Effect Observation of Routine Rehabilitation Combined with Proprioceptive Training on Postoperative Rehabilitation of Patients with Exercise-induced Anterior Cruciate Ligament and Meniscus Injury of Knee Joint
ZHOU Shu-na,LI Jing-yun
Department of Rehabilitation Medicine, Beijing First Rehabilitation Hospital, Beijing (100044), China
Abstract:
Objective To investigate the effect of postoperative rehabilitation training on the clinical outcome and prognosis of patients with motion-induced anterior cruciate ligament (ACL) and meniscal injury. Methods A total of 178 patients with anterior cruciate ligament and meniscus injury caused by exercise in our hospital from April 2015 to September 2017 were enrolled. All patients underwent high-frequency ultrasound, MRI diagnosis and arthroscopic surgery. According to the different postoperative rehabilitation training methods, the patients were divided into study group (using conventional + proprioceptive intensive rehabilitation training) and control group (using conventional rehabilitation training), respectively, each group with 89 cases. The meniscus injury and treatment results, knee functionrecovery (using Lysholm score and IKDC score) and safety were compared between the two groups. Results After treatment, the patients were followed up for 6–12 months. The healing time of the study group and control group was (2.16±1.05) months and (3.87±1.24) months (P<0.05). The IKDC scores of the study group before and after 6 and 12 months of treatment were (40.38±8.12), (65.19±7.54) and ( 84 . 15 ± 6 . 78 ), respectively. The IKDC scores of the control group before and after 6 and 12 months of treatment were (41.04±8.33), (54.06±7.82) and (70.21±6.90) (P<0.05). The Lysholm scores of the study group before and after 6 and 12 months of treatment were (45.12±5.98), (72.38±6.26) and (89.41±7.50), respectively. The Lysholm scores of the control group before and after 6 and 12 months of treatment were (45.67 ± 6.44), (65.49 ± 7 . 03 ) and ( 76 . 35 ± 6 . 82 ), respectively (P < 0 . 05 ). There were no complications such as ligament rupture, joint adhesion and synovitis after treatment in the study group and control group (P>0.05). Conclusion The routine rehabilitation training combined with enhanced proprioceptive training has better effect on patients with exercise-induced knee anterior cruciate ligament and meniscus injury, can effectively reduce knee dysfunction, with good prognosis, and is suitable for clinical promotion.
