ABSTRACT
ObjectiveTo observe the early and mid-term clinical effect of occupational therapy on patients after total knee arthroplasty (TKA) during perioperative period. MethodsFrom July to August, 2018, 100 patients who underwent the first TKA in the First Affiliated Hospital of USTC were divided into control group (n = 50) and observation group (n = 50) according to the treatment plan. Both groups received routine preoperative rehabilitation education, surgical treatment and postoperative physical therapy, in addition, the observation group received perioperative occupational therapy. They were assessed with modified Barthel Index (MBI) and Instrumental Activities of Daily Living (IADL) before operation; one, two and three days after operation; on the day of discharge; one month, three months and six months after operation. ResultsOne day, two days, one month, three months and six months after operation, the scores of MBI were higher in the observation group than in the control group (t > 2.113, P < 0.05). One month, three months after operation, the scores of IADL were significantly higher in the observation group than in the control group (t > 5.125, P < 0.001). The postoperative hospitalization time was significantly shorter (t = -5.356, P < 0.001), and the total treatment cost was lower (t = -2.455, P < 0.05) in the observation group than in the control group. ConclusionOccupational therapy could effectively improve the early and mid-term activities of daily living of TKA patients and help them return to normal life earlier.
ABSTRACT
Objective To examine the effects of trunk exercises performed using a Swiss ball on functional balance and walking in the early stage of recovering from a stroke.Metbods Sixty hemiplegic stroke patients were randomly assigned to a control group or an experimental group,each of 30.Both groups were treated with routine physical training.Those in the control group did conventional trunk exercises,while the patients in the experimental group were given trunk exercises performed using a Swiss ball.The trunk control test (TCT) and the Berg Balance Scale (BBS) were used to assess the patients' trunk and balance function.Gait and balance function training and assessment apparatus (model AL-080) was used to measure and compare the scope of movement of the patient's center of pressure in static sitting over 30 seconds (LOM),the limits of stability (LOS),velocities and a gait asymmetry index (GAI).Results Significant improvements in TCT,BBS,LOM and LOS were observed in both groups after the training,but all of the measures improved significantly more in the experimental group than in the control group.Conclusions Swiss ball trunk exercise can obviously improve the trunk control,functional balance and walking of stroke patients in the early stages of recovery.