吴茂东,苏清伦,杜海敏,闫振壮,苏 敏.减重支持训练对前交叉韧带重建术后患者动态足底压力的影响[J].中国康复医学杂志,2021,(12):1523~1528 |
减重支持训练对前交叉韧带重建术后患者动态足底压力的影响 点此下载全文 |
吴茂东 苏清伦 杜海敏 闫振壮 苏 敏 |
苏州大学附属第一医院康复医学科,苏州,215006 |
基金项目:江苏省自然科学基金面上项目(BK20211088);苏州大学横向课题(H201173) |
DOI:10.3969/j.issn.1001-1242.2021.12.007 |
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摘要: |
摘要
目的:观察减重支持(partial body weight support,PBWS)训练对前交叉韧带(anterior cruciate ligament, ACL)重建术后患者动态足底压力的影响。
方法:采用随机数字表法将35例符合纳入排除标准的ACL重建术后患者随机分为观察组17例和对照组18例。两组患者术后第1天均给予常规基础康复训练;术后第2周起,对照组进行常规步行训练,观察组进行PBWS步行训练。步行训练前、治疗5周后分别检测两组患者足底平均峰值压强(max pressure,MP)、足底峰值压强(peak pressure,PP)、足底总平均峰值压力(sum max force, SMF)和足底各区域平均峰值压力(max force,MF)。
结果:与治疗前比,治疗5周后两组患者MP、PP、SMF和各区域MF均有显著提高(P<0.05)。治疗5周后与对照组比,观察组MP[(2.84±0.83)N/cm2]、PP[(12.36±3.39)N/cm2]和SMF[(690.50±141.41)N]均优于对照组水平(P<0.05),进一步分析足底各区域MF发现,观察组MFF3区[(14.89±5.55)N]、MFF5区[(152.25±26.73)N]、MFR3区[(125.74±20.35)N]和MFR2区[(201.42±37.29)N]改善幅度优于对照组水平(P<0.05),而足底其余区域MF改善幅度无显著性意义(P>0.05)。
结论:PBWS训练联合常规基础康复训练优于常规步行训练联合常规康复训练,可提高ACL重建术后患者患肢动态足底峰值压力和压强水平,并有利于足底各区域负荷模式正常化。 |
关键词:减重支持训练 前交叉韧带重建 足底压力 步行训练 |
Effects of partial body weight support training on dynamic plantar pressure in patients with anterior cruciate ligament reconstruction Download Fulltext |
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The First Affiliated Hospital of Suzhou University, Suzhou, 215006 |
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Abstract: |
Abstract
Objective:To observe the effect of partial body weight support (PBWS) training on dynamic plantar pressure in patients with ACL reconstruction.
Method:Totally 35 ACL reconstruction patients were randomly divided into observation group (n=17) and control group (n=18). Both groups took basic rehabilitation treatment. From 2 weeks after surgery,the control group was given conventional gait training, and the observation group was given PBWS gait training. MP,PP,SMF and MF were measured before and after 5 weeks training.
Result:Compared with before training, MP, PP, SMF and MF were significantly improved in both groups (P<0.05) after 5 weeks training. MP [(2.84±0.83)N/cm2], PP [(12.36±3.39)N/cm2] and SMF [(690.50±141.41)N] in the observation group were better than the control group (P<0.05). We further analyzed the MF in each area and found that the improvement of MFF3 area [(14.89±5.55)N], MFF5 [(152.25±26.73)N)], MFR3[125.74±20.35)N] and MFR2[(201.42±37.29)N] in the observation group was better than that of the control group (P<0.05), but the improvement of MF in other areas were not significant (P>0.05).
Conclusion:PBWS training combined with basic rehabilitation treatment is superior to conventional gait training combined with basic rehabilitation treatment, which can effectively improve the dynamic plantar pressure and increase the weight-bearing capacity of patients after ACL reconstruction,and help to develop the correct weight-bearing mode. |
Keywords:partial body weight support training anterior cruciate ligament reconstruction plantar pressure walking training |
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