| 刘晓磊,张鸿悦,章耀华,李强,李佳,汪杰,董明,杨华清.前交叉韧带重建术后患者膝本体感觉与姿势控制的相关性[J].中国康复,2021,36(3):170-173 |
| 前交叉韧带重建术后患者膝本体感觉与姿势控制的相关性 |
| Correlation between proprioception and postural control in patients with ACL reconstruction |
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| DOI： |
| 中文关键词: 前交叉韧带重建术后 本体感觉 姿势控制 |
| 英文关键词: anterior cruciate ligament reconstruction proprioception postural control |
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| 中文摘要: |
| 目的：探讨前交叉韧带重建术后患者本体感觉及姿势控制的相关性。方法：选取32例符合纳入排除标准的前交叉韧带重建患者和10例健康对照组，观察组行常规康复治疗，观察组患者术后16周与健康对照组使用多关节等速测试及训练系统进行角度再现测试评估膝关节本体感觉，平衡测试仪进行单腿支撑动态平衡测试来评估姿势控制能力。动态平衡指标为总体、前后及左右稳定指数。结果：干预16周后，观察组患侧及健侧膝15°、45°、75°再现差值，总体、前后、左右稳定指数均大于对照组（均P＜0.05），观察组患侧膝15°、45°、75°再现差值，总体、前后、左右稳定指数均大于观察组健侧（均P＜0.05）。15°、45°再现差值与总体、前后、左右稳定指数均呈正相关（均P＜0.05）；75°再现差值与总体稳定指数呈正相关（P＜0.01）。结论：单侧前交叉韧带重建术后双下肢本体感觉及姿势控制能力均下降，本体感觉和姿势控制能力有关。建议临床上应加强损伤侧及健侧本体感觉及姿势控制训练。 |
| 英文摘要: |
| Objective: To investigate the correlation between proprioception and postural control in patients with anterior cruciate ligament (ACL) reconstruction. Methods: Thirty-two patients with ACL reconstruction were included in experimental group, and 10 healthy subjects served as control group. Joint position sense test in isokinetic testing and training system was used to evaluate the proprioception of the knee. Single-leg stance dynamic balance assessment in balance test instrument was used to evaluate the postural control ability. Overall stability index, anterior-posterior stability index and medial-lateral stability index were used as postural stability indices. Results: The overall stability index, anterior-posterior stability index, medial-lateral stability index and joint position sense at 15°, 45°, 75° of the injured and healthy knees in the experimental group were significantly higher than those in the control group (all P<0.05). The overall stability index, anterior-posterior stability index, medial-lateral stability index and joint position sense at 15°, 45°, 75°of the injured knees in the experimental group were significantly higher than those in the healthy side (all P<0.05). There was a positive correlation between joint position sense at 15°, 45° and overall stability index, anterior-posterior stability index, medial-lateral stability index (all P<0.05). There was a positive correlation between the joint position sense at 75° and the overall stability index (P<0.01). Conclusion: The proprioception and postural control ability of injured side and healthy side decreased in patients with ACL reconstruction. There was a positive correlation between proprioception and postural control ability. It is suggested to strengthen the training of proprioception and posture control in both nonoperated and operated knees. |
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