| 郑黎明,何 斌,王新生,铁贵瑶,李欣蕊.虚拟现实平衡训练联合神经肌肉电刺激对前交叉韧带重建术后患者膝关节功能、腘绳肌肌力和步行功能的影响[J].,2023,(2):294-298 |
| 虚拟现实平衡训练联合神经肌肉电刺激对前交叉韧带重建术后患者膝关节功能、腘绳肌肌力和步行功能的影响 |
| Effects of Virtual Reality Balance Training Combined with Neuromuscular Electrical Stimulation on Knee Function, Hamstring Muscle Strength and Walking Function after Anterior Cruciate Ligament Reconstruction |
| 投稿时间：2022-06-10 修订日期：2022-07-07 |
| DOI：10.13241/j.cnki.pmb.2023.02.017 |
| 中文关键词: 前交叉韧带重建术 神经肌肉电刺激 虚拟现实平衡训练 膝关节功能 腘绳肌肌力 步行功能 |
| 英文关键词: Anterior cruciate ligament reconstruction Neuromuscular electrical stimulation Virtual reality balance training Knee function Hamstring muscle strength Walking function |
| 基金项目:江西省卫生计生委中医药科研项目（2016A183） |
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| 摘要 目的：探讨虚拟现实平衡训练联合神经肌肉电刺激（NMES）对前交叉韧带重建术（ACLR）后患者膝关节功能、腘绳肌肌力和步行功能的影响。方法：选择2019年8月~2021年12月期间我院收治的前交叉韧带（ACL）损伤患者96例，并成功实施ACLR，采用随机数字表法分为对照组（n=48，常规康复训练、虚拟现实平衡训练）和研究组（n=48，常规康复训练、虚拟现实平衡训练联合NMES干预）。对比两组膝关节功能优良率、膝关节功能、腘绳肌肌力和步行功能。结果：研究组的临床膝关节功能优良率93.75%（45/48）高于对照组68.75%（33/48），差异有统计学意义（P<0.05）。两组干预后膝关节功能评分、膝关节活动度对均升高，且研究组高于对照组（P<0.05）。两组干预后患侧腘绳肌等长肌力升高，且研究组高于对照组（P<0.05），两组干预后健侧腘绳肌等长肌力对比无明显差异（P>0.05）。两组干预后步长、步速升高，且研究组高于对照组，患侧摆动相降低，且研究组低于对照组（P<0.05）。两组干预后被动活动察觉阀值、进行被动角度再生试验降低，且研究组低于对照组（P<0.05）。结论：虚拟现实平衡训练联合NMES应用于ACLR术后患者的疗效显著，有助于其膝关节功能恢复，提高腘绳肌肌力，改善步行功能。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effects of virtual reality balance training combined with neuromuscular electrical stimulation (NMES) on knee function, hamstring muscle strength and walking function after anterior cruciate ligament reconstruction (ACLR). Methods: 96 patients with anterior cruciate ligament (ACL) injury who were treated in our hospital from August 2019 to December 2021 were selected, and ACLR was successfully implemented. They were randomly divided into control group (n=48, routine rehabilitation training, virtual reality balance training) and study group (n=48, outine rehabilitation training, virtual reality balance training combined with intervention) by random number table method. The excellent and good rate of knee function, knee function, hamstring muscle strength and walking function of the two groups were compared. Results: The excellent and good rate of knee joint function in the study group was 93.75% (45/48) higher than 68.75% (33/48) in the control group, and the difference was statistically significant (P<0.05). After intervention, knee function score and knee range of motion were increased in the two groups, and the study group was higher than the control group (P<0.05). After intervention, the isometric strength of the affected side hamstring muscle in the two groups increased, and the study group was higher than the control group (P<0.05). There was no significant difference in isometric strength of the unaffected side hamstring muscle in the two groups after intervention (P>0.05). After intervention, the step length and step speed in the two groups increased, and the study group was higher than the control group, the affected side swing phase decreased, and the study group was lower than the control group (P<0.05). After intervention, the threshold of passive activity perception and conduct passive angle regeneration test decreased in two groups, and the study group was lower than the control group (P<0.05). Conclusion: Virtual reality balance training combined with NMES has a significant effect on patients with ACLR after operation, which is helpful to the recovery of knee joint function, improve hamstring muscle strength and improve walking function. |
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