CPM治疗仪结合本体感觉训练对膝关节周围骨折术后患者膝关节功能的影响

Effect of CPM Therapy Instrument Combined with Proprioceptive Training on Knee Function of Patients after Peri-Knee Fracture Surgery

目的分析持续被动运动(CPM)治疗仪结合本体感觉训练在膝关节周围骨折术后患者中的应用效果.方法选择2020年7月—2022年6月该院收治的86例膝关节周围骨折术后患者为研究对象,按随机数字表法分为两组,各43例.对照组采用常规康复训练,观察组采用CPM治疗仪结合本体感觉训练,均连续训练3个月.对比两组膝关节功能、疼痛程度、生活质量.结果训练3个月后,观察组Lysholm膝关节功能评定量表评分(79.83±6.20)分、生活质量综合评定问卷中心理功能评分(81.47±3.95)分、躯体功能评分(78.49±3.71)分、社会功能评分(80.63±3.75)分、物质生活状态评分(81.47±4.18)分均高于对照组的(71.36±4.38)分、(73.21±3.46)分、(70.71±3.16)分、(72.49±3.18)分、(72.68±3.30)分,疼痛视觉模拟评分(1.23±0.25)分低于对照组的(2.71±0.46)分,组间差异有统计学意义(P<0.05).结论CPM治疗仪结合本体感觉训练在膝关节周围骨折术后患者中的应用效果显著,可有效减轻疼痛,促进膝关节功能恢复,改善生活质量.

Objective To analyze the application effect of continuous passive motion(CPM)therapy instrument combined with proprioceptive training in postoperative patients with peri-knee fracture.Methods 86 patients after peri-knee fracture surgery treated in this hospital from July 2020 to June 2022 were selected as the research objects and divided into two groups according to random number table method,with 43 cases in each group.The control group received routine rehabilitation training,and the observation group received CPM therapy instrument combined with proprioceptive training.Both groups were trained continuously for 3 months.Knee function,degree of pain and quality of life were compared between the two groups.Results After 3 months of training,the score of Lysholm knee score scale and the scores of mental function,somatic function,social function,and material life status in the generic quality of life inventory-74 of the observation group were(79.83±6.20)points,(81.47±3.95)points,(78.49±3.71)points,(80.63±3.75)points,and(81.47±4.18)points,respectively,which were higher than(71.36±4.38)points,(73.21±3.46)points,(70.71±3.16)points,(72.49±3.18)points,and(72.68±3.30)points in the control group,the pain visual analogue scale score of the observation group was(1.23±0.25)points,which was lower than(2.71±0.46)points of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion CPM therapy instrument combined with proprioceptive training is effective in postoperative patients with peri-knee fractures,which can effectively reduce pain,promote functional recovery of the knee and improve quality of life.