张田,邱冰,刘洪举,等.视觉反馈训练对膝部骨折术后患者膝关节功能及平衡能力的影响[J].中华物理医学与康复杂志,2020,42(9):815-818
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| 视觉反馈训练对膝部骨折术后患者膝关节功能及平衡能力的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2020.09.011 |
| 中文关键词: 视觉反馈训练 膝关节功能 运动控制 膝部骨折术后 |
| 英文关键词: Visual feedback training Knee function Motor control Knee fracture |
| 基金项目:2019年度贵阳市科学技术局、贵州省骨科医院大健康科技合作项目(筑科合同［2019］9-5-5) |
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| 中文摘要: |
| 目的 探讨视觉反馈训练在膝部骨折术后患者中的临床应用效果。方法 将64例膝关节骨折手术后患者分为对照组和视觉反馈组，每组32例。对照组术后给予常规康复训练，视觉反馈组在对照组基础上，第3～8周加用视觉反馈训练。治疗前及治疗后2周、4周、8周，对2组患者进行站立位平衡功能及步态评定，采用Lysholm评分法评定膝关节运动功能。 结果 治疗前，2组患者膝关节功能、步行能力及平衡功能比较，差异无统计学意义（P＞0.05）。与组内治疗前比较，2组患者治疗8周的Lysholm评分、Tinetti量表评分均增高（P＜0.05），视觉反馈组治疗4周及8周的足底重心压力移动距离、移动轨迹面积减小（P＜0.05）。与对照组治疗后同时间点比较，视觉反馈组治疗4周的足底重心压力移动距离［（338.25±14.11）mm］、移动轨迹面积［（580.62±17.26）mm2］较小（P＜0.05），视觉反馈组治疗4周及8周的Lysholm评分、Tinetti量表评分较对照组高（P＜0.05），足底重心压力移动距离、移动轨迹面积较小（P＜0.05）。 结论 视觉反馈训练能有效改善膝部骨折术后患者的膝关节功能，提高平衡及步行能力。 |
| 英文摘要: |
| Objective To explore the effect of visual feedback training on the knee function and balance of postoperative knee fracture patients. Methods A total of 64 patients were randomly divided into a control group and a visual feedback group, each of 32. Both groups were given routine rehabilitation, while the visual feedback group was additionally provided with visual feedback training from the 3rd to the 8th week after the operation. Before and after 2, 4 and 8 weeks of the intervention, both groups were evaluated using Lysholm scoring, the Tinetti gait test and the Technobody balance device. Results There was no difference between the two groups in terms of their average Lysholm, Tinetti or Technobody results before the intervention or after 2 weeks of treatment. Both groups had improved significantly after 8 weeks, but the visual feedback group′s average Lysholm, Tinetti and Technobody results were then significantly better than those of the control group. Indeed, the control group′s average Technobody result was no better than before the treatment. Conclusions Visual feedback training could be useful in treating those in need of rehabilitation after a knee fracture operation. |
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