虚拟现实平衡训练对前交叉韧带重建术后膝关节本体感觉的效果  

Effects of Virtual Reality Balance Training on Proprioception of Knee after Anterior Cruciate Ligament Reconstruction

作　　者：施明 潘文平 曾明 林斯捷 李岩 吴华 王伟国 SHI Ming;PAN Wen-ping;ZENG Ming;LIN Si-jie;LI Yan;WU Hua;WANG Wei-guo(Rehabilitation Medical Center of Jiaxing Second Hospital,Jiaxing,Zhejiang 314000,China)

机构地区：[1]嘉兴市第二医院康复医学中心,浙江嘉兴市314000

出　　处：《中国康复理论与实践》2020年第12期1458-1463,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：嘉兴市科技研究计划项目(No.2017AY33025);浙江省医药卫生科技计划(No.2018KY803)。

摘　　要：目的探讨虚拟现实平衡训练技术对前交叉韧带重建术后膝关节本体感觉功能的效果。方法2016年1月至2018年12月,本院72例前交叉韧带重建术后患者随机分为对照组(n=36)和观察组(n=36)。两组在常规康复的基础上分别进行传统平衡训练和虚拟现实平衡训练,共8周。训练前后进行压力中心(COP)时间稳定性、闭眼压力中心速度(COPS)、单腿COPS、膝关节反应时间、极限包络面积(COPA)和主动关节角度重现偏差值评估。结果训练后,两组COP时间稳定性、闭眼COPS、单腿COPS、膝关节反应时间、COPA和主动关节角度重现偏差值均显著改善(|t|>5.611,P<0.001),且观察组COP时间稳定性、闭眼COPS、单腿COPS、膝关节反应时间和主动关节角度重现偏差值均明显优于对照组(|t|>3.232,P<0.01),两组COPA无显著性差异(t=1.054,P=0.296)。结论虚拟现实平衡训练可改善前交叉韧带重建术后膝关节的本体感觉,且较传统平衡训练效果更佳。Objective To investigate the effect of virtual reality balance training on knee proprioception after anterior cruciate ligament reconstruction(ACLR).Methods From January,2016 to December,2018,72 patients after ACLR were randomly divided into control group(n=36)and observation group(n=36).On the basis of routine rehabilitation,they received routine balance training and balance training with virtual reality,respectively,for eight weeks.Before and after training,the center of pressure(COP)time stability,the COP speed(COPS)of closed eyes,the COPS of one leg,the knee joint reaction time,the center of pressure area(COPA)and the active joint angle recurrence deviation were measured.Results After training,the COP time stability,the COPS of closed eyes,the COPS of one leg,knee joint reaction time,COPA and active joint angle recurrence deviation improved in both groups(|t|>5.611,P<0.001);and the COP time stability,the COPS of closed eyes,the COPS of one leg,the knee joint reaction time and active joint angle recurrence deviation were better in the observation group than in the control group(|t|>3.232,P<0.01),however,no significant difference was found in COPA between two groups(t=1.054,P=0.296).Conclusion Virtual reality balance training can improve the proprioception of knee joint after ACLR,which is better than routine balance training.

关 键 词：前交叉韧带重建术 本体感觉 虚拟现实 膝 

分 类 号：R684[医药卫生—骨科学]