首页|肌内效贴联合针刺对前交叉韧带损伤患者膝关节肌纤维募集能力、本体感觉的影响

肌内效贴联合针刺对前交叉韧带损伤患者膝关节肌纤维募集能力、本体感觉的影响

扫码查看
目的 探讨肌内效贴联合针刺对前交叉韧带损伤患者膝关节肌纤维募集能力、本体感觉的影响.方法 选取2020年9月1日至2022年9月1日南通市第三人民医院前交叉韧带损伤患者50例,根据随机数表法分为观察组(25例)和对照组(25例).两组均采用关节镜下前交叉韧带重建术治疗,术后对照组常规予以康复训练,观察组在对照组基础上增加肌内效贴联合针刺治疗,对比两组疗效.在治疗前、治疗后6周及治疗后3个月评估2组膝关节肌纤维募集能力(RMS)、本体感觉(JPSA、△JPSA)、运动功能(Fugl-Meyer评分)、平衡功能(BBS评分),并随访1年,记录前交叉韧带损伤复发率.结果 观察组西医总有效率、中医证候总有效率均高于对照组(P均<0.05);治疗后6周、3个月观察组内侧头肌RMS、股外侧头肌RMS、股直肌RMS均高于对照组(P均<0.05);治疗后6周、3个月观察组JPSA、△JPSA均低于对照组(P均<0.05);治疗后6周、3个月观察组FMA、BBS评分均高于对照组(P均<0.05);随访1年,观察组和对照组前交叉韧带损伤复发率差异无统计学意义(P>0.05).结论 肌内效贴联合针刺治疗前交叉韧带损伤能提高膝关节屈伸肌肌纤维募集能力,提升膝关节稳定性,改善运动功能及平衡功能,对预防疾病复发具有积极作用.
Effect of Intramuscular Adhesive Combined with Acupuncture on the Ability of Recruitable Muscle Fiber Number and Proprioception of Knee Joint in Patients with Anterior Cruciate Ligament Injury
Objective To investigate the effects of intramuscular adhesive combined with acupuncture on the ability of recruitable muscle fiber number and proprioception of knee joints in patients with anterior cruciate ligament injury.Methods 50 patients with an anterior cruciate ligament injuries in Nantong Third People's Hospital from September 1,2020 to September 1,2022 were selected and divided into observation group(25 cases)and control group(25 cases)according to the random number table method.All patients were treated with arthroscopic anterior cruciate ligament reconstruction.The control group received routine rehabilitation training after surgery,and the observation group was supplemented with intramuscular adhesive combined with acupuncture.The efficacy of the two groups was compared.The recruitable muscle fiber number(RMS),proprioception(JPSA,△ JPSA,motor function(Fugl-Meyer score)and balance function(BBS score)of the two groups were evaluated before treatment,6 weeks after treatment and 3 months after treatment.The recurrence rate of anterior cruciate ligament injury was recorded during 1-year follow-up.Results The total effective rate of Western medicine and Chinese medicine in the observation group were higher than those in the conventional group(P all<0.05).The RMS of the medial head muscle,lateral femoral head muscle,and rectus femoris muscle in the observation group were higher than those in the control group at 6 weeks and 3 months after treatment(P all<0.05).At 6 weeks and 3 months after treatment,the JPSA and △ JPSA of the observation group were lower than those of the control group(P all<0.05).FMA and BBS scores in the observation group were higher than those in the control group at 6 weeks and 3 months after treatment(P all<0.05).After 1-year follow-up,the recurrence rate of ACL injury in the observation group and the control group had no statistical significance(P>0.05).Conclusion The treatment of anterior cruciate ligament injury with intramuscular adhesive combined with acupuncture can improve the recruitment the ability of knee flexor extensor muscle fiber,enhance the stability of knee joint,improve motor function and balance function,and play a positive role in preventing recurrence.

intramuscular patchacupunctureanterior cruciate ligament injuryproprioceptionrecruitable muscle fiber number

孙小星、顾玉玲、周晓茂、陈文雅、孙龚卫、周徐

展开 >

南通市第三人民医院,南通大学附属南通第三医院,南通 226001

肌内效贴 针刺 前交叉韧带损伤 本体感觉 肌纤维募集能力

2024

宁夏医科大学学报
宁夏医科大学

宁夏医科大学学报

CSTPCD
影响因子:0.84
ISSN:1674-6309
年,卷(期):2024.46(10)