体医融合对大学生前交叉韧带损伤康复效果的研究

Study on Rehabilitation Effect of Sports Medical Fusion on Anterior Cruciate Ligament Injury of College Students

目的 探讨体医融合的运动干预对大学生膝关节前交叉韧带损伤的康复效果,为前交叉韧带损伤的康复研究提供理论支撑。方法 苏州市首家体医融合运动康复中心的57例大学生前交叉韧带损伤患者随机分成实验组与对照组进行运动干预性康复训练,12周后,测试并对比两组受试者的关节功能指标。结果 干预后,关节活动度方面,与干预前相比,实验组关节的前伸度降低43.73%、后屈度提升7.19%;内收度降低70.12%、外展度提升14.02%,差异均具有统计学意义(t值分别为-4.39,-6.89,4.01,5.36,P值均<0.01)。关节力量方面,与干预前相比,实验组关节的前伸、屈膝、内收、外展力量分别提高11.74%、16.91%、10.72%、7.03%,差异均具有统计学意义(t值分别为9.22,7.30,3.86,4.16,P值均<0.01)。对照组的关节活动度、力量在干预前后的差异无统计学意义,(P值均>0.05)。结论 体医融合下的运动干预有助于改善大学生前交叉韧带损伤受试者关节的活动度,增加关节力量,对前交叉韧带损伤的康复具有明显促进作用,受试者膝关节功能恢复较好,缩短了治疗时间,同时无明显疼痛感,均无并发症发生,可以先基于学校环境给予推广,最终过渡到社会推广。

Objective To explore the rehabilitation effect of the intervention mode of physical and medical integration on College Students' knee anterior cruciate ligament injury,so as to provide theoretical support for the rehabilitation research of knee anterior cruciate ligament injury.Methods 57 college students with anterior cruciate ligament injury at the first sports and medical integration rehabilitation center in Suzhou were randomly divided into an experimental group and a control group for exercise intervention rehabilitation training.After 12 weeks,the joint function indicators of the two groups of subjects were tested and compared.Results After intervention,in terms of joint mobility,compared to before intervention,the experimental group showed a 43.73% decrease in joint extension and a 7.19% increase in joint flexion;The decrease in adduction by 70.12% and the increase in abduction by 14.02% were statistically significant(t-values were-4.39,-6.89,4.01,5.36,P values were all<0.01).In terms of joint strength,compared with before intervention,the experimental group showed an increase of 11.74%,16.91%,10.72%,and 7.03% in joint extension,knee flexion,adduction,and abduction forces,respectively,with statistically significant differences(t-values of 9.22,7.30,3.86,and 4.16,P values<0.01).The difference in joint range of motion and strength between the control group before and after intervention was not statistically significant(P values>0.05).Conclusion Sports rehabilitation training under the integration of sports and medicine can help to improve the joint mobility of college students with anterior cruciate ligament injury,increase joint strength,and significantly promote the rehabilitation of college students with anterior cruciate ligament injury.The subjects' knee joint function recovered well,recovered quickly,pain relieved and had no serious complications.It can be popularized first based on the school environment,and finally transition to social promotion.