《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (05): 602-605.

• 特稿 • 上一篇    下一篇

微信平台在前交叉韧带重建术后家庭康复中的应用

豆勇刚，王磊，罗吉伟，张粤玲   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-05-25 发布日期:2015-05-25

Application ofWeChat for Family Rehabilitation after Anterior Cruciate Ligament Reconstruction

DOU Yong-gang, WANG Lei, LUO Ji-wei, ZHANG Yue-ling   

  1. Department of Orthopedics and Traumatology, Nanfang Hospital of Southern Medical University, Guangzhou, Guangdong 510515, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-05-25 Online:2015-05-25

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摘要： 目的探讨微信平台在前交叉韧带重建术后家庭康复中的应用。方法接受单侧自体腘绳肌腱重建膝关节前交叉韧带术的患者126 例，分为观察组(n=69)和对照组(n=57)。对照组给予常规康复干预，观察组同时加入微信平台。两组患者术后3 个月、6 个月时比较关节活动度、关节稳定性、髌上10 cm 处双侧大腿周径差值、Lysholm 评分、国际膝关节评分委员会(IKDC)评分。结果术后，两组膝关节活动度伸直无显著性差异(P>0.05)，屈曲有显著性差异(P<0.05)；髌上10 cm处双侧大腿周径差值术后3 个月无显著性差异(P>0.05)，而6 个月时有显著性差异(P<0.05)；关节稳定性检查无显著性差异(P>0.05)；Lysholm 评分和IKDC评分有显著性差异(P<0.05)。结论微信平台的建立可以明显提高患者治疗的依从性，加速康复进程，减少并发症。

关键词: 前交叉韧带重建术, 微信, 家庭康复, 膝

Abstract: Objective To apply the WeChat in family rehabilitation after anterior cruciate ligament (ACL) reconstruction. Methods 126 patients accepted ACL reconstruction using quadrupled semitendinosus and gracilis tendons were divided into observation group (n=69) and control group (n=57). The control group received conventional rehabilitation program, and the observation group joined the WeChat group. They were assessed with knee range of motion (ROM), knee stability test, thigh perimeter, Lysholm score and the International Knee Documentation Committee (IKDC) score 3 and 6 months after operation. Results There was a significant difference between groups in ROM of knee flexion (P<0.05) 3 and 6 months after operation, but not in ROM of knee extension (P>0.05). There was no significant difference in thigh perimeter 3 months after operation, but it was significant 6 months after operation. There was significant difference in Lysholm score and IKDC score (P<0.05), but not in the joint stability (P>0.05). Conclusion Direction of rehabilitation with the WeChat Group can significantly improve the compliance, accelerate the rehabilitation process and reduce complications in patients after ACL reconstruction.

Key words: anterior cruciate ligament reconstruction, WeChat, family rehabilitation, knee