本体感觉训练对膝关节骨折术后膝关节功能恢复的影响

许世维 朱咏梅 廖基楚 赵慧

【摘要】 目的：研究本体感觉训练对膝关节骨折（knee joint fractures，KJF）术后患者膝关节功能恢复的效果。方法：选取2016年1月-2019年3月笔者所在医院收治的50例KJF术后患者。将其随机分为对照组及治疗组，每组25例。对照组采用常规康复训练，治疗组在对照组基础上增加本体感觉训练。比较两组膝关节功能恢复情况。结果：两组膝关节主动屈曲活动度、LKSS评分及Berg评分均较训练前改善，且治疗组均优于对照组，差异有统计学意义（P<0.05）;治疗组训练后本体感觉偏差明显优于对照组，差异有统计学意义（P<0.05）。结论：本体感觉训练对KJF术后膝关节功能恢复效果较好。

【关键词】 本体感觉 康复 膝关节 骨折

doi：10.14033/j.cnki.cfmr.2020.13.070 文献标识码 B 文章编号 1674-6805（2020）13-0-03

Effect of Proprioception Training on the Recovery of Knee Joint Functional after Knee Joint Fractures Surgery/XU Shiwei， ZHU Yongmei， LIAO Jichu， ZHAO Hui. //Chinese and Foreign Medical Research， 2020， 18（13）： -171

[Abstract] Objective： To investigate the effect of proprioception training on knee joint function recovery in patients after knee joint fractures （KJF） surgery. Method： Fifty patients admitted in our hospital after KJF surgery from January 2016 to March 2019 were selected. They were randomly divided into the treatment group and the control group， with 25 case in each group. The control group received routine rehabilitation training， and the treatment group added proprioception training on the basis of the control group. The functional recovery of knee joint was compared between the two groups. Result： The knee joint active flexion activity， LKSS score and Berg score in the two groups were improved compared with those before training， and the treatment group were better than the control group， the differences were statistically significant （P<0.05）. After training， the proprioception deviation of the treatment group was significantly better than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： Proprioception training has a good effect on the recovery of knee joint function after KJF surgery.

[Key words] Proprioception Rehabilitation Knee joint Fractures

First-authors address： Anhui No.2 Provincial Peoples Hospital， Hefei 230041， China

下肢是創伤患者中受伤最频繁的身体部位，膝关节骨折（knee joint fractures，KJF）通常是由高能量创伤引起，具有非常复杂的骨折模式和主要的软组织损伤[1]。由于其解剖学特征，KJF通常伴有肢体的血管、神经和软组织损伤。目前手术是其最有效的治疗方法并能进行早期康复训练，但仍有患者术后遗留有关节功能障碍，严重影响日常生活。研究证实骨损伤的患者存在本体感觉的缺失并影响关节功能和稳定性[2]，人体运动是需要建立在良好的本体感受基础之上。本体感觉的损伤及缺失需要进行特殊的康复训练才能恢复[3]。然而常规的康复训练只关注膝关节的活动度而忽略了本体感觉训练。为分析本体感觉训练在KJF术后膝关节功能恢复的效果，笔者采用随机对照的方法收集2016年1月-2019年3月收治的50例KJF患者，探讨本体感觉训练的效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2016年1月-2019年3月笔者所在医院收治的50例膝关节骨折术后患者作为研究对象。……