虚拟现实技术结合等速肌力训练对前交叉韧带重建术后患者的临床疗效观察
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作者Author单位AddressE-Mail
卢跃伦 LU Yue-lun 温州医科大学附属第二医院康复医学科, 浙江 温州 325000 Department of Rehabilitation Medicine, No 2 Affiliated Hospital of Wezhou Medical University, Wenzhou 325000, Zhejiang, China  
蒋松鹤 JIANG Song-he 温州医科大学附属第二医院康复医学科, 浙江 温州 325000 Department of Rehabilitation Medicine, No 2 Affiliated Hospital of Wezhou Medical University, Wenzhou 325000, Zhejiang, China jiangsonghe@wmu.edu.Cn 
黄沙沙 HUANG Sha-sha 温州市中西医结合医院运动医学科, 浙江 温州 325000 Department of Sports Medicine, Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou 325000, Zhejiang, China  
骆国钢 LUO Guo-gang 温州市中西医结合医院运动医学科, 浙江 温州 325000 Department of Sports Medicine, Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou 325000, Zhejiang, China  
林忠勤 LIN Zhong-qin 温州市中西医结合医院运动医学科, 浙江 温州 325000 Department of Sports Medicine, Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou 325000, Zhejiang, China  
李金滨 LI Jin-bin 温州市中西医结合医院运动医学科, 浙江 温州 325000 Department of Sports Medicine, Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou 325000, Zhejiang, China  
期刊信息:《中国骨伤》2023年,第36卷,第12期,第1159-1164页
DOI:10.12200/j.issn.1003-0034.2023.12.010
基金项目:
中文摘要:

目的:探究虚拟现实技术结合等速肌力训练在前交叉韧带(anterior cruciate ligament,ACL)重建术后患者康复中的应用价值和效果。

方法:选取2021年12月至2023年1月就诊的ACL重建术后12周的患者40例,按照治疗方法不同分为对照组和观察组。对照组20例,男15例,女5例;年龄17~44(29.10±8.60)岁;采用常规康复训练结合等速肌力训练。观察组20例,男16例,女4例;年龄17~45(30.95±9.11)岁;采用虚拟现实技术结合等速肌力训练。比较两组患者术后12周(训练前)、术后16周(训练后)的Lysholm膝关节评分、膝关节伸峰力矩和屈峰力矩。

结果:所有患者获得随访,时间1~6(3.30±1.42)个月。训练前两组Lysholm膝关节评分、膝关节伸峰力矩和屈峰力矩比较,差异无统计学意义(P>0.05)。训练后两组Lysholm膝关节评分、膝关节伸峰力矩和屈峰力矩均较训练前改善(P<0.05);组间比较,观察组Lysholm膝关节评分、膝关节伸峰力矩和屈峰力矩评分均较对照组高(P<0.05)。

结论:应用虚拟现实技术结合等速肌力训练能更好地促进ACL重建术后患者的膝关节功能恢复,增强肌力。
【关键词】虚拟现实  等速肌力训练  前交叉韧带重建  运动康复
 
Clinical observation of virtual reality technology combined with isokinetic strength training for patients after anterior cruciate ligament reconstruction
ABSTRACT  

Objective To explore application value and effectiveness of virtual reality technology combined with isokinetic muscle strength training in the rehabilitation of patients after anterior cruciate ligament (ACL) reconstruction surgery.

Methods Forty patients who underwent ACL reconstruction surgery from December 2021 to January 2023 were selected and divided into control group and observation group according to treatment methods,20 patients in each group. Control group was received routine rehabilitation training combined with isokinetic muscle strength training,including 15 males and 5 females,aged from 17 to 44 years old,with an average of (29.10±8.60) years old. Observation group was performed virtual reality technology combined with isokinetic muscle strength training,including 16 males and 4 females,aged from 17 to 45 years old with an average of (30.95±9.11) years old. Lysholm knee joint score,knee extension peak torque,and knee flexion peak torque between two groups at 12 (before training) and 16 weeks (after training) after surgery were compared.

Results All patients were followed up for 1 to 6 months with an average of (3.30±1.42) months. There were no statistically significant difference in Lysholm knee joint score,peak knee extension peak torque,and peak knee flexion peak torque between two groups (P>0.05) before training. After training,Lysholm knee joint score,knee extension peak torque,and knee flexion peak torque of both groups were improved compared to before training (P<0.05);there were significant difference in Lysholm knee joint score,knee extension peak torque,and knee flexion peak torque between two groups(P<0.05).

Conclusion The application of virtual reality technology combined with isokinetic muscle strength training could promote recovery of knee joint function and enhance muscle strength in patients after ACL reconstruction surgery in further.
KEY WORDS  Virtual reality technology  Isokinetic strength training  Anterior cruciate ligament reconstruction  Exercise rehabilitation
 
引用本文,请按以下格式著录参考文献:
中文格式:卢跃伦,蒋松鹤,黄沙沙,骆国钢,林忠勤,李金滨.虚拟现实技术结合等速肌力训练对前交叉韧带重建术后患者的临床疗效观察[J].中国骨伤,2023,36(12):1159~1164
英文格式:LU Yue-lun,JIANG Song-he,HUANG Sha-sha,LUO Guo-gang,LIN Zhong-qin,LI Jin-bin.Clinical observation of virtual reality technology combined with isokinetic strength training for patients after anterior cruciate ligament reconstruction[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(12):1159~1164
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