视觉反馈训练联合早期部分负重训练在胫骨平台骨折内固定术后患者中的应用效果
Application of Visual Feedback Training Combined with Early Partial Weight-Bearing Training in Patients with Tibial Plateau Fractures after Internal Fixation Surgery
牛慧敏 1连继芳2
作者信息
- 1. 聊城市东昌府区中医院急诊科,山东聊城 252000
- 2. 聊城市东昌府区中医院外科,山东聊城 252000
- 折叠
摘要
目的 探讨视觉反馈训练联合早期部分负重训练在胫骨平台骨折内固定术后患者中的应用效果.方法 选取我院 2022 年 4月—2023年 6 月收治的 94 例胫骨平台骨折内固定术后患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 47 例.对照组采取常规康复训练,观察组采取视觉反馈训练联合早期部分负重训练.持续观察至术后 6个月.对比两组疼痛程度、关节活动度、平衡功能、膝关节功能、步行能力.结果 训练后,观察组VAS评分低于对照组,关节活动度大于对照组,组间差异有统计学意义(P＜0.05).训练后,观察组移动轨迹面积小于对照组,足底重心压力移动距离短于对照组,组间差异有统计学意义(P＜0.05).训练后,观察组Lysholm评分、Tinett评分均高于对照组,组间差异有统计学意义(P＜0.05).结论 视觉反馈训练联合早期部分负重训练能有效减轻胫骨平台骨折内固定术后患者疼痛程度,改善关节活动度,促进平衡功能、膝关节功能、步行能力恢复.
Abstract
Objective To explore the application effect of visual feedback training combined with early partial weight-bearing training in patients after internal fixation surgery for tibial plateau fractures.Methods 94 postoperative patients with tibial plateau fractures treated in our hospital from April 2022 to June 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group using a random number table method,with 47 cases in each group.The control group received routine rehabilitation training,while the observation group received visual feedback training combined with early partial weight-bearing training.Continuously observe until 6 months after surgery,compare the pain lev-el,joint range of motion,balance function,knee joint function,and walking ability between the two groups.Results After training,the pain Visual Analogue scale score of the observation group was lower than that of the control group,and the joint range of motion was greater than that of the control group,and the differences between the groups were statistically significant(P＜0.05).After training,the movement trajectory area of the observation group was smaller than that of the control group,and the distance of plantar center of gravity pressure movement was shorter than that of the control group,and the differences be-tween the groups were statistically significant(P＜0.05).After training,the Lysholm and Tinetti scores in the observation group were higher than those in the control group,and the differences were statistically significant between the two groups(P＜0.05).Conclusion Visual feedback training combined with early partial weight-bearing training can effectively alleviate the pain level of patients after internal fixation surgery for tibial plateau fractures,improve joint range of motion,promote the re-covery of balance function,knee joint function,and walking ability.
关键词
胫骨平台骨折/视觉反馈训练/早期部分负重训练/膝关节功能/平衡功能Key words
Tibial plateau fracture/Visual feedback training/Early partial weight-bearing training/Knee joint function/Balance function引用本文复制引用
出版年
2024
NETL
NSTL
万方数据