平衡性训练对膝关节内侧副韧带损伤患者膝关节功能恢复的效果研究

目的:研究平衡性训练对膝关节内侧副韧带(MCL)损伤患者膝关节功能恢复的效果。方法:选取2014年8月至2016年8月北京体育大学运动员膝关节MCL损伤患者112例为研究对象,根据随机数字表法将其分为对照组(n=56)与观察组(n=56)。对照组予以常规康复训练干预,观察组则在对照组的基础上加用平衡性训练干预,两组患者干预时间均为4周,分别比较两组干预前和干预4周后膝关节功能变化情况、疼痛程度、膝关节平衡能力以及生活质量的变化。结果:干预后两组患者Lysholm评分均较干预前升高,且观察组明显高于对照组,差异有统计学意义(P0.05)。干预后两组患者视觉模拟(VAS)评分均明显低于干预前,且观察组明显低于对照组,差异均有统计学意义(均P0.05)。干预后,两组患者总体稳定指数(OSI)、前后方向的稳定指数(APSI)、左右方向的稳定指数(MLSI)水平均低于干预前,且观察组患者OSI、APSI、MLSI水平均低于对照组,差异均有统计学意义(均P0.05)。观察组患者满意度较对照组明显升高,差异有统计学意义(P0.05)。结论:为膝关节MCL损伤患者实施平衡性训练能较好地改善其膝关节功能,并缓解疼痛,同时可帮助其提高膝关节的平衡能力,增加了满意度,适于推广。

Effect of Balance Training on the Recovery of Knee Joint Function in Patients with Medial Collateral Ligament Injury of Knee Joint

ABSTRACT Objective: To study the effect of balance training on the recovery of knee joint function in patients with medial collateral ligament (MCL) injury of knee joint. Methods: 112 athletes with knee joint MCL injury in Beijing Sport University from August 2014 to August 2016 were selected as the research object, and they were divided into control group (n=56) and observation group (n=56) according to the random number table method. The control group was given routine rehabilitation training, while the observation group was given balanced training intervention on the basis of the control group, the intervention time of the two groups was 4 weeks. The changes of knee joint function, pain degree, knee joint balance ability and quality of life were compared between the two groups before and after 4 weeks of intervention. Results: After intervention, the Lysholm scores of patients in two groups were higher than before intervention, and the observation group was significantly higher than that of the control group, the difference was statistically significant (P<0.05). After intervention, the visual analogue scores (VAS) of patients in two groups were significantly lower than those before intervention, and the observation group was significantly lower than that of the control group, the differences were statistically significant (P<0.05). After intervention, the levels of overall stability index (OSI), anterior-posterior stability index (APSI), medial-lateral stability index (MLSI) of patients in two groups were lower than those before intervention, and the levels OSI, APSI and MLSI of patients in the observation group were lower than the control group, the differences were statistically significant (P<0.05). The satisfaction of the observation group was significantly higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion: Balanced training for patients with knee joint MCL injury can improve their knee joint function, relieve pain, and it can help them improve the balance capacity of the knee joint, increase satisfaction, which is suitable for promotion.