本体感觉训练在关节镜下前交叉韧带重建术后患者中的应用研究

The practice research about proprioception training in the reconstruction of anterior cruciate ligament under arthroscopy

目的:探讨关节镜下前交叉韧带重建术后本体感觉训练和康复训练的方法及其效果。方法:选取2014年5月至2015年5月入住我院骨科70例关节镜下前交叉韧带重建术后患者,使用随机数字表法分成两组,实验组35人,给予本科室制定的本体感觉训练计划,对照组35人,给予常规骨科护理。出院后随访6个月。观察患者术前及6个月结束时的位置觉测定、膝关节稳定度、膝关节活动度,并且评定术前、术后3个月及6个月结束时Berg平衡量表及膝关节Lysholm评分。结果:70人均完成6个月随访。术后6个月时,实验组关节位置觉、稳定度与活动度明显高于对照组,差异有统计学意义(P<0.05)。术后3个月及6个月时,实验组Berg平衡量表评分及Lysholm评分明显高于对照组,差异有统计学意义(P<0.05)。结论:制定合理的本体感觉训练计划能帮助关节镜下前交叉韧带重建术后功能尽快恢复。

Objective：To discuss the efficiency of proprioception training methods for patients after the operation of anterior cruciate ligament reconstruction（ACL） under arthroscopy.Methods：From May 2014 to May 2015,70 patients who underwent the operation of reconstruction of ACL were randomly divided into 2 groups,35 patients for each group.Experiment group used the proprioception training methods customized by our department,the control group used the routine nursing.The patients followed up for 6 months after surgery.Position sense/stability and ROM of knees were tested before the surgery and 6 months after the surgery.The Berg balance scale and Lysholm score were tested before the surgery and 3,6 months after the surgery.Results：There were 70 patients followed up for 6 months.There were significant difference in position sense/stability and ROM between the 2 groups（P0.05） after 6 months of surgery.Three and six months after surgery,the berg balance scale and the Lysholm of experiment group was higher than that of the control group（P0.05）.Conclusion：Making a correctly and personal proprioception training planning can help patients of ACL reconstruction under arthroscopy recovery quickly.