Application of Treating Dysfunction in Knee by Rehabilitative Community

Objective:To study the effectiveness of treating dysfunction in knee by rehabilitative community.Methods:To choice 40 patients about dysfunction in knee from 2010.1 to 2012.5.When stabilized condition,beginning a rehabilitation.To divide randomly two groups(20 cases in each group).One therapist treated one patient by tradition therapy in the control group.In the experimental group,there is rehabilitative community with one therapist and many patients except tradition therapy.Before the therapy,the therapy end of 15 days,the first month,the second month and the third month,studied the changing about HAMD,ROM,VAS and Lysholm.Results:① Pre treatment,difference of the HAMD hadn't statistical significance in two groups.Before the second month end,it had statistical significance(P 0.01).In the end of third month,it hadn't statistical significance(P 0.05).②On the VAS in two groups,difference of changing in short term had statistical significance(before the first month,P0.05).In long term,it hadn't statistical significance(after the second month,P0.05,the third month,on pain).③On the AROM of flexion in knee,difference in two groups had statistical significance(P0.05),and difference of degree tendency in different time section by different therapy had statistical significance(P0.01,P0.05).Specially,degrees in experimental group fluctuated steady.On the PROM of flexion in knee,difference in two groups hadn't statistical significance(P0.05),but difference of degree tendency in different time section by different therapy had statistical significance(P0.01,P0.05),degrees in experimental group fluctuated steady.④On the ROM of extension in knee,the difference of the AROM / PROM in two groups had statistical significance in the short term(before the first month,P 0.05),it hadn't statistical significance in the long term(after second month,P0.05).⑤On the Lysholm,difference in two groups had statistical significance(P0.05),and difference of degree tendency in different time section by different therapy had statistical significance(P0.01,P0.01).Specially,experimental group changed obviously.Conclusion:The rehabilitative community was effective in treating dysfunction in knee.The effectiveness of AROM / PROM,locomotivity,psychological condition and easement of pain were improved.