虚拟情景游戏训练改善膝骨关节炎患者全膝关节置换术后平衡功能及焦虑抑郁的效果

Effect of virtual scenario game training on balance function and anxiety and depression of patients with knee osteoarthritis after total knee arthroplasty

目的探讨虚拟情景游戏训练对膝骨关节炎患者全膝关节置换术后平衡功能及焦虑、抑郁的影响。方法选择88例膝骨关节炎全膝关节置换术后患者,随机分为研究组和对照组,各44例。对照组采用常规康复治疗,研究组在对照组基础上进行虚拟情景游戏训练。两组均在治疗前、治疗2周及治疗2个月后,采用膝关节协会评分(KSS)评价膝关节功能,采用Berg平衡量表(BBS)评定患者总体平衡功能,采用BIODEX平衡测试系统测量静态跌倒风险指数(SFI)、动态跌倒风险指数(DFI)及姿势稳定极限性(LOS)。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者焦虑、抑郁进行评定。结果两组患者训练后KSS评分均明显高于训练前,且训练2个月效果优于2周(P<0.05);训练后同一时间点,研究组患者KSS评分均优于对照组(P<0.05)。两组患者训练后平衡功能各项评分均优于训练前,且研究组优于对照组(P<0.05)。两组患者训练后SAS、SDS评分均低于训练前,且训练2个月效果优于2周;训练后同一时间点,研究组患者SAS、SDS评分均低于对照组(P<0.05)。结论虚拟情景游戏训练可在常规干预基础上进一步提高全膝关节置换术术后患者的平衡功能,缓解其焦虑、抑郁情绪。

Objective To explore the effect of virtual scenario game training on balance function and anxiety and depression of patients with knee osteoarthritis after total knee arthroplasty.Methods Eighty patients with knee osteoarthritis after total knee replacement were randomized into the study and control groups(44 patients in each group).The patients in the control group received routine rehabilitation treatment,and the patients in the study group received the virtual scenario game training based on the routine rehabilitation treatment.The keen society score(KSS)was used to evaluate the knee function,the Berg balance scale(BBS)was used to evaluate the balance function,and the BIODEX system was used to measure the static fall risk index(SFI),dynamic fall risk index(DFI),and limit of stability(LOS)of patients.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were used to evaluate the anxiety and depression of patients.Results The KSS scores were higher after training than before training in the two groups,and it was higher 2 months than 2 weeks after training(P<0.05),and the effect was better in the study group(P<0.05).The scores of balance function were improved after training in the two groups,and the effect was better in the study group(P<0.05).The SAS,SDS scores were lower after training than before training,and it was higher 2 months than 2 weeks after training(P<0.05),and the effect was better in the study group(P<0.05).Conclusion The virtual scenario game training can further improve the balance function of patients and reduce the anxiety and depression of patients with knee osteoarthritis after total knee arthroplasty based on routine rehabilitation treatment.