关节保护手术后四肢功能障碍:对病理生理学基础和缓解策略的审查
Daniel J Cognetti1, Thomas B Lynch2, Elizabeth Rich3
1Department of Orthopaedic Surgery, San Antonio Military Medical Center, 3551 Roger Brooke Drive, San Antonio, TX, 78234, USA. cognettidj@gmail.com.
Current reviews in musculoskeletal medicine
|May 27, 2023
概括
膝关节手术后四肢骨功能障碍可能会持续存在,影响恢复. 新的康复策略,如神经肌肉刺激和血流限制,有望缓解这些影响.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 膝关节保护手术可能导致持续的四头肌功能障碍 (QD).
- QD会对患者的结果产生负面影响,并恢复到活动水平.
- 病理生理学涉及关节和周围肌肉之间的复杂信号传递.
研究的目的:
- 在膝关节保护手术后表征四头肌功能障碍.
- 为了探索手术后四头肌功能障碍的病理生理学.
- 找出有希望的方法来缓解四头肌功能障碍和改善临床结果.
主要方法:
- 对膝关节手术后四头肌功能障碍的当前文献的综述.
- 分析关节变化和肌肉包膜变化之间的相互作用.
- 评估创新的术后康复策略.
主要成果:
- 四头肌功能障碍是一个复杂的问题,在手术后几个月内持续存在.
- 区域麻醉和带使用可能会对四头骨功能产生不利影响.
- 新兴的模式,如神经肌肉刺激,冷疗法和血液流量限制 (BFR) 显示出有效性.
结论:
- 彻底了解四头肌功能障碍的病理生理学对于指导术后护理和康复至关重要.
- 临床医生必须认识到QD对患者结果,再伤风险和恢复活动的重大影响.
- 创新的康复策略对于解决和最大限度地减少手术后四头肌功能障碍至关重要.
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