高能量激光疗法联合本体感觉训练对半月板损伤病人术后膝关节疼痛及运动功能的疗效

Effects of High⁃intensity Laser Therapy Combined with Proprioceptive Training on Knee Pain and Motor Function in Patients with Meniscal Injury

目的 探讨高能量激光疗法(HILT)联合本体感觉训练对半月板损伤病人术后膝关节疼痛和功能的疗效。方法 选取2021年1月至2023年1月我院收治拟行关节镜半月板成形术的膝关节半月板损伤病人82例,采用随机数字表法分为观察组和对照组,每组41例。两组病人术后康复训练2周后,对照组采用本体感觉训练,观察组采用HILT联合本体感觉训练。观察两组治疗前后疼痛视觉模拟量表(VAS)评分,简版生活质量量表(SF-12)评分,美国膝关节协会(AKS)评分,膝关节主动活动度和下肢运动学指标(步频、步长、步速),并发症发生率和病人满意度。结果 治疗10周后,两组VAS评分均较治疗前显著降低(P均<0.05),SF-12评分、AKS的膝关节评分和活动功能评分、膝关节屈曲和伸展角度以及下肢运动学指标均较治疗前显著提升(P均<0.05);观察组VAS评分显著低于对照组(P<0.05),SF-12评分、膝关节评分和活动功能评分、膝关节屈曲和伸展角度以及下肢运动学指标均显著高于对照组(P<0.05)。结论 HILT联合本体感觉训练能够有效改善半月板损伤病人术后膝关节疼痛、运动功能和生活质量,并且还能够减少术后并发症、提高治疗满意度。

Objective To explore the therapeutic effect of high-intensity laser therapy(HILT)combined with proprioception training on knee pain and function in patients with meniscal injury.Methods total of 82 patients with knee meniscal injury who were admitted to our hospital from January 2021 to JanuaryA 2023 and planned to undergo arthroscopic meniscus reconstruction surgery were selected.They were randomly divided into an observation group and a control group using a random number table method,with 41 cases in each group.After 2 weeks of postoperative rehabilitation training,the control group received proprioceptive training,while the observation group received HILT combined with proprioceptive training.The visual analogue scale(VAS)scores,SF-12,the American Knee Association(AKS)scores,knee active range of motion and lower limb movement indicators(step frequency,step length,step speed),incidence of complications,and patient satisfaction were observed in all patients.Results After 10 weeks of treatment,the VAS score in the two groups was significantly lower than that before treatment(P<0.05),while the SF-12 score,AKS knee joint score and activity function score,knee joint flexion and extension angle,and lower limb movement indicators were significantly improved compared to those before treatment(P<0.05).The VAS score in the observation group was significantly lower than that in the control group(P<0.05),while the SF-12 score,knee joint score and activity function score,knee joint flexion and extension angle,and lower limb movement indicators in the observation group were significantly higher than those in the control group(P<0.05).Conclusion HILT combined with proprioceptive training can effectively relief knee pain,improve motor function and quality of life in patients with meniscal injury,and can also reduce postoperative complications and improve treatment satisfaction.