Effect of Chinese Medicinals Fumigation and Washing Combined with Acupoint Stimulation on Knee Proprioception Function After Anterior Cruciate Ligament Reconstruction
Objective:To investigate the effect of Chinese medicinals fumigation and washing combined with acupoint stimulation on the recovery of proprioception function after anterior cruciate ligament(ACL)reconstruction of knee joint.Methods:From June 2022 to October 2023,105 patients with unilateral ACL rupture caused by trauma were selected.Patients were divided into observation group(35 cases),control group 1(35 cases),and control group 2(35 cases)by random number table method.In all three groups autologous tendons were used to reconstruct ACL under arthroscopy.After surgery,control group 1 received routine rehabilitation training,control group 2 received routine rehabilitation training and balance promotion training,and the observation group received routine rehabilitation training combined with Gushang Kangfu Waixi Granules(骨伤康复外洗颗粒)fumigation and acupoint stimulation treatment.The surgical conditions and incidence of complications such as postoperative swelling,pain,and joint effusion among the three groups were compared.Six weeks and 3 months after surgery,all three groups underwent the Lachman test and axial shift test.Before surgery,and 6 weeks and 3 months after surgery,the Lysholm score,International Knee Documentation Committee(IKDC)score,knee joint range of motion(ROM),knee joint recurrence angle difference,and passive motion perception threshold(TDPM)tests of three groups were evaluated and compared.Results:There was no statistically significant difference in surgical time,complete weight-bearing time,and hospital stay time among the three groups(P＞0.05).The Lysholm score,IKDC score,and ROM of the three groups 6 weeks and 3 months after surgery were all higher than those before surgery,and in the observation group and control group 2 were all higher than those in the control group 1(P＜0.05);there was no statistically significant difference in Lysholm score,IKDC score,and ROM before and after 6 weeks and 3 months of surgery between the observation group and the control 2 group(P＞0.05).The difference in knee joint recurrence angle and TDPM 6 weeks and 3 months after surgery in the three groups were lower than those before surgery,and in the observation group were lower than those in the control group 1 and control group 2(P＜0.05);the knee joint recurrence angle and TDPM in control group 2 were lower than those in control group 1(P＜0.05).Six weeks and 3 months after surgery,results of Lachman test and axial shift test in all three groups were negative.The incidence of complications such as postoperative swelling and pain,and joint effusion in the experimental group was lower than that in the control group 1 and control group 2(P＜0.05).Conclusions:Chinese medicinals fumigation and washing combined with acupoint stimulation could improve the recovery of proprioception function after ACL reconstruction and reduce the incidence of early postoperative swelling and pain,joint effusion and other complications.It is a safe and reliable protocol for external treatment by traditional Chinese medicine to promote the rehabilitation after ACL reconstruction.
Gushang Kangfu Waixi GranulesChinese medicinals fumigation and washingacupoint stimula-tionanterior cruciate ligament salvage and reconstruction surgeryknee jointproprioception
万方数据
维普
