Effects of foot intrinsic muscle strengthening training on knee function after total knee arthroplasty
10.3969/j.issn.1001-1242.2024.09.006
- VernacularTitle:足内在肌强化训练对全膝关节置换术后膝关节功能的影响
- Author:
Wei WANG
1
;
Ce WANG
;
Yan NAN
Author Information
1. 天津市天津医院康复科,天津市,300211
- Keywords:
total knee arthroplasty;
foot intrinsic muscle training;
gait analysis;
knee osteoarthritis;
rehabilitation
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(9):1282-1287
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of foot intrinsic muscle strengthening training on knee function and gait in patients after total knee arthroplasty(TKA). Method:Eighty-two patients with unilateral severe knee osteoarthritis were randomly divided into treatment group(n=41)and control group(n=41).The control group received routine rehabilitation treatment after knee re-placement,while the treatment group received additional foot intrinsic muscle strengthening exercises alongside standard rehabilitation.Functional outcomes were evaluated preoperatively and at 12 weeks postoperatively us-ing the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC).Balance function was as-sessed using the Berg Balance Scale(BBS)and the Modified Falls Efficacy Scale(MFES).Gait analysis was per-formed using portable intelligent gait analysis equipment. Result:After 12 weeks of rehabilitation,the study group showed significantly better outcomes in WOMAC scores,MFES scores and BBS than those in the control group(P＜0.05).The single leg support time,step speed and step length of the operative limb in the treatment group were significantly improved compared with the control group(P＜0.05). Conclusion:Twelve weeks of foot intrinsic muscle strengthening exercises post-TKA can improve physical func-tion,balance ability,and gait in patients.
