前交叉韧带重建后膝关节康复单元及游戏软件的开发与应用  

Development and Application of a Biofeedback Knee Joint Rehabilitative Device with Software Games for Anterior Cruciate Ligament Reconstruction

作　　者：李明义[1] 林志峰[2] 张志谦[1] 林俊杰[1] 

机构地区：[1]长庚大学医疗机电工程研究所 [2]中山医学大学物理治疗学系

出　　处：《中国康复理论与实践》2007年第4期365-367,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的开发前交叉韧带重建后膝关节康复单元及游戏软件,提供量化评估及训练工具。方法利用单芯片MSC1211结合电位计、膝关节护具制作便携式膝关节角度测量记录装置;利用Borland C++工具软件设计视觉反馈刺激以及趣味性康复训练处方游戏软件。对8位前交叉韧带膝关节重建术后患者,采用本开发系统进行30min膝关节运动控制训练,比较训练前后闭眼状态下膝关节角度位置觉(JPS)、单脚站立身体晃动轨迹(BCS)、单脚站立膝关节晃动角度(KAS)及单脚站立维持时间(STT)等评估指标。结果受测者患侧膝关节在接受训练后,较训练前膝关节JPS平均改善2.03°(改善率21.5%),闭眼BCS平均减少5.66cm(改善率15.2%),差异均有显著性意义(P<0.05),闭眼STT平均增加0.5s(改善率17.6%),闭眼KAS平均减少2.5°(改善率10.7%),差异均无显著性意义(P≥0.05)。结论本开发系统在膝关节运动稳定性及膝关节活动本体感觉方面有明显的康复疗效。Objective To develop a rehabilitation device and software game, and provide the system for evaluation and training of anterior cruciate ligament （ACL） reconstruction.Methods The development and clinical application of a biofeedback knee joint movement rehabilitation system for ACL reconstruction were very important.Results BIOKS readings reproduce Zebris 3D motion analysis system measurements reliably between 0° and 150° （ P〉0.05）. Significant knee joint movement training effect （ P〈0.05 ） in JPS assessment. However, there were no differences （P≥0.05） between SST and KAS assessments. Conclusion The improvement of joint position sense and body centroid sway under single leg support conditions.

关 键 词：前交叉韧带重建 膝关节 位置觉 生物反馈 

分 类 号：R496[医药卫生—康复医学]