The effect of simulated realistic gait training on functional recovery and fear of falling in patients with anterior cruciate ligament injury
Objective:To investigate the effect of simulated realistic gait training on functional recovery and fear of falling in patients with anterior cruciate ligament injury.Methods:A prospective selection was conducted on 92 patients with anterior cruciate ligament injury of the knee joint who met the inclusion criteria from January 2018 to December 2020, including 72 males and 20 females, aged (33.254.63) years old. They were randomly divided into an observation group and a control group based on the odd and even numbers of the hospitalization numbers. The observation group had 43 patients and the control group had 49 patients. On the basis of routine rehabilitation exercise, the two groups of patients received simulated reality gait training for 6 months in the observation group. The differences in knee joint mobility, stability, and gait characteristics between the two groups before and after intervention were compared. The TSK-11 and MFES scores were used to evaluate the impact of patients' fear of falling before and after intervention.Results:After 3 and 6 months of intervention, the knee joint range of motion of both groups of patients increased, and the observation group had a higher range of motion (105.58±14.22 and 126.39±15.66) than the control group (95.69±12.04 and 105.28 ± 11.32) (P<0.05). Compared with the control group, the stability at 3 and 6 months after intervention (Pivotshift test positive rates at 3 and 6 months were 32.56% and 79.07%, respectively; Lachman test 3+positive rates were 48.48% and 81.40%) was higher in the observation group than in the control group (P<0.05); After intervention, the Lysholm scores of both groups of patients significantly increased. At 6 months after intervention, the observation group had (82.53±10.36) higher scores than the control group (75.28±9.34); After intervention, the duration of touchdown on the affected and healthy sides gradually decreased, and compared with the control group, the observation group had a shorter touchdown duration after intervention (P<0.05). The MFES scores of the observation group at 3 and 6 months of intervention were (7.62±1.06 points and 9.58 ± 10.33 points) higher than those of the control group (P<0.05). After 3 and 6 months of intervention, the TSK-11 scores of the observation group were (21.61±3.27 and 18.52±2.36) higher than those of the control group (P<0.05).Conclusion:Simulated realistic gait training can improve the knee function of patients with acl injury and improve their gait and fear of falling.
万方数据
