罗思嘉,龚剑秋,王磊,等.运动康复训练对前交叉韧带重建术后患者膝关节功能的影响[J].中华物理医学与康复杂志,2025,47(6):530-533
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| 运动康复训练对前交叉韧带重建术后患者膝关节功能的影响 |
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| DOI：10.3760/cma.j.cn421666-20241206-00968 |
| 中文关键词: 前交叉韧带 运动康复 膝关节功能 |
| 英文关键词: Anterior cruciate ligaments Exercise-based rehabilitation Knee function |
| 基金项目:绍兴市卫生健康科技计划（2024SKY015）；浙江省康复医学会科研专项基金项目（ZKKY20230008）；浙江省自然科学基金基础公益项目（LGF22H060031） |
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| 中文摘要: |
| 目的 观察运动康复训练对前交叉韧带（ACL）重建术后患者膝关节功能的影响。 方法 选取ACL断裂并接受重建术的患者60例，按照随机数字表法将其分为对照组和试验组，每组30例。研究过程中失访1例、膝关节感染 1例，最终对照组纳入28例，试验组纳入30例。2组患者均接受常规基础治疗，对照组在此基础上进行骨科常规康复训练，试验组则采用运动康复训练，每周6 d，共6周。治疗前和治疗6周后（治疗后），采用Lysholm膝关节评分量表（LKSS）、数字疼痛评分法（NRS）、膝关节最大屈曲角度、大腿肌肉萎缩指数对2组患者开展疗效评定。 结果 2组患者治疗后的LKSS评分升高、NRS评分降低、膝关节最大屈曲角度增大、大腿肌肉萎缩指数增加（P＜0.05）。与对照组比较，试验组治疗后的LKSS评分［(75.63±5.78)分］较高、膝关节最大屈曲角度较大［(107.80±8.94)°］、大腿肌肉萎缩指数［(2.62±1.44)%］较低（P＜0.05）。2组患者治疗后的NRS评分比较，差异无统计学意义（P＞0.05）。 结论 运动康复训练能显著改善ACL重建术后患者的膝关节功能，其疗效较骨科常规康复训练更为优异。 |
| 英文摘要: |
| Objective To observe the effect of rehabilitative exercise on knee function after anterior cruciate ligament (ACL) reconstruction. Methods Fifty-eight patients with a reconstructed ACL were divided at random into a control group of 28 and an experimental group of 30. In addition to conventional basic treatment, the control group received routine orthopedic rehabilitation training, while the experimental group underwent exercise-based rehabilitation training 6 days a week for 6 weeks. Before and after the treatment, the efficacy in both groups was evaluated using Lysholm knee scoring (LKSS), numerical pain scoring (NRS), maximum knee flexion angle, and a thigh muscle atrophy index. Results Both groups had significantly higher LKSS scores, lower NRS scores, larger maximum knee flexion angles, and increased thigh muscle atrophy indices, on average, after their treatments. Compared with the control group, the experimental group tended to have significantly higher LKSS scores, larger maximum knee flexion angles, and lower thigh muscle atrophy indices after the treatment. There was, however, no significant difference between the groups in their average NRS scores. Conclusions Exercise-based rehabilitation training significantly improves the knee function of patients after ACL reconstruction, and its efficacy is superior to conventional orthopedic rehabilitation training. |
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