Abstract
Application of strengthening comprehensive sensory training in early rehabilitation after anterior cruciate ligament reconstruction
  
DOI:10.3870/zgkf.2024.12.007
EN KeyWords: comprehensive sensory training  anterior cruciate ligament reconstruction  early rehabilitation
Fund Project:联勤保障部队大连康复疗养中心科技创新培育课题(DL23CXPY09)
作者单位
刘东杰 联勤保障部队大连康复疗养中心辽宁 大连 116013 
唐迪 联勤保障部队大连康复疗养中心辽宁 大连 116013 
王昊 联勤保障部队大连康复疗养中心辽宁 大连 116013 
劳琦 联勤保障部队大连康复疗养中心辽宁 大连 116013 
李月 联勤保障部队大连康复疗养中心辽宁 大连 116013 
彭浩南 联勤保障部队大连康复疗养中心辽宁 大连 116013 
帅超 联勤保障部队大连康复疗养中心辽宁 大连 116013 
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EN Abstract:
  Objective: To explore the application value of strengthening comprehensive sensory training in early rehabilitation after anterior cruciate ligament reconstruction. Methods:87 patients who underwent anterior cruciate ligament reconstruction were selected and randomly divided into the conventional group (28 patients), the proprioceptive group (29 patients), and the comprehensive group (30 patients). All patients received conventional rehabilitation. The proprioceptive group received additional early postoperative seated proprioception training, and the comprehensive group received additional early postoperative seated proprioception training and tactile and thermal sensation training. At 2 and 6 weeks after treatment, the angle difference in joint position reproduction was compared. Before treatment, 2 and 6 weeks after treatment, the Berg balance scale (BBS) and the Lysholm knee scale score were used to evaluate the patients, and the incidence of adverse events during rehabilitation was compared. Results:After 6 weeks of treatment, the angle difference in joint position reproduction of all 3 groups was significantly smaller than that after 2 weeks of treatment (P<0.05). At 2 weeks and 6 weeks of treatment,the angle difference in joint position reproduction of the comprehensive group and the proprioceptive group was significantly smaller than that of the conventional group (P<0.05), but there was no statistical difference between the comprehensive group and the proprioceptive group. At 2 weeks and 6 weeks of treatment,the BBS and Lysholm knee scale scores of all 3 groups were higher than those before treatment (P<0.05), and the BBS and Lysholm knee scale scores of the 3 groups after 6 weeks of treatment were higher than those after 2 weeks of treatment (P<0.05). The BBS and Lysholm knee scale scores of the comprehensive group and the proprioceptive group were significantly higher than those of the conventional group at 2 weeks and 6 weeks of treatment (P<0.05). At 6 weeks of treatment, the BBS and Lysholm knee scale scores of the comprehensive group were significantly higher than those of the proprioceptive group (P<0.05). At 2 weeks of treatment, there was no significant difference in BBS and Lysholm knee scale sco-res between the comprehensive group and the proprioceptive group.There was no statistical difference in the incidence of adverse events between the 3 groups. Conclusion:The strengthening comprehensive sensory training can effectively enhance proprioception, balance, motor control, and other abilities of patients in the early stage following ACL reconstruction, thereby facilitating accelerated rehabilitation of knee joint function. This approach is both safe and deserving of widespread adoption.
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