振动训练联合常规运动康复对前交叉韧带重建术后患者本体感觉、平衡功能和膝关节功能的影响  

Effect of vibration training combined with routine exercise rehabilitation nursing on knee proprioception,balance function and joint function recovery in patients after anterior cruciate ligament reconstruction

作　　者：胡玉娇 王广玲[1] 蒋小颖 李淑涵 HU Yu-jiao;WANG Guang-ling;JIANG Xiao-ying;LI Shu-han(Department of Orthopedics,Jiangsu Provincial Hospital,Nanjing 210000;Department of Orthopedics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou 225300,Jiangsu,China)

机构地区：[1]江苏省人民医院骨科,江苏南京210000 [2]泰州市中医院骨伤科,江苏泰州225300

出　　处：《川北医学院学报》2025年第3期400-403,共4页Journal of North Sichuan Medical College

基　　金：江苏省人民医院临床能力提升工程护理项目(JSPH-NB-2022-8)。

摘　　要：目的:探讨振动训练联合常规运动康复对前交叉韧带(ACL)重建术后患者本体感觉、平衡功能和膝关节功能的影响。方法:选取190例ACL重建术后患者为研究对象,根据护理干预方式不同将患者分为对照组和观察组,每组各95例。对照组予常规运动康复护理;观察组在常规基础上加振动训练,干预时间均为6周。比较两组患者干预前及干预6周后膝关节主动角度重现测试值(AAR)、患侧膝关节肌群肌力[伸膝及屈膝峰值力矩(PT)]、Berg量表(BBS)评分、跌倒指数、Lysholm评分(LKS)和国际膝关节评分委员会(IKDC)评分。结果:干预前,两组患者AAR、伸膝及屈膝PT、BBS评分、跌倒指数、LKS评分、IKDC评分比较,差异均无统计学意义(P>0.05)。干预6周后,两组患者膝关节AAR(30°和60°)、跌倒指数均减小,且观察组小于对照组(P<0.05);伸膝PT及屈膝PT、BBS评分、LKS评分及IKDC评分均升高,且观察组高于对照组(P<0.05)。结论:振动训练联合常规康复护理能改善ACL重建术患者患膝本体感觉,提升平衡功能,促进膝关节功能恢复。Objective:To explore the effect of vibration training combined with routine exercise rehabilitation nursing on knee proprioception,balance function and joint function recovery in patients after anterior cruciate ligament(ACL) reconstruction.Methods:190 patients after ACL reconstruction were divided into control group and observation group according to different nursing intervention methods,each group had 95 cases.The control group was given routine exercise rehabilitation,and the observation group was given vibration training on the basis of routine exercise rehabilitation.Before and 6 weeks after the intervention,the knee joint active angle recurrence test value(AAR),the muscle strength of the affected knee joint muscle group [knee extension and knee flexion peak torque(PT)],Berg scale(BBS) score,fall index,Lysholm score(LKS) and International Knee Documentation Committee(IKDC) score were evaluated.Results:Before the intervention,there was no significant difference in AAR,PT value of knee extension,PT value of knee flexion,BBS score,fall index,LKS score and IKDC score between the two groups(P>0.05).After 6 weeks of intervention,the knee joint AAR(30 °and 60 °) and fall index of both groups of patients decreased,and the observation group was smaller than the control group(P<0.05),the PT of knee extension and flexion,BBS score,LKS score,and IKDC score all increased,and the observation group was higher than the control group(P<0.05).Conclusion:Vibration training combined with routine rehabilitation nursing can improve the proprioception of knee joint,improve the balance function and better restore the function of knee joint in patients with ACL reconstruction.

关 键 词：前交叉韧带 运动康复 振动训练 本体感觉 平衡功能 膝关节功能 

分 类 号：R459.9[医药卫生—治疗学]