本体感觉神经肌肉促进技术对半月板损伤患者术后的临床疗效
|
摘要
目的探讨本体感觉神经肌肉促进技术对半月板损伤修复术后的近期临床疗效。方法选取56例膝关节半月板损伤患者,随机分为对照组(28例)和观察组(28例),均行关节镜半月板成形术,术后对照组采取常规康复训练(肌力和关节活动度训练),观察组采用本体感觉神经肌肉促进专项训练(常规康复锻炼+本体感觉训练),所有患者于治疗前后进行膝关节疗效分级及测定膝关节被动60°位置觉、运动觉和等张功率。结果两组治疗后,观察组患者膝关节疗效分级优良率均显著高于对照组(P<0.05),两组治疗后的被动60°位置觉和运动觉、等张功率均有显著加强(P<0.05),治疗后两组等张功率比较差异有统计学意义(P<0.05)。结论本体感觉神经肌肉促进技术能有效改善膝关节半月板损伤修复术后的关节功能和本体感觉。
Objective To investigate the short-term clinical efficacy of proprioceptive neuromuscular facilitation technique in the repair of meniscus injury.Methods Fifty-six patients with meniscus injury were randomly divided into the control group(28 cases)and observation group(28 cases).The arthroscopy meniscus plasty was performed in all cases.The conventional rehabilitation training(muscle strength and joint activity training)was adopted in the control group,and the observation group adopted the proprioceptive neuromuscular facilitation specific training(conventional rehabilitation exercise+ proprioception training).All patients conducted the knee joint treatment effect grading before and after treatment,and the passive 60 degree position,motion awareness and equal tension power of the knee joint were measured.Results The excellent and good rate of the knee joint effect after treatment in the observation group was significantly higher than that in the control group(P<0.05).The passive 60 degrees position and motor sensation and equal tension power after treatment in the two groups were significantly enhanced(P<0.05).The comparison of the equal tension power after treatment between the two groups showed the statistical difference(P<0.05).Conclusion Proprioceptive neuromuscular facilitation technique can effectively improve the joint function and proprioception after the repair of meniscus injury of knee joint.
Objective To investigate the short-term clinical efficacy of proprioceptive neuromuscular facilitation technique in the repair of meniscus injury.Methods Fifty-six patients with meniscus injury were randomly divided into the control group(28 cases)and observation group(28 cases).The arthroscopy meniscus plasty was performed in all cases.The conventional rehabilitation training(muscle strength and joint activity training)was adopted in the control group,and the observation group adopted the proprioceptive neuromuscular facilitation specific training(conventional rehabilitation exercise+ proprioception training).All patients conducted the knee joint treatment effect grading before and after treatment,and the passive 60 degree position,motion awareness and equal tension power of the knee joint were measured.Results The excellent and good rate of the knee joint effect after treatment in the observation group was significantly higher than that in the control group(P<0.05).The passive 60 degrees position and motor sensation and equal tension power after treatment in the two groups were significantly enhanced(P<0.05).The comparison of the equal tension power after treatment between the two groups showed the statistical difference(P<0.05).Conclusion Proprioceptive neuromuscular facilitation technique can effectively improve the joint function and proprioception after the repair of meniscus injury of knee joint.
引文
[1]ROALD B,LARS E.Handbook of sports medicine and science sports injury prevention[M].UK:A John Wiley Sons Ltd,2009:61-92.
[2]ZEDDE P,MELA F,DEL PRETE F,et al.Meniscal injuries in basketball players[J].Joints,2015,2(4):192-196.
[3]KARAKASLI A,ACAR N,BASCI O,et al.Latrogenic lateral meniscus anterior horn injury in different tibial tunnel placement techniques in ACL reconstruction surgery-A Cadaveric study[J].Acta Orthop Traumatol Turc,2016,50(5):514-518.
[4]李玉周,胡英琪,李国平.本体感觉测试的敏感性角度指标选取研究[J].中国运动医学杂志,2013,32(8):696-701.
[5]王小武,戴繁林.关节镜下同种异体半月板移植术中期随访报告[J].重庆医学,2017,46(34):4827-4829.
[6]王迎春,徐虎,丁明,等.外侧半月板撕裂关节镜术中保留不同半月板层厚对膝关节功能及骨性关节炎发生的影响[J].中国骨与关节损伤杂志,2017,32(7):718-720.
[7]何罕亮,石瑄,张厚庆,等.关节镜手术联合富血小板血浆治疗半月板损伤临床疗效[J].重庆医学,2015,44(36):5079-5081.
[8]胡斐,牛洁,马继政.本体感觉训练在治疗半月板损伤中的作用和实践研究[J].南京体育学院学报(自然科学版),2015,2(14):44-48.
[9]SUGIMOTO D,ALENTORN-GELI E,MENDIGUCHIAJ,et al.Biomechanical and neuromuscular characteristics of male athletes:implications for the development of anterior cruciate ligament injury prevention programs[J].Sports Med,2015,7(1):11-17.
[10]JARI P,HENRI T,JAANA S,et al.Neu-romuscular training with injury prevention counsel-ling to decrease the risk of acute musculoskeletal injury in young men during military service:apop-ulation-based,randomised study[J].BMCMed,2011,35(9):1-11.
[11]邵正海,张玉发,吕宏,等.等速训练对膝关节半月板关节镜手术后膝关节功能恢复及关节周围肌肉力量的影响[J].中国医药导刊,2014,16(4):612-613.
[12]何建伟,李信阳,林伟,等.本体感觉性神经肌肉易化技术训练原则与方法[J].体育科学研究,2014,18(1):60-63.
[13]栗岩.肌力锻炼联合本体感觉训练对平衡能力较差老年人运动功能的影响[J].中华物理医学与康复杂志,2016,38(11):847-849.
[14]SUGIMOTO D,ALENTORN-GELI E,MENDIGUCH?A J,et al.Biomechanical and neuromuscular characteristics of male athletes:implications for the development of anterior cruciate ligament injury prevention programs[J].Sports Med,2015,45(6):809-822.
[2]ZEDDE P,MELA F,DEL PRETE F,et al.Meniscal injuries in basketball players[J].Joints,2015,2(4):192-196.
[3]KARAKASLI A,ACAR N,BASCI O,et al.Latrogenic lateral meniscus anterior horn injury in different tibial tunnel placement techniques in ACL reconstruction surgery-A Cadaveric study[J].Acta Orthop Traumatol Turc,2016,50(5):514-518.
[4]李玉周,胡英琪,李国平.本体感觉测试的敏感性角度指标选取研究[J].中国运动医学杂志,2013,32(8):696-701.
[5]王小武,戴繁林.关节镜下同种异体半月板移植术中期随访报告[J].重庆医学,2017,46(34):4827-4829.
[6]王迎春,徐虎,丁明,等.外侧半月板撕裂关节镜术中保留不同半月板层厚对膝关节功能及骨性关节炎发生的影响[J].中国骨与关节损伤杂志,2017,32(7):718-720.
[7]何罕亮,石瑄,张厚庆,等.关节镜手术联合富血小板血浆治疗半月板损伤临床疗效[J].重庆医学,2015,44(36):5079-5081.
[8]胡斐,牛洁,马继政.本体感觉训练在治疗半月板损伤中的作用和实践研究[J].南京体育学院学报(自然科学版),2015,2(14):44-48.
[9]SUGIMOTO D,ALENTORN-GELI E,MENDIGUCHIAJ,et al.Biomechanical and neuromuscular characteristics of male athletes:implications for the development of anterior cruciate ligament injury prevention programs[J].Sports Med,2015,7(1):11-17.
[10]JARI P,HENRI T,JAANA S,et al.Neu-romuscular training with injury prevention counsel-ling to decrease the risk of acute musculoskeletal injury in young men during military service:apop-ulation-based,randomised study[J].BMCMed,2011,35(9):1-11.
[11]邵正海,张玉发,吕宏,等.等速训练对膝关节半月板关节镜手术后膝关节功能恢复及关节周围肌肉力量的影响[J].中国医药导刊,2014,16(4):612-613.
[12]何建伟,李信阳,林伟,等.本体感觉性神经肌肉易化技术训练原则与方法[J].体育科学研究,2014,18(1):60-63.
[13]栗岩.肌力锻炼联合本体感觉训练对平衡能力较差老年人运动功能的影响[J].中华物理医学与康复杂志,2016,38(11):847-849.
[14]SUGIMOTO D,ALENTORN-GELI E,MENDIGUCH?A J,et al.Biomechanical and neuromuscular characteristics of male athletes:implications for the development of anterior cruciate ligament injury prevention programs[J].Sports Med,2015,45(6):809-822.