【摘要】：[目的]研究基于移動(dòng)互聯(lián)和生物傳感技術(shù)的骨科康復(fù)產(chǎn)品在前交叉韌帶重建術(shù)后康復(fù)中的臨床效果。[方法]將80例隨機(jī)分為兩組(每組40例),康復(fù)組術(shù)后出院由康復(fù)科醫(yī)生通過骨科康復(fù)產(chǎn)品指導(dǎo)患者實(shí)施康復(fù)治療;對(duì)照組術(shù)后出院僅給予康復(fù)計(jì)劃及指導(dǎo)。每兩周門診復(fù)查,至術(shù)后3個(gè)月。觀察比較兩組患者術(shù)后1、3個(gè)月的膝關(guān)節(jié)活動(dòng)度、KT-1000值、Lysholm評(píng)分與國際膝關(guān)節(jié)文獻(xiàn)委員會(huì)膝關(guān)節(jié)評(píng)估表(IKDC)評(píng)分及膝關(guān)節(jié)本體感覺評(píng)定。[結(jié)果]術(shù)后1個(gè)月康復(fù)組患者主動(dòng)關(guān)節(jié)活動(dòng)度差值(15.99±2.03)、KT-1 000值(0.86±0.21)和本體感覺運(yùn)動(dòng)位置覺差值(0.50±0.19)均低于對(duì)照組,IKDC評(píng)分(54.75±6.01)高于對(duì)照組,且差異均有統(tǒng)計(jì)學(xué)意義(Ρ0.05),而Lysholm評(píng)分和被動(dòng)關(guān)節(jié)活動(dòng)度差值差異無統(tǒng)計(jì)學(xué)意義(Ρ0.05);術(shù)后3個(gè)月康復(fù)組患者主動(dòng)關(guān)節(jié)活動(dòng)度差值(7.59±1.43)、被動(dòng)關(guān)節(jié)活動(dòng)度(7.54±1.71)、KT-1000值(1.43±0.27)和本體感覺運(yùn)動(dòng)位置覺差值(0.20±0.09)均低于對(duì)照組,IKDC評(píng)分(66.26±4.85)和Lysholm評(píng)分(1.43±0.27)均高于對(duì)照組,且差異均有統(tǒng)計(jì)學(xué)意義(Ρ0.05)。[結(jié)論]關(guān)節(jié)鏡下前交叉韌帶重建術(shù)后通過基于移動(dòng)互聯(lián)和生物傳感技術(shù)的骨科康復(fù)產(chǎn)品進(jìn)行康復(fù)訓(xùn)練,能夠有效地恢復(fù)膝關(guān)節(jié)的穩(wěn)定性及改善膝關(guān)節(jié)功能,促進(jìn)本體感覺的恢復(fù),從而大大增加康復(fù)療效,值得推廣。
[Abstract]:[objective] to study the clinical effect of orthopaedic rehabilitation products based on mobile interconnection and biosensor in the rehabilitation of anterior cruciate ligament reconstruction. [methods] 80 cases were randomly divided into two groups (40 cases in each group). The rehabilitation group was discharged from hospital by rehabilitation doctors through orthopaedic rehabilitation products to carry out rehabilitation treatment, while the control group was discharged only with rehabilitation plan and guidance. The clinic was reviewed every two weeks until 3 months after operation. The knee motion, KT- 1000, Lysholm score and (IKDC) score and knee proprioceptive evaluation of the International knee Literature Committee were observed and compared between the two groups at 1 and 3 months after operation. [results] one month after operation, the active joint motion difference (15.99 鹵2.03), KT-1 000 value (0.86 鹵0.21) and proprioceptive sensorimotor position difference (0.50 鹵0.19) in the rehabilitation group were lower than those in the control group, and the IKDC score (54.75 鹵6.01) was significantly higher than that in the control group (P 0.05), but there was no significant difference in Lysholm score and passive joint range of motion (P 0.05). Three months after operation, the difference of active joint motion (7.59 鹵1.43), passive joint motion (7.54 鹵1.71), KT- 1000 (1.43 鹵0.27) and proprioceptive motor position difference (0.20 鹵0.09) in the rehabilitation group were lower than those in the control group. The IKDC score (66.26 鹵4.85) and Lysholm score (1.43 鹵0.27) were significantly higher than those in the control group (P 0.05). [conclusion] after arthroscopic anterior cruciate ligament reconstruction, the rehabilitation training of orthopaedic rehabilitation products based on mobile interconnection and biosensor technology can effectively restore the stability of knee joint and improve the function of knee joint, promote the recovery of proprioceptive feeling, thus greatly increase the rehabilitation effect, which is worth popularizing.
【作者單位】： 河北醫(yī)科大學(xué)第三醫(yī)院康復(fù)科;
【基金】：G20工程支撐保障項(xiàng)目(G20龍頭企業(yè)培育——基于移動(dòng)互聯(lián)和生物傳感技術(shù)的骨科康復(fù)產(chǎn)品開發(fā))(編號(hào):Z151100003815007)
【分類號(hào)】：R687.4;TP212.3

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