髋膝踝关节周围肌群肌力训练联合肌内效贴在前交叉韧带重建术后的应用效果分析  

Effect analysis of muscle strength training of hip-knee-ankle peripheral muscle group combined with kinesio taping on anterior cruciate ligament reconstruction

作　　者：张红玲[1] 曹博[2] 景蓉[3] 闫龙 ZHANG Hongling;CAO Bo;JING Rong;YAN Long(School of Physical Education,Yan′an University,Affiliated Hospital of Yan′an University;Department of Orthopaedics,Affiliated Hospital of Yan′an University;Department of Rehabilitation,Affiliated Hospital of Yan′an University;Department of Imaging,Yan′an Hospital of Traditional Chinese Medicine,Yan′an Shanxi 716000,China)

机构地区：[1]延安大学体育学院,陕西延安716000 [2]延安大学附属医院创伤骨科,陕西延安716000 [3]延安大学附属医院康复科,陕西延安716000 [4]延安市中医院影像科,陕西延安716000

出　　处：《新疆医科大学学报》2024年第8期1102-1106,共5页Journal of Xinjiang Medical University

基　　金：陕西省中医药管理局项目(SZY-KJCYC-2023-077);陕西省科技厅项目(S2022-YF-YBSF-0759)。

摘　　要：目的探讨前交叉韧带重建术后患者采用髋膝踝关节周围肌群肌力训练联合肌内效贴的应用效果。方法选取2022年3月至2023年3月延安大学附属医院收治的123例前交叉韧带损伤患者,均行前交叉韧带重建术,按简单随机数法分为两组。对照组(62例)术后进行髋膝踝关节周围肌群肌力训练,研究组(61例)在对照组基础上应用肌内效贴。训练4周后,评估并比较两组的关节肿胀程度、疼痛视觉模拟评分(Visual analogue scale,VAS)、膝关节活动度、等速肌力、膝关节功能及生活质量变化情况。结果训练后,与对照组比较,研究组关节肿胀程度与VAS评分降低(P<0.05),屈伸、内旋、外旋关节活动度提升(P<0.05),伸膝力矩峰值、屈膝力矩峰值、Lysholm膝关节评分、Barthel指数(Barthel index,BI)评分提高(P<0.05)。结论对前交叉韧带重建术后患者采用髋膝踝关节周围肌群肌力训练联合肌内效贴有助于减轻肿胀和疼痛,促进膝关节功能的恢复,提高患者生活质量。Objective:To investigate the effect of muscle strength training of hip-knee-ankle peripheral muscle group combined with kinesio taping on the peripheral muscles of hip,knee and ankle in patients after anterior cruciate ligament reconstruction.Methods:A total of 123 patients with anterior cruciate ligament injury admitted to Affiliated Hospital of Yan′an University from March 2022 to March 2023 were selected,who all underwent anterior cruciate ligament reconstruction and were divided into 2 groups according to simple random number method.The control group(62 cases)underwent hip-knee-ankle peripheral muscle group muscle strength training after the operation.The study group(61 cases)applied kinesio taping on the basis of the control group.After 4 weeks of the training,the degree of joint swelling,visual analogue scale(VAS),knee range of motion,isokinetic muscle strength,knee function and quality of life were evaluated and compared between the 2 groups.Results:After thetraining,compared with the control group,the degree of joint swelling and VAS score was decreased(P<0.05),and the range of motion of flexion-extension,internal rotation and external rotation was increased(P<0.05),the peak of extensor moment,flexion moment,Lysholm knee score and Barthel index(BI)were improved(P<0.05).Conclusion:The use of hip-knee-ankle peripheral muscle group muscle strength training combined with kinesio taping for the patients after anterior cruciate ligament reconstruction helps to reduce swelling and pain,promotes the recovery of knee function,and it improves the ability of daily living.

关 键 词：前交叉韧带重建 运动损伤 肌力训练 肌内效贴 

分 类 号：R686.5[医药卫生—骨科学]