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已发表论文
肌肉能量技术在全膝关节置换术后膝关节功能恢复中的临床应用
Authors Xu L, Li J, Sheng Q, Wang G
Received 6 June 2025
Accepted for publication 10 September 2025
Published 14 October 2025 Volume 2025:18 Pages 5409—5416
DOI https://doi.org/10.2147/JPR.S537482
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Professor Michael A Ueberall
Ling Xu, Jingjing Li, Qing Sheng, Guangling Wang
Orthopedic Ward 3, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, 210000, People’s Republic of China
Correspondence: Guangling Wang, Department of Orthopedic Ward 3, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, People’s Republic of China, Email wangguangling@jsph.org.cn
Objective: This study aims to investigate the impact of Muscle Energy Technique (MET) on functional recovery and long-term prognosis in patients undergoing Total Knee Arthroplasty (TKA) during the early postoperative rehabilitation phase.
Methods: Eighty patients who underwent TKA from January 2021 to December 2021 at the Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, and treated by the same team of doctors were selected. The patients were computer-randomized into two groups: a control group comprising 36 patients receiving conventional rehabilitation therapy, and an experimental group comprising 42 patients receiving Muscle Energy Technique (MET) therapy.
Results: Statistically significant differences were observed between the two groups in measurements of active knee joint range of motion, HSS scores, and VAS pain scores at 3 days, 7 days, 1 month, and 3 months postoperatively (P < 0.001). No statistical difference was noted in the TUG test at 1 month postoperatively (P > 0.001), while a significant difference was observed at 3 months (P < 0.001). Compared to the control group, the MET group exhibited a 19.3% increase in knee joint activity at 3 days post-TKA. The pain score in the conventional group was 1.34 times that of the MET group. One month post-intervention, the HSS scores of the MET group were 22.2% higher than those of the control group. At 3 months postoperatively, the MET group’s HSS scores remained 14.2% higher, and the conventional group’s pain score was 3.67 times that of the MET group.
Conclusion: This preliminary study indicates that MET can enhance knee joint functionality. It demonstrated short-term efficacy in improving knee function by activating and strengthening key muscle groups, thereby improving joint mobility, muscle strength, stability, and alleviating pain.
Keywords: muscle energy technique, total knee arthroplasty, functional rehabilitation, clinical application
Orthopedic Ward 3, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, 210000, People’s Republic of China
Correspondence: Guangling Wang, Department of Orthopedic Ward 3, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, People’s Republic of China, Email wangguangling@jsph.org.cn
Objective: This study aims to investigate the impact of Muscle Energy Technique (MET) on functional recovery and long-term prognosis in patients undergoing Total Knee Arthroplasty (TKA) during the early postoperative rehabilitation phase.
Methods: Eighty patients who underwent TKA from January 2021 to December 2021 at the Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, and treated by the same team of doctors were selected. The patients were computer-randomized into two groups: a control group comprising 36 patients receiving conventional rehabilitation therapy, and an experimental group comprising 42 patients receiving Muscle Energy Technique (MET) therapy.
Results: Statistically significant differences were observed between the two groups in measurements of active knee joint range of motion, HSS scores, and VAS pain scores at 3 days, 7 days, 1 month, and 3 months postoperatively (P < 0.001). No statistical difference was noted in the TUG test at 1 month postoperatively (P > 0.001), while a significant difference was observed at 3 months (P < 0.001). Compared to the control group, the MET group exhibited a 19.3% increase in knee joint activity at 3 days post-TKA. The pain score in the conventional group was 1.34 times that of the MET group. One month post-intervention, the HSS scores of the MET group were 22.2% higher than those of the control group. At 3 months postoperatively, the MET group’s HSS scores remained 14.2% higher, and the conventional group’s pain score was 3.67 times that of the MET group.
Conclusion: This preliminary study indicates that MET can enhance knee joint functionality. It demonstrated short-term efficacy in improving knee function by activating and strengthening key muscle groups, thereby improving joint mobility, muscle strength, stability, and alleviating pain.
Keywords: muscle energy technique, total knee arthroplasty, functional rehabilitation, clinical application