平衡促进训练对膝关节前交叉韧带损伤重建术后患膝本体感觉的影响  

Effect of balance promotion training on knee proprioception after reconstruction of knee anterior cruciate ligament injury

作　　者：蒋拥军[1] 李克军[1] 王雪冰[1] 

机构地区：[1]深圳平乐骨伤科医院康复医学科,518010

出　　处：《中国康复医学杂志》2011年第3期251-253,267,共4页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:研究平衡促进训练对膝关节前交叉韧带(ACL)损伤重建术后患膝本体感觉的影响。方法:选取124例ACL损伤重建术后患者,全部进行常规康复训练12周,术后第12周采用随机数字法分成两组(对照组62例,训练组62例),训练组在第12周开始进行平衡促进训练,持续至第16周;对照组继续进行患肢肌力和步态训练,持续至第16周。采用专业平衡功能评定系统,分别在术后第12周和第16周对两组进行平衡功能测定。结果:术后第16周测定结果:①睁眼状态下,训练组与对照组在指标LFS指数和覆盖90%椭圆区域面积指数无显著差异(P>0.05)。②闭眼状态下,训练组与对照组在指标LFS指数和覆盖90%椭圆区域面积指数差异具有显著性意义(P<0.05)。结论:平衡促进训练对ACL损伤重建术后患者膝关节本体感觉能力恢复具有显著提高作用。Objective： To study the effect of balance promotion training on knee proprioception after reconstruction of knee anterior cruciate ligament（ACL） injury. Method： A total of 124 cases after reconstruction of ACL injury were selected. All patients administered routine postoperative rehabilitation training for 12 weeks. At the 12th week postoperation, all patiefits were equally randomized into training group and control group. Training group proceeded balance promotion training at the 12th--16th week post operation at the same period control group continued strength and gait training. Assessment of balance function were evaluated with professional balance function system （PC708） at the 12th week and 16th week three was no significant difference. Result： At the 16th week the measurement showed： At eyes opened state, between training group and control group in the LFS index and the size of the area covering 90% of oval region（P〉0.05）. At eyes closed state, the difference between training group and control group in the LFS index and the size of the area covering 90% of oval region was statistically significant（P〈0.05）. Conclusion： The balance promotion training after reconstruction of ACL injury, the knee joint proprioception of patients could significantly enhanced.

关 键 词：膝关节前交叉韧带损伤 重建术 平衡促进训练 膝关节本体感觉 

分 类 号：R687.4[医药卫生—骨科学]