DOI：10.12201/bmr.202511.00073

The influence of red light combined with neuromuscular electrical stimulation on the rehabilitation effect of patients after total knee arthroplasty Abstract

• 摘要：摘要 目的：探讨红光联合神经肌肉电刺激（NMES）治疗对全膝关节置换术（TKA）后患者股四头肌肌力、膝关节活动度及早期功能性活动能力恢复的影响。 方法：将60例TKA术后患者随机分为实验组与对照组，每组30例。对照组接受常规康复治疗。实验组在常规康复基础上，增加红光联合NMES治疗。两组治疗每日1次，持续至术后第5天出院。于术后当天、出院时（术后5天）及术后1月时，收集患者股四头肌肌力（Lovett 6级分级法）、关节活动度（AROM/PROM）、膝关节功能HSS评价量表以及计时起立－行走测试（TUGT）的数据。 结果： 术后当天，两组各项指标基线水平无统计学差异（P>0.05）。术后5天，实验组在股四头肌肌力、膝关节AROM与PROM、HSS总分及各分项评分、TUGT用时上均显著优于对照组（均P<0.05）。术后1个月，实验组在上述所有指标的改善程度上继续显著优于对照组（均P<0.001）。 结论：在TKA术后早期，应用红光联合NMES治疗的康复方案，能有效加速股四头肌肌力恢复，改善膝关节活动度，提升整体功能状态及活动能力，是一种高效的值得采用的临床康复方案。

  关键词： 全膝关节置换术; 神经肌肉电刺激; 红光治疗; 康复

   

  Abstract: Objective: To explore the effect of red light combined with neuromuscular electrical stimulation (NMES) therapy on the recovery of quadriceps muscle strength, knee joint range of motion and early functional activity ability in patients after total knee arthroplasty (TKA). Methods: Sixty patients after TKA were randomly divided into the experimental group and the control group, with 30 patients in each group. The control group received conventional rehabilitation treatment. The experimental group received red light combined with NMES therapy in addition to the conventional rehabilitation. Both groups received treatment once a day and continued until discharge on the 5th day after surgery. Data on quadriceps muscle strength (Lovett 6-level classification method), joint range of motion (AROM/PROM), knee joint function HSS evaluation scale, and timed standing-walking test (TUGT) were collected on the day of surgery, at discharge (5 days after surgery), and 1 month after surgery. Results: On the day of surgery, there was no statistically significant difference in the baseline levels of all indicators between the two groups (P > 0.05). On the 5th day after surgery, the experimental group showed significant superiority over the control group in quadriceps muscle strength, knee joint AROM and PROM, HSS total score and each sub-item score, and TUGT time (all P < 0.05). One month after surgery, the experimental group continued to show significant superiority over the control group in the improvement of all indicators (all P < 0.001). Conclusion: In the early stage after TKA, the rehabilitation program combining red light and NMES treatment can effectively accelerate the recovery of quadriceps muscle strength, improve knee joint range of motion, enhance overall functional status and activity ability, and is an efficient and worthy clinical rehabilitation program.

  Key words: Total knee arthroplasty; Neuromuscular electrical stimulation; Red light therapy; Rehabilitation

  提交时间：2026-01-13

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• 序号	提交日期	编号	操作
  1	2025-11-21	10.12201/bmr.202511.00073V1	下载

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