Application of preoperative pre-rehabilitation in elderly patients with knee arthroplasty combined with sarcopenia
10.3760/cma.j.cn115682-20220511-02277
- VernacularTitle:术前预康复在老年膝关节置换合并肌少症患者中的应用
- Author:
Weihong ZHANG
1
;
Peixia WANG
;
Hongna MA
;
Hui ZHAO
;
Yaming TIAN
;
Huiping XU
Author Information
1. 郑州大学第一附属医院骨科三，郑州 450052
- Keywords:
Elderly;
Knee arthroplasty;
Sarcopenia;
Prerehabilitation;
Knee function
- From:
Chinese Journal of Modern Nursing
2023;29(7):867-872
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application effect of preoperative prerehabilitation in elderly patients with knee arthroplasty combined with sarcopenia.Methods:A total of 164 elderly patients who were hospitalized and underwent artificial knee arthroplasty combined with sarcopenia in Department of Orthopedics of the First Affiliated Hospital of Zhengzhou University from July 2020 to December 2021 were included by the convenient sampling method. According to random number table method, they were divided into the control group and the observation group, with 82 cases in each group. The control group received routine preoperative nursing, and the observation group received preoperative pre-rehabilitation intervention on the basis of the control group. Knee range of motion, Hospital for Special Surgery Knee Score (HSS) , skeletal muscle mass index and grip strength were evaluated before intervention and 1 month after operation. Length of stay and postoperative complications were recorded and compared between the two groups.Results:Knee range of motion, HSS of two groups at 1 month after operation were higher than those before intervention, and the differences were statistically significant ( P<0.05) . One month after surgery, the knee range of motion, HSS and grip strength of the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . The skeletal muscle mass index of the observation group was higher one month after surgery than before intervention, but the difference was not statistically significant ( P>0.05) . The hospitalization time of observation group was shorter than control group, and the difference was statistically significant ( P<0.05) . The incidence of complications in the observation group and control group was respectively 15.85% (13/82) and 39.02% (32/82) , and the difference was statistically significant ( P<0.05) . Conclusions:Preoperative rehabilitation can effectively improve the knee range of motion and joint function of elderly patients with sarcopenia after knee rarthroplasty, alleviate sarcopenia, shorten the length of hospital stay and reduce postoperative complications.
