, 315(7115): 1065-1069.
[5]
谷斌,张千坤,马茜,等.奥塔戈运动在国内外应用的研究进展[J].护理研究201933(20):3555-3558.
[6]
Brox WT, Roberts KC, Taksali S, et al. The American academy of orthopaedic surgeons evidence-based guide-line on management of hip fractures in the elderly[J]. J Bone Joint Surg Am, 2015, 97(14): 1196-1199.
[7]
宫伟.奥塔戈运动项目对社区老年人跌倒效能影响的研究[D].长春:吉林大学,2011.
[8]
De Luca ML, Ciccarello M, Martorana M, et al. Pain monitoring and management in a rehabilitation setting after total joint replacement [J/OL]. Medicine(Baltimore), 2018, 97(40): e12484.DOI: 10.1097/MD.0000000000012-484.
[9]
Maeda N, Urabe Y, Murakami M, et al. Discriminant analysis for predictor of falls in stroke patients by using the Berg Balance Scale[J]. Singapore Med J, 2015, 56(5): 280-283
[10]
金冬梅,燕铁斌,曾海辉.Berg平衡量表的效度和信度研究[J].中国康复医学杂志200318(1):25-27.
[11]
谢倩倩,张咏梅,宋凌霞,等.基于BCW理论的早期康复锻炼对老年全髋关节置换术后患者康复效果的影响[J].中国医药导报202017(7):181-184.
[12]
Morishima Y, Mizushima T, Yamauchi K, et al. Effects of home-based interval walking training on thighmuscle strength and aerobic capacity in female total hip arthroplasty patients: a randomized, controlled pilot study[J/OL]. PLoS One, 2014, 9(9): e108690. DOI: 10.1371/journal.pone.0108690.
[13]
刘恒,纪代红,迟迅,等.奥塔戈运动对膝关节置换术后老年患者平衡能力和害怕跌倒的影响[J].中国护理管理20191(1):133-138.
[14]
Martins A C, Santos C, Silva C, et al. Does modified Otago Exercise Program improves balance in old? Asystematic review[J]. Prev Med Rep, 2018, 11:231-239.
[15]
宗淑君,胡士丽,李璐,等.奥塔戈运动计划在人工膝关节置换术前功能锻炼的应用研究[J].护理学杂志201833(12):26-28.
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