Effect of rehabilitation function training on the postoperative motor function of patients with knee joint replacement

ZHAGN Yu, ZHAO Tingting, WAGN Qian, SHAO Qian

Medical Journal of the Chinese People Armed Police Forces ›› 2025, Vol. 36 ›› Issue (11) : 944-947.

PDF(902 KB)
PDF(902 KB)
Medical Journal of the Chinese People Armed Police Forces ›› 2025, Vol. 36 ›› Issue (11) : 944-947.
ORIGINAL ARTICLES

Effect of rehabilitation function training on the postoperative motor function of patients with knee joint replacement

  • ZHAGN Yu, ZHAO Tingting, WAGN Qian, SHAO Qian
Author information +
History +

Abstract

Objective To explore the effect of rehabilitation function training on the motor function of patients after knee joint replacement surgery. Methods A total of 100 patients with knee joint replacement who received intervention treatment at the First Hospital Affiliated to Medical University of PLA Air Force from January 2022 to January 2023 were included in the study, and were divided into an observation group and a control group according to different intervention methods, with 50 cases in each group. The control group received conventional rehabilitation training intervention, while the observation group received rehabilitation function training intervention. The hospital stay, postoperative ambulation time, postoperative extubation time, visual analogue scale (VAS) score, knee flexion, knee joint function (HSS) score, exercise compliance and complications of the two groups were compared and analyzed. Results Before treatment, there was no statistical difference in VAS scores, knee flexion degree or HSS scores between the two groups. The observation group showed shorter hospital stay (14.77±2.75)d, postoperative ambulation time (20.59±1.73)h, and postoperative extubation time (28.53±2.46)h compared to the control group [(18.81±2.72)d; (26.68±1.71)h; (34.49±2.57)h], with statistically significant differences (P<0.05). After intervention, the VAS score of the control group (2.49±0.23) was higher than that of the observation group (2.07±0.18), and the observation group demonstrated greater knee flexion degree (106.46±5.75) ° and HSS scores (84.18±6.23) were higher than those of the control group[ (96.45±5.49)°; (75.35±6.42)] with statistically significant difference (P<0.05). The functional exercise compliance rate of the control group (84.00%) was lower than that of the observation group (98.00%), with statistically significant difference (χ2=5.983, P<0.05). The control group exhibited a higher total complication rate, but there was no statistically significant difference between the two groups (12.00% vs. 2.00%; χ2=2.458; P>0.05). Conclusions Rehabilitation function training can improve the motor function of patients after knee joint replacement and enhance the compliance of functional exercise.

Key words

knee joint replacement / rehabilitation function training / motor function / exercise compliance / habilitation outcomes

Cite this article

Download Citations
ZHAGN Yu, ZHAO Tingting, WAGN Qian, SHAO Qian. Effect of rehabilitation function training on the postoperative motor function of patients with knee joint replacement[J]. Medical Journal of the Chinese People Armed Police Forces. 2025, 36(11): 944-947

References

[1] 段 华,范 琦,陈丽萍.老年全膝关节置换术后常规康复训练联合奥塔戈运动的效果[J]. 江苏卫生保健, 2023, 25 (5): 354-355,360.
[2] Yau L K, Henry F U, Man Hong C, et al. Swelling assessment after total knee arthroplasty[J]. J Orthop Surg (Hong Kong), 2022,30(3):102-105.
[3] 杨 阳,卢懿明. 基于健康信念模式的健康宣教对中老年膝关节置换术后患者膝关节功能恢复及锻炼依从性的影响[J]. 黑龙江医学, 2023, 47 (17): 2132-2134.
[4] Groot L, Latijnhouwers D A J M, Reijman M, et al. Recovery and the use of postoperative physical therapy after total hip or knee replacement[J]. BMC Musculoskelet Disord,2022,23(1):666-669.
[5] Gil-González S, Barja-Rodríguez R A, López-Pujol A, et al. Continuous passive motion not affect the knee motion and the surgical wound aspect after total knee arthroplasty[J]. J Orthop Surg Res, 2022,17(1):25-28.
[6] Rajgopal A, Sudarshan P, Kumar S, et al. Failure modes in malrotated total knee replacement[J]. Arch Orthop Trauma Surg, 2023,143(5):2713-2720.
[7] Johns N, Naylor J, McKenzie D, et al. Is inpatient rehabilitation a predictor of a lower incidence of persistent knee pain 3-months following total knee replacement? A retrospective, observational study[J]. BMC Musculoskelet Disord, 2022,23(1):855.
[8] Oikonomidis L, Santini A J A, Davidson J S, et al. The journey bicruciate knee replacement: design modifications yield better early functional results and reduce complications[J]. J Knee Surg, 2022,35(7):767-775.
[9] Siddiqi A, Ahmed A, Pasqualini I, et al. Intraoperative fractures sustained during total knee arthroplasty: a critical analysis review[J]. JBJS Rev, 2023,11(6):424-429.
[10] Özden F, Sari Z. The effect of mobile application-based rehabilitation in patients with total knee arthroplasty: a systematic review and meta-analysis[J]. Arch Gerontol Geriatr, 2023,113(67):105-109.
[11] 北京医学会骨科专业委员会关节外科学组,中华医学会骨科学分会关节外科学组. 中国全膝关节置换术围手术期疼痛管理指南(2022)[J]. 协和医学杂志, 2022, 13 (6): 965-985.
[12] Best M J, Amin R M, Raad M, et al. Total knee arthroplasty after anterior cruciate ligament reconstruction[J].J Knee Surg,2022,35(8):844-848.
[13] 牛中科,王 慧,郑爽爽,等. 基于骨折联络服务模式的康复护理联合目标设置训练在膝关节置换患者中的应用[J].齐鲁护理杂志, 2023,29(18):142-145.
[14] Karagüven D, Yildirim T, Akan B, et al. Supracondylar extra-articular femur fracture after cementless unicompartmental knee replacement: a rare complication[J]. Ulus Travma Acil Cerrahi Derg, 2022,28(12): 1754-1757.
[15] Hernandez-Vaquero D, Noriega-Fernandez A, Roncero-Gonzalez S, et al. Can the need for soft tissue release in total knee replacement be predicted pre-operatively? A study based on surgical navigation[J]. Int Orthop, 2022, 46 (4): 815-821.
[16] Rahman A, Martin B, Jenkins C, et al. Less pain reported 5 years after cementless compared to cemented unicompartmental knee replacement: an analysis of pain, neuropathy, and co-morbidity scores[J]. Knee Surg Sport Tr A, 2023,31(11):5180-5189.
[17] Kouhestani E, Minaei R, Salimi A, et al. The analgesic effect and safety of duloxetine in total knee arthroplasty: a systematic review[J]. J Orthop Surg (Hong Kong), 2023,31(2):102-109.
[18] Wylde V, Sanderson E, Peters T J, et al. Screening to identify postoperative pain and cross-sectional associations between factors identified in this process with pain and function, three months after total knee replacement[J]. Arthritis Care Res (Hoboken), 2022,74(5):790-798.
[19] Migliorini F, Maffulli N, Eschweiler J, et al. Tourniquet use during knee arthroplasty: a bayesian network meta-analysis on pain, function, and thromboembolism[J]. Surgeon, 2022,20(4):241-251.
[20] Blasco J M, Díaz-Díaz B, Igual-Camacho C, et al. Effectiveness of using a chatbot to promote adherence to home physiotherapy after total knee replacement, rationale and design of a randomized clinical trial[J]. BMC Musculoskelet Disord, 2023,24(1):491-494.
[21] Yang J M, Wang Y, Li J Y, et al. Duloxetine for rehabilitation after total knee arthroplasty: a systematic review and meta-analysis[J]. Int J Surg, 2023,109(4):913-924.
PDF(902 KB)

Accesses

Citation

Detail

Sections
Recommended

/