摘要
目的:探索强化整体感觉训练在前交叉韧带重建术后早期康复的应用价值。方法:选取前交叉韧带重建术后康复治疗患者87例,随机分为常规组28例、本体组29例和整体组30例。3组患者均接受常规康复治疗,本体组增加术后早期坐位本体感觉训练,整体组增加术后早期坐位本体感觉训练和触、温觉训练。治疗2及6周后,比较患者关节位置重现角度差值;治疗前、治疗2周和6周后,采用Berg平衡量表(BBS),Lysholm膝关节评分量表对患者进行评估,并比较康复过程中不良事件发生情况。结果:3组治疗6周后关节位置重现角度差值均明显小于治疗2周后(P<0.05),治疗2及6周后整体组和本体组关节位置重现角度差值均明显小于常规组(P<0.05),整体组与本体组比较无统计学差异;3组治疗2周和6周后BBS和Lysholm膝关节评分均高于治疗前(P<0.05),3组治疗6周后BBS和Lysholm膝关节评分高于治疗2周后(P<0.05);治疗2及6周后整体组和本体组BBS和Lysholm膝关节评分均高于常规组(P<0.05);治疗6周后整体组BBS和Lysholm膝关节评分明显高于本体组(P<0.05);治疗2周后整体组BBS和Lysholm膝关节评分与本体组比较无统计学差异。康复治疗中,3组不良事件总数发生率无统计学差异。结论:强化整体感觉训练能有效改善前交叉韧带重建术后早期患者本体感觉、平衡、运动控制等能力,促进膝关节功能加速康复,安全性好,值得推广应用。
Objective:To explore the application value of strengthening comprehensive sensory training in early rehabilitation after anterior cruciate ligament reconstruction.Methods:87 patients who underwent anterior cruciate ligament reconstruction were selected and randomly divided into the conventional group(28 patients),the proprioceptive group(29 patients),and the comprehensive group(30 patients).All patients received conventional rehabilitation.The proprioceptive group received additional early postoperative seated proprioception training,and the comprehensive group received additional early postoperative seated proprioception training and tactile and thermal sensation training.At 2 and 6 weeks after treatment,the angle difference in joint position reproduction was compared.Before treatment,2 and 6 weeks after treatment,the Berg balance scale(BBS)and the Lysholm knee scale score were used to evaluate the patients,and the incidence of adverse events during rehabilitation was compared.Results:After 6 weeks of treatment,the angle difference in joint position reproduction of all 3 groups was significantly smaller than that after 2 weeks of treatment(P<0.05).At 2 weeks and 6 weeks of treatment,the angle difference in joint position reproduction of the comprehensive group and the proprioceptive group was significantly smaller than that of the conventional group(P<0.05),but there was no statistical difference between the comprehensive group and the proprioceptive group.At 2 weeks and 6 weeks of treatment,the BBS and Lysholm knee scale scores of all 3 groups were higher than those before treatment(P<0.05),and the BBS and Lysholm knee scale scores of the 3 groups after 6 weeks of treatment were higher than those after 2 weeks of treatment(P<0.05).The BBS and Lysholm knee scale scores of the comprehensive group and the proprioceptive group were significantly higher than those of the conventional group at 2 weeks and 6 weeks of treatment(P<0.05).At 6 weeks of treatment,the BBS and Lysholm knee scale scores of the comprehensive g
作者
刘东杰
唐迪
王昊
劳琦
李月
彭浩南
帅超
Liu Dongjie;Tang Di;Wang Hao(DaLian Rehabilitation Recuperation Center of Joint Logistics Support Force of PLA,DaLian 116013,China)
出处
《中国康复》
2024年第12期741-745,共5页
Chinese Journal of Rehabilitation
基金
联勤保障部队大连康复疗养中心科技创新培育课题(DL23CXPY09)。
关键词
整体感觉训练
前交叉韧带重建术
早期康复
comprehensive sensory training
anterior cruciate ligament reconstruction
early rehabilitation
