首页|Pro-kin平衡系统联合血流限制训练对前交叉韧带重建术后患者膝本体感觉、膝关节功能及运动协调性的影响

Pro-kin平衡系统联合血流限制训练对前交叉韧带重建术后患者膝本体感觉、膝关节功能及运动协调性的影响

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[目的]探讨Pro-kin平衡系统联合血流限制(blood flow restriction,BFR)训练对前交叉韧带重建术后患者膝本体感觉、膝关节功能及运动协调性的影响.[方法]选取2020年1月至2023年1月在本院行前交叉韧带重建术的82例患者,采用随机数字表法分为观察组和对照组,每组41例.对照组术后采用BFR训练,观察组术后在对照组基础上联合Pro-kin平衡系统训练.治疗3个月后,比较两组股四头肌横截面积、屈伸肌比值(H/Q)、相对峰力矩(PT/BW)、膝本体感觉指标、膝关节功能评分及运动协调性.[结果]观察组患者患侧股四头肌横截面积术后7 d与术后3个月差值小于对照组(P<0.05);观察组H/Q、PT/BW、30°位置偏差、60°位置偏差、协同收缩率、平均能量频率术后7 d与术后3个月差值均大于对照组(P<0.05).两组膝关节功能评分术后1个月与术后3个月差值均显著高于术后1周,差异有统计学意义(P<0.05),且观察组术后1个月、术后3个月膝关节功能评分均显著高于对照组,差异均有统计学意义(P<0.05).观察组协同收缩率差值、平均能量频率术后7 d与术后3个月差值均大于对照组,差异均有统计学意义(P<0.05).[结论]Pro-kin平衡系统联合BFR训练治疗前交叉韧带重建术后患者,可抑制股四头肌萎缩,促进膝关节功能恢复,值得临床推广应用.
The Effect of Pro-kin Balance System Combined with Blood Flow Restriction Training on Knee Prop-rioception,Knee Joint Function,and Motor Coordination in Patients after Anterior Cruciate Liga-ment Reconstruction Surgery
[Objective]To explore the effects of Pro-kin balance system combined with blood flow restriction(BFR)training on knee proprioception,knee joint function,and motor coordination in patients undergoing anterior cruciate liga-ment reconstruction surgery.[Methods]A total of 82 patients who underwent anterior cruciate ligament reconstruction sur-gery in our hospital from January 2020 to January 2023 were selected and randomly divided into an observation group and a control group using a random number table method,with 41 patients in each group.The control group received postopera-tive BFR training,while the observation group received postoperative Pro-kin balance system training in addition to the con-trol group.After 3 months of treatment,two groups were compared in terms of quadriceps cross-sectional area,flexor ex-tensor ratio(H/Q),relative peak torque(PT/BW),knee proprioceptive index,knee joint function score,and motor coordi-nation.[Result s]The difference in cross-sectional area of the quadriceps femoris muscle on the affected side between 7 days and 3 months after surgery in the observation group was smaller than that in the control group(P<0.05);The difference in H/Q,PT/BW,30° position deviation,60° position deviation,collaborative contraction rate,and average energy fre-quency between the observation group at 7 days and 3 months after surgery was greater than that of the control group(P<0.05).The difference in knee joint function scores between the two groups at 1 month and 3 months after surgery was sig-nificantly higher than that at 1 week after surgery,with statistical significance(P<0.05).In addition,the knee joint func-tion scores in the observation group at 1 month and 3 months after surgery were significantly higher than those in the con-trol group,with statistical significance(P<0.05).The difference in collaborative contraction rate and average energy fre-quency between the observation group and the control group at 7 days and 3 months after surgery were all statistically sig-nificant(P<0.05).[Conclusion]The combination of Pro-kin balance system and BFR training can inhibit quadriceps atro-phy,promote knee joint function recovery,and is worthy of clinical promotion and application.

Anterior Cruciate Ligament ReconstructionKnee JointExercise Test

景青、王佩佩、宗倩倩

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郑州颐和医院骨科,河南 郑州 450000

前交叉韧带重建 膝关节 运动试验

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(6)
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