神经肌肉电刺激联合早期康复训练对关节镜下前交叉韧带重建术后康复的影响

Effect of neuromuscular electrical stimulation combined with early rehabilitation training on rehabilitation after arthroscopic anterior cruciate ligament reconstruction

  • 摘要: 目的 观察神经肌肉电刺激(NMES)联合早期康复训练对关节镜下前交叉韧带(ACL)重建术后的康复效果。 方法 采用随机数字表法将64例行关节镜下ACL重建术治疗的患者分为对照组与观察组,每组32例。对照组术后采用早期康复训练治疗,观察组在对照组基础上联合采用NMES康复治疗,均治疗3个月。术前及术后1、2、3个月,采用Lysholm评分、关节活动度测量尺及视觉模拟评分法(VAS)评估2组患者膝关节功能、膝关节活动度及膝关节活动舒适度。 结果 术前, 2组Lysholm评分、膝关节活动度比较,差异无统计学意义(P>0.05); 术后1、2、3个月, 2组Lysholm评分、膝关节活动度分别高于、大于术前(随着术后时间的延长逐渐改善),且观察组的变化幅度大于对照组,差异均有统计学意义(P<0.05)。术前, 2组患者VAS评分比较,差异无统计学意义(P>0.05); 术后1、2、3个月, 2组患者VAS评分低于术前(随着术后时间的延长逐渐降低),且观察组VAS评分低于对照组,差异均有统计学意义(P<0.05)。 结论 NMES联合早期康复训练可明显改善关节镜下ACL重建术后患者的膝关节功能、膝关节活动度,减轻其膝关节活动不适感。

     

    Abstract: Objective To observe the effects of neuromuscular electrical stimulation(NMES)combined with early rehabilitation training on rehabilitation after arthroscopic anterior cruciate ligament(ACL)reconstruction. Methods According to random digital table method, 64 patients undergoing arthroscopic ACL reconstruction were randomly divided into two groups. The patients in the control group(n=32)were given early rehabilitation training after operation, and the observation group(n=32)were treated with NMES rehabilitation combined with early rehabilitation training, and the treatment was lasted for 3 months in both groups. Lysholm score, joint motion measuring ruler, and visual analogue score(VAS)were applied to evaluate knee function, knee mobility, and knee comfort before and after 1 month, 2 and 3 months of operation. Results There were no significant differences in Lysholm score and knee joint activity between the two groups before surgery(P>0.05). Lysholm score and knee joint activity degree at 1 month, 2 months, and 3 months after operation were significantly higher and more than those before the operation in two groups(P<0.05), and with the extension of the follow-up time, the above-mentioned indicators showed significant improvement, and observation group showed significant changes when compared to the control group(P<0.05). There was no significant difference in VAS scores before surgery between the two groups(P>0.05), and the VAS scores at 1 month 2 and 3 months after surgery were significantly lower in the two groups than operation before, and observation group was significantly lower than the control - group(P<0.05). The VAS score decreased significantly with the extension of the follow-up time in two group(P<0.05). Conclusion NMES combined with early rehabilitation training can significantly improve knee function and knee joint mobility after arthroscopy in patients with ACL reconstruction, and relieve their knee joint discomfort.

     

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