Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2026; 5: (4) ; 10.12208/j.jacn.20260190 .
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十堰市太和医院 湖北医药学院 湖北十堰
*通讯作者： 秦秀娟,单位：十堰市太和医院 湖北医药学院 湖北十堰; ；
目的 探讨人工智能步态分析联合康复指导在膝关节置换术患者术后行走功能恢复中的应用效果，为临床优化术后康复方案提供科学依据。方法 选取2024年1月-2024年12月本院94例膝关节置换术患者，随机分为观察组和对照组各47例。对照组实施常规术后康复指导，观察组在其基础上联合人工智能步态分析开展个性化康复指导，均干预12周。对比两组干预效果。结果 干预前两组各指标比较无统计学差异（P>0.05）；干预12周后，观察组步速、步长、步频及HSS、FAC、ADL评分均显著高于对照组（P<0.05），术后并发症发生率显著低于对照组（P<0.05）。结论 人工智能步态分析联合康复指导可精准评估患者术后步态异常，制定个性化康复方案，有效改善步态参数，提升膝关节及行走功能，提高日常生活活动能力，降低术后并发症，促进术后康复，临床应用价值较高
Objective To explore the application effect of artificial intelligence gait analysis combined with rehabilitation guidance in the recovery of walking function after knee arthroplasty, and to provide a scientific basis for optimizing the postoperative rehabilitation plan in clinical practice. Methods 94 patients who underwent knee arthroplasty in our hospital from January 2024 to December 2024 were selected and randomly divided into the observation group and the control group, with 47 cases in each group. The control group received routine postoperative rehabilitation guidance, while the observation group received personalized rehabilitation guidance based on artificial intelligence gait analysis, and both groups were intervened for 12 weeks. The intervention effects of the two groups were compared. Results Before the intervention, there was no statistically significant difference in each index between the two groups (P>0.05); after 12 weeks of intervention, the walking speed, step length, step frequency, HSS, FAC, and ADL scores of the observation group were significantly higher than those of the control group (P<0.05), and the incidence of postoperative complications was significantly lower in the observation group (P<0.05). Conclusion Artificial intelligence gait analysis combined with rehabilitation guidance can accurately assess the postoperative gait abnormalities of patients, formulate personalized rehabilitation plans, effectively improve gait parameters, enhance knee joint and walking function, improve daily living activity ability, reduce postoperative complications, promote postoperative rehabilitation, and have high clinical application value.
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