Application of strengthening proprioceptive training combined with rehabilitation path in postoperative rehabilitation of patients with knee cruciate ligament rupture and meniscus injury

doi:10.3877/cma.j.issn.2096-0263.2022.03.007

Abstract

Abstract:

Objective

To explore the application effect of strengthening proprioceptive training combined with rehabilitation path in postoperative rehabilitation of patients with knee cruciate ligament rupture and meniscus injury.

Methods

From April 2019 to February 2021, 96 patients with cruciate ligament rupture and meniscus injury in our hospital, aged (38.93±4.56) years old, were prospectively collected, including 66 males (68.75%) and 30 females (31.25%). According to the lottery method, they were randomly divided into a conventional group (n=48) and a combined group (n=48), and were trained for 8 weeks with conventional rehabilitation and rehabilitation path+enhanced proprioceptive method respectively. The adverse events and the position of the knee joint (intermediate segment, extension segment, and flexion segment) recurrence deviation, motor control ability, walking function, knee joint function, and pain degree before and after training were counted in the two groups.

Results

96 patients were followed up for 6 to 12 months, with an average of (9.11±0.68) months. (1)After 8 weeks of training, the position recurrence deviation of the knee joint in the joint group in extension, middle and flexion segments (4.02±1.15, 4.05±0.89, 4.11±0.94) was lower than that in the conventional group (4.61±1.20, 4.72±0.93), 4.78±0.87), the RMS of VL, RF and VM (75.61±5.62, 80.52±6.71, 74.48±5.12) were higher than those of the conventional group (67.79±6.17, 74.12±5.94, 68.95±5.56) (P<0.05). (2)After 8 weeks of training, the motor control ability, walking function score and knee joint function score of the combined group were higher than those of the conventional group, and the pain score was lower than that of the conventional group (P<0.05). (3)The incidence of adverse events in the combined group was 8.33% and Compared with 4.17% in the conventional group, the difference was not statistically significant (P>0.05).

Conclusions

Strengthening proprioceptive training combined with rehabilitation path can improve the surface electromyogram of patients with knee cruciate ligament rupture and meniscus injury, relieve pain, improve motor control ability and walking ability, and restore knee joint function.

Key words: Knee cruciate ligament rupture, Meniscus injury, Rehabilitation pathway, Enhanced proprioceptive training, Surface electromyography

Gouxian Yang, Yongqing Xu. Application of strengthening proprioceptive training combined with rehabilitation path in postoperative rehabilitation of patients with knee cruciate ligament rupture and meniscus injury[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(03): 165-171.

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Figures/Tables 8

References 23

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组别	例数	男性	年龄（岁，±s）	受伤至手术时间（d，±s）	半月板分度[例（%）]		临床表现
组别	例数	男性	年龄（岁，±s）	受伤至手术时间（d，±s）	Ⅰ度	Ⅱ度	肿胀	刺痛	关节活动受限
联合组	48	24（50.00）	39.32±4.41	18.12±2.26	20（41.67）	28（58.33）	32（66.67）	43（89.58）	35（72.92）
常规组	48	22（45.83）	38.54±5.13	17.63±2.87	24（50.00）	24（50.00）	36（75.00）	38（79.17）	36（75.00）
t/χ²值		χ²=0.167	t=0.799	t=0.930	χ²=0.671		χ²=0807	χ²=1.975	χ²=0.054
P值		0.683	0.426	0.355	0.413		0.370	0.160	0.816

组别	例数	男性	年龄（岁，±s）	受伤至手术时间（d，±s）	半月板分度[例（%）]		临床表现
组别	例数	男性	年龄（岁，±s）	受伤至手术时间（d，±s）	Ⅰ度	Ⅱ度	肿胀	刺痛	关节活动受限
联合组	48	24（50.00）	39.32±4.41	18.12±2.26	20（41.67）	28（58.33）	32（66.67）	43（89.58）	35（72.92）
常规组	48	22（45.83）	38.54±5.13	17.63±2.87	24（50.00）	24（50.00）	36（75.00）	38（79.17）	36（75.00）
t/χ²值		χ²=0.167	t=0.799	t=0.930	χ²=0.671		χ²=0807	χ²=1.975	χ²=0.054
P值		0.683	0.426	0.355	0.413		0.370	0.160	0.816

组别	例数	伸展段		t值	P值	中间段		t值	P值	屈曲段		t值	P值
组别	例数	训练前	训练8周后	t值	P值	训练前	训练8周后	t值	P值	训练前	训练8周后	t值	P值
联合组	48	5.5±1.2	4.0±1.2	6.033	<0.05	5.1±1.1	4.0±0.9	5.297	<0.05	5.2±1.4	4.1±0.9	4.647	<0.05
常规组	48	5.5±1.2	4.6±1.2	3.756	<0.05	5.1±1.1	4.7±0.9	2.498	<0.05	5.4±1.0	4.8±0.9	3.168	<0.05
t值		0.202	2.460			0.222	3.606			0.682	3.624
P值		0.840	0.016			0.825	0.001			0.497	0.000

组别	例数	伸展段		t值	P值	中间段		t值	P值	屈曲段		t值	P值
组别	例数	训练前	训练8周后	t值	P值	训练前	训练8周后	t值	P值	训练前	训练8周后	t值	P值
联合组	48	5.5±1.2	4.0±1.2	6.033	<0.05	5.1±1.1	4.0±0.9	5.297	<0.05	5.2±1.4	4.1±0.9	4.647	<0.05
常规组	48	5.5±1.2	4.6±1.2	3.756	<0.05	5.1±1.1	4.7±0.9	2.498	<0.05	5.4±1.0	4.8±0.9	3.168	<0.05
t值		0.202	2.460			0.222	3.606			0.682	3.624
P值		0.840	0.016			0.825	0.001			0.497	0.000

组别	例数	VL		t值	P值	RF		t值	P值	VM		t值	P值
组别	例数	训练前	训练8周后	t值	P值	训练前	训练8周后	t值	P值	训练前	训练8周后	t值	P值
联合组	48	56±5	76±6	18.068	<0.05	70±4	80±7	8.795	<0.05	61±4	74±5	14.070	<0.05
常规组	48	57±4	68±6	9.815	<0.05	57±4	74±6	4.334	<0.05	57±4	69±6	7.782	<0.05
t值		1.367	6.492			1.480	4.948			0.434	5.069
P值		0.175	0.000			0.142	0.000			0.666	0.000

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