Application of strengthening comprehensive sensory training in early rehabilitation after anterior cruciate ligament re-construction
Objective:To explore the application value of strengthening comprehensive sensory training in early re-habilitation after anterior cruciate ligament reconstruction.Methods:87 patients who underwent anterior cruciate lig-ament reconstruction were selected and randomly divided into the conventional group(28 patients),the propriocep-tive group(29 patients),and the comprehensive group(30 patients).All patients received conventional rehabilita-tion.The proprioceptive group received additional early postoperative seated proprioception training,and the com-prehensive group received additional early postoperative seated proprioception training and tactile and thermal sensa-tion 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 smal-ler 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 Ly-sholm 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 proprio-ceptive group.There was no statistical difference in the incidence of adverse events between the 3 groups.Con-clusion:The strengthening comprehensive sensory train-ing can effectively enhance proprioception,balance,mo-tor 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.
万方数据
维普
