平衡训练在膝前交叉韧带损伤重建术后康复中的应用

The Application of Balance Training in Post-operative Rehabilitation of Anterior Cruciate Ligament Injury Reconstruction of the Knee Joint

目的:探讨平衡训练在膝前交叉韧带(ACL)损伤重建术后康复中的应用效果。方法:选取2019年2月至2020年2月广州市增城区新塘医院收治的ACL损伤行交叉韧带重建术的60例患者,随机数表法分为观察组和对照组,每组30例。对照组患者在术后行常规康复训练,观察组在对照组的基础上接受平衡训练。12周后,比较两组患者的膝关节平衡及功能恢复情况,统计两组患者的满意度。结果:治疗后,观察组患者睁眼及闭眼状态下的压力中心X/Y轴、覆盖90 %椭圆区域面积和功能表面区域的轨迹长度指数(LFS)均显著低于对照组,差异具有统计学意义(P<0.05);治疗前两组患者Lysholm膝关节功能量表(LKSS)评分比较,差异无统计学意义(P>0.05),治疗后两组患者LKSS评分均较治疗前明显升高,且观察组高于对照组,差异具有统计学意义(P<0.05);观察组患者满意度为93.33 %,显著高于对照组的66.67 %,差异具有统计学意义(P<0.05)。结论:平衡训练在ACL损伤重建术后康复中的应用可明显促进患者膝关节功能和平衡的恢复,并提升患者满意度。

Objective To investigate the role of balance training in the rehabilitation of anterior cruciate ligament (ACL) injury after a knee reconstruction.Methods 60 patients who underwent ACL reconstruction surgery in Zengcheng District of Xintang Hospital Guangzhou from February 2019 to February 2020 were selected and divided into an observation group and a control group using the random number table method,with 30 patients in each group.Patients in the control group received conventional rehabilitation training after surgery,while the observation group received balance training based on the control group.12 weeks later,the balance and functional recovery of the knee joint in the two groups were compared,and the satisfaction of patients in the two groups was counted.Results After treatment,the trajectory length index (LFS) for the center of pressure X/Y axis,ellipse area covering 90%,and functional surface area with eyes open and closed in the observation group were significantly lower than those in the control group,with statistically significant differences (P < 0.05).Before treatment,there were no statistically significant differences in the Lysholm Knee Function Scale (LKSS) scores between the two groups (P > 0.05).After treatment,the LKSS scores in both groups were significantly higher than that before treatment,and the difference was statistically significant in the observation group compared to the control group (P < 0.05).The satisfaction rate of patients in the observation group was 93.33%,which was significantly higher than that of the control group (66.67%),and the difference was statistically significant (P < 0.05).Conclusion The application of balance training in post-operative rehabilitation of ACL injury reconstruction can significantly promote the recovery of patient’s knee function and balance ability,improve patient satisfaction.