局部理疗结合虚拟情景反馈训练在Ⅱ区指屈肌腱损伤术后康复训练中的应用效果

Application effect of local physiotherapy combined with virtual situational feedback training in postoperative rehabilitation training of finger flexor tendon injury in zoneⅡ

目的探讨虚拟情景反馈训练与局部理疗相结合在Ⅱ区指屈肌腱损伤患者术后康复中的应用效果。方法将68例于2018年3月—2021年3月收治的Ⅱ区指屈肌腱损伤患者按组间基本特征具有可比性原则分为对照组与观察组,各34例,对照组术后行常规康复训练,观察组在对照组基础上行局部理疗+虚拟情景反馈训练,比较两组患者手功能恢复情况,干预前后手部活动度、手部肌力变化及并发症发生率。结果观察组手功能恢复优良程度优于对照组,差异有统计学意义(P<0.05)。干预前,两组远端指间关节(DIP)、掌指关节(MP)、近端指间关节(PIP)活动度比较,差异无统计学意义(P>0.05),干预后,观察组DIP、MP、PIP活动度大于对照组,差异有统计学意义(P<0.05)。干预前,两组手部握力、三点捏力、侧捏力比较,差异无统计学意义(P>0.05);干预后,观察组手部握力、三点捏力、侧捏力大于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论对Ⅱ区指屈肌腱损伤术后患者实施虚拟情景反馈训练结合局部理疗,可促进手功能恢复,减少并发症的发生。

Objective To explore the application effect of the combination of virtual situational feedback training and local physiotherapy in postoperative rehabilitation of patients with fl exor tendon injury in zoneⅡ.Methods A total of 68 patients with fl exor tendon injury in zoneⅡwho were treated from March 2018 to March 2021 were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 34 cases in each group.The control group received routine rehabilitation training after operation,and the observation group received local physiotherapy combined with virtual scene feedback training on the basis of the control group to compare the recovery of hand function,the range of motion of the hand,the changes in hand muscle strength and incidence of complications before and after the intervention between the two groups.Result The recovery of hand function in the observation group was better than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Before intervention,there was no signifi cant diff erence in the range of motion of the distal interphalangeal joint(DIP),metacarpophalangeal joint(MP),and proximal interphalangeal joint(PIP)between the two groups(P>0.05).After the intervention,the DIP,MP and PIP activities of the observation group were higher than those of the control group,and the diff erences were statistically signifi cant(P<0.05).Before intervention,there was no signifi cant diff erence in the hand grip strength,three-point pinch strength and lateral pinch strength between the two groups(P>0.05).After the intervention,the hand grip strength,three-point pinch strength and lateral pinch strength of the observation group were greater than those of the control group,and the diff erences were statistically signifi cant(P<0.05).The incidence of complications of the observation group was lower than that of the control group,and the diff erence was statistically signifi cant(P<0.05).Conclusion The application of virtual situational feedback training combined with local physiotherapy for postoperative patients with fl exor tendon injury in zoneⅡcan promote the recovery of hand function and reduce the occurrence of complications.