在手术固定下肢骨折后,与长期四肢肌肉功能相关的因素
Benjamin D Brightwell1,2, Joshua J Van Wyngaarden3, Michael A Samaan2
1Department of Physical Therapy, University of Texas Medical Branch at Galveston, Galveston, Texas, USA.
Physical therapy
|August 15, 2023
概括
下肢骨折修复损害四头骨强度 手术后12个月,特别是在女性和有运动恐惧症的人群中. 有针对性的强化对于功能恢复至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 康复科学 康复科学 康复科学
- 生物力学 生物力学
背景情况:
- 在下肢骨折外科修复后,长期的四肢大腿肌肉性能和身体功能并未得到很好的定义.
- 了解这些缺陷对于优化患者康复和功能结果至关重要.
研究的目的:
- 为了研究四肢表现的四肢之间的差异,12个月后的下肢骨折的手术后固定.
- 为了确定与12个月后四头肌功能受损相关的人口,手术和心理因素.
主要方法:
- 在手术后12个月,对95名参与者进行了双边四头肌表现 (强度,扭矩发展速度,降级测试) 的评估.
- 收集了有关人口统计,手术细节和运动恐惧症的数据.
- 统计分析包括威尔科克森签名等级测试和线性回归.
主要成果:
- 在峰值扭矩,扭矩发展速度和单脚下降性能方面观察到显著的四肢间缺陷.
- 女性性别,外部固定和运动恐惧症与较差的四叉体结果有关.
- 与未受伤的四肢相比,受伤的四肢表现出明显减少的力量和功能.
结论:
- 在手术修复下肢骨折后的12个月内,四肢的性能仍然受到损害.
- 女性参与者,那些有外部固定和那些有更高的动态恐惧症的个人经历了更大的缺陷.
- 强调有针对性的四头肌强化对于改善手术后的功能性移动性至关重要.
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