前交叉韧带重建军人患者快速康复与传统康复对术后功能恢复的影响

Abstract
Figure/Table
References
Related Citation (9)

Download: PDF (702 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the effects of rapid rehabilitation treatment and traditional rehabilitation treatment on the function of knee joints and motion recovery after anterior cruciate ligament (ACL) reconstruction for military personnel.Methods The clinical data on 102 military patients undergoing arthroscopic ACL reconstruction between June 2018 and June 2019 was retrospectively analyzed. These patients were divided into the rapid rehabilitation group (51 cases) and traditional rehabilitation group (51 cases). The visual analogue scale (VAS) score and Lysholm score were calculated before and after operation. The results of 30-meter snake running before injury, 8 and 12 months after operation were recorded to evaluate the function of knee joints, and the difference between the two groups was studied.Results There was no significant difference in VAS scores between the two groups at 2 days, 3 months, 6 months and 1 year after operation (t=0.835, 0.361, 0.903, 0.758). But the Lysholm score of the rapid group was higher than that of the traditional group at 3 months, 6 months and 1 year after operation (t=7.788, 6.973 and 4.582, P<0.05). The results of 30-meter snake running in the rapid group were better than those in the traditional group 8 months and 1 year after operation, and the difference was statistically significant (t=5.398, 2.429,P<0.05). During the last follow-up, there were no rehabilitation-related complications in either group.Conclusions The rapid rehabilitation treatment can promote recovery of knee joint function and shorten the recovery time of exercise levels in military patients after ACL reconstruction.

Key words： rapid rehabilitation program anterior cruciate ligament reconstruction knee function anterior cruciate ligament injury

Received: 20 April 2021

ZTFLH:

R686.5

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHAO Wenlong
	SUN Jiao
	WANG Yang
	CHEN Shuo
	LI Yan
	ZHOU Liwu
	ZHAO Jianning

Cite this article:

ZHAO Wenlong,SUN Jiao,WANG Yang等. Effects of rapid rehabilitation and traditional rehabilitation on functional recovery after anterior cruciate ligament reconstruction for military personnel[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(9): 769-772.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2021/V32/I9/769

[1]	梁宏伟,余磊,王伟, 等. 武警某部训练伤致膝关节前交叉韧带重建89例[J]. 武警医学, 2018,29(11):1089-1091.
[2]	陈操, 唐永冬, 杜永军, 等. 加速康复外科在军人前交叉韧带重建围手术期中的临床应用价值[J]. 中华骨与关节外科杂志, 2019,12(3):216-220.
[3]	韩国一, 李飞. 快速康复方案在前交叉韧带损伤重建术后军人中的应用[J]. 泰山医学院学报, 2017,38(6):631-633.
[4]	Gokeler A, Neuhaus D, Benjaminse A, et al. Principles of motor learning to support neuroplasticity after acl injury: implications for optimizing performance and reducing risk of second acl injury[J]. Sports Med, 2019,49(6):853-865.
[5]	钟秋文,李伟. 膝关节前交叉韧带解剖单束重建的研究进展[J]. 中华骨与关节外科杂志, 2020,23(5):427-432.
[6]	王文河, 陈伟, 李克军. 前交叉韧带损伤的MRI征象分析[J]. 影像研究与医学应用, 2020,4(7):53-54.
[7]	Alshewaier S, Yeowell G, Fatoye F. The effectiveness of pre-operative exercise physiotherapy rehabilitation on the outcomes of treatment following anterior cruciate ligament injury: a systematic review[J]. Clin Rehabil, 2017,31(1):34-44.
[8]	Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J]. Am J Sports Med, 1982,10(3):150-154.
[9]	王慧, 谭淏元, 谭坚, 等. 科学军事体能训练体系对提高训练效果和预防军事训练伤的调查分析[J]. 海军医学杂志, 2020,41(3):241-244,333.
[10]	杜亮, 徐青镭, 李飞, 等. 军人前交叉韧带损伤的危险因素分析(英文). 现代生物医学进展, 2013,13(15):2893-2896.
[11]	任忠明, 谢国庆, 金文孝, 等. 关节镜下前交叉韧带重建术后失败行翻修术的近中期临床疗效[J]. 武警医学, 2020,31(8):654-656,660.
[12]	Lai C H, Ardern C L, Feller J A, et al. Eighty-three per cent of elite athletes return to preinjury sport after anterior cruciate ligament reconstruction: a systematic review with meta-analysis of return to sport rates, graft rupture rates and performance outcomes[J]. Br J Sports Med, 2018,52(2):128-138.
[13]	汤雨婷, 安丙辰, 郑洁皎. 前交叉韧带损伤康复治疗的研究进展[J]. 中医正骨, 2020,32(4):26-30.
[14]	秦爽, 钱菁华. 前交叉韧带损伤康复的研究进展[J]. 中国运动医学杂志, 2017,36(9):834-839.
[15]	刘书芳, 矫玮, 张晓辉. 不同康复方案对前交叉韧带重建术后运动员骨隧道的影响[J]. 中国运动医学杂志, 2016,35(2):141-146.
[16]	杨涛, 周敬滨, 陈天午, 等. 优秀运动员前交叉韧带重建后何时重返运动:一项基于等速肌力和多种单脚跳测试的研究[J]. 中国运动医学杂志, 2018,37(3):185-191.
[17]	Ardern C L, Taylor N F, Feller J A, et al. Psychological responses matter in returning to preinjury level of sport after anterior cruciate ligament reconstruction surgery[J]. Am J Sports Med, 2013,41(7):1549-1558.
[18]	Chona D, Eriksson K, Young S W, et al. Return to sport following anterior cruciate ligament reconstruction: the argument for a multimodal approach to optimise decision-making: current concepts[J]. J Isakos, 2021,Jun 4:jisakos-2020-000597.