Effect of Proprioception and Balance Training Combined with Continuous Nursing on BBS Score and HSS Score of Patients Undergoing Total Knee Arthroplasty

Abstract

Background. Total knee arthroplasty is one of the most effective methods for the treatment of end-stage knee osteoarthritis, but 10% of patients still show insufficient function, strength, and mobility. Continuous nursing service plays an important role in the rehabilitation of patients undergoing total knee arthroplasty. For discharged and convalescent patients, the traditional follow-up model cannot solve the nursing problems of discharged patients. How to meet the health needs of discharged patients under the limited nursing resources has become an existing problem. Objective. To explore the effect of proprioception and balance training combined with continuous nursing on Berg balance scale (BBS) score and Hospital for Special Surgery (HSS) score of patients undergoing total knee arthroplasty (TKA) is the objective of this study. Methods. Sixty patients undergoing TKA in our hospital from December 2019 to April 2021 were enrolled. The patients were randomly assigned into the control group and the study group. The control group received continuous nursing, and the study group received proprioception and balance training combined with continuous nursing. Results. The nursing satisfaction of the study group was higher than that of the control group ( P < 0.05 ). The HSS scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were higher than those in the control group ( P < 0.05 ). It was higher in the study group than in the control group at 1 month, 3 months, and 6 months after discharge ( P < 0.05 ). The pain catastrophizing score of the study group at discharge was lower than that of the control group at 1 month, 3 months, and 6 months after discharge ( P < 0.05 ). The BBS scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were higher than those in the control group ( P < 0.05 ). The Lindmark balance scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were lower than those in the control group ( P < 0.05 ). Conclusion. Proprioception and balance training combined with continuous nursing can effectively promote the recovery of knee joint function of patients after TKA, enhance patients’ pain catastrophizing grade, enhance patients’ quality of life, effectively promote patients’ knee joint function and BBS score, and promote the improvement of disease.

A Nurse-Led App-Based Home Exercise Program After Total Knee Arthroplasty

“…Fourth, satisfaction with nursing care was significantly higher in the intervention group than in the control group. This finding aligns with that of previous studies that have indicated enhanced satisfaction following postoperative management education for patients with TKA (Lin et al, 2022; Timmers et al, 2019). Twelve weeks after discharge, interventions involving continued app push notifications and exercise feedback may play a beneficial role in ensuring the continuity of nursing care.…”

Efficacy and safety of continuous nursing in improving functional recovery after total hip or knee arthroplasty in older adults: A systematic review

“…At present, the evaluation of the effect of continuous nursing is mainly focused on the clinical results and the functional assessment of older people [ [39] , [40] , [41] ]. Our results show that continuous nursing not only promoted physical rehabilitation of the hip and knee joints but also played a positive role in daily living ability.…”

Enhanced recovery after surgery combined with quantitative rehabilitation training in early rehabilitation after total knee replacement: a randomized controlled trial

“…The Hospital for Special Surgery (HSS) 21 scoring system was used to collect HSS knee scores from both groups before surgery and two weeks, three months, and 12 months after surgery to evaluate the functional recovery of the knee joint. The score includes pain (30 points), function (22 points), mobility (18 points), muscle strength (10 points), flexion deformity (10 points), and stability (10 points).…”

“…Sample size calculations were based on data from previous studies, 21 and we expected a difference of 85±4.1 between groups in the conventional rehabilitation group at 12 months. At α=0.05, the difference in HSS scores between the quantitative rehabilitation training group and the conventional rehabilitation training group at 12 months postoperatively was tested at approximately 5.2.…”