| 韦冠亮,伍顺亮,辛蔚,梁皓岚,贺涓涓,解东风.意大利筋膜手法联合常规康复训练对前交叉韧带重建术后膝关节疼痛及功能的影响[J].中国康复,2026,41(2):94-98 |
| 意大利筋膜手法联合常规康复训练对前交叉韧带重建术后膝关节疼痛及功能的影响 |
| Effects of fascia manipulation combined with conventional rehabilitation training on knee pain and function after anterior cruciate ligament reconstruction |
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| DOI：10.3870/zgkf.2026.02.006 |
| 中文关键词: 前交叉韧带重建术 膝关节功能 意大利筋膜手法 康复训练 |
| 英文关键词: anterior cruciate ligament reconstruction knee joint function fascial manipulation rehabilitation training |
| 基金项目:广州市科技计划项目（202206010195）；广东省医学科学技术研究基金项目（A2025020） |
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| 中文摘要: |
| 目的：观察意大利筋膜手法（FM）在前交叉韧带（ACL）重建术后康复中的应用效果。方法：采用随机对照试验设计，招募52例接受ACL重建术的患者，按照随机数字表法分为对照组与研究组，每组26例。对照组接受常规康复训练，研究组在常规康复训练的基础上增加FM治疗，2组均进行3个月治疗。所有患者均于治疗前、治疗1个月后、治疗3个月后分别采用膝关节Lysholm评分（LKSS）、疼痛视觉模拟评分（VAS）及膝关节主动屈伸活动度（AROM）测量进行疗效评价。结果：治疗1个月后，2组LKSS评分及AROM较治疗前有明显升高（P<0.01），VAS评分较治疗前明显降低（P<0.01），且研究组LKSS评分升高、VAS评分降低的程度显著优于对照组（P<0.01），2组AROM组间比较差异无统计学意义。治疗3个月后，2组LKSS评分及AROM较治疗前明显升高（P<0.01），VAS评分较治疗前有明显降低（P<0.01），且研究组的LKSS评分升高、VAS评分降低、AROM升高的程度均显著优于对照组（P<0.01）。结论：FM联合常规康复训练能够显著改善ACL重建术后患者的疼痛程度、膝关节AROM及功能评分，值得临床推广应用。 |
| 英文摘要: |
| Objective: To observe the applied efficacy of fascial manipulation in the rehabilitation after anterior cruciate ligament (ACL) reconstruction. Methods: A randomized controlled trial design, recruiting 52 patients who underwent ACL reconstruction, randomly divided into a control group (receiving conventional rehabilitation) and an experimental group (undergoing fascial manipulation with conventional rehabilitation). All patients were assessed and compared using the Lysholm knee scale score (LKSS), visual analog scale (VAS) for pain, and active range of motion (AROM) for knee flexion and extension before treatment, 1 month after treatment and 3 months after treatment. Results: After 1 month of treatment, the LKSS score, VAS score and AROM in two groups were significantly improved compared with those before treatment (P<0.01), and the LKSS score and VAS score in the experimental group were significantly better than in the control group (P<0.01). There was no significant difference in AROM between two groups. After 3 months of treatment, the LKSS score, VAS score and AROM in two groups were significantly improved as compared with those before treatment (P<0.01), and those in the experimental group were significantly better than in the control group (P<0.01). Conclusion: Fascial manipulation combined with conventional rehabilitation treatment can significantly alleviate the pain level, and improve AROM for knee flexion and extension, and functional scores of patients after ACL reconstruction. |
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