虚拟现实平衡训练对前交叉韧带重建术后膝关节本体感觉的效果

doi:10.3969/j.issn.1006-9771.2020.12.015

Abstract

Abstract:

Objective To investigate the effect of virtual reality balance training on knee proprioception after anterior cruciate ligament reconstruction (ACLR).Methods From January, 2016 to December, 2018, 72 patients after ACLR were randomly divided into control group (n = 36) and observation group (n = 36). On the basis of routine rehabilitation, they received routine balance training and balance training with virtual reality, respectively, for eight weeks. Before and after training, the center of pressure (COP) time stability, the COP speed (COPS) of closed eyes, the COPS of one leg, the knee joint reaction time, the center of pressure area (COPA) and the active joint angle recurrence deviation were measured.Results After training, the COP time stability, the COPS of closed eyes, the COPS of one leg, knee joint reaction time, COPA and active joint angle recurrence deviation improved in both groups (|t|>5.611,P < 0.001); and the COP time stability, the COPS of closed eyes, the COPS of one leg, the knee joint reaction time and active joint angle recurrence deviation were better in the observation group than in the control group (| t| > 3.232, P < 0.01), however, no significant difference was found in COPA between two groups ( t = 1.054, P = 0.296).Conclusion Virtual reality balance training can improve the proprioception of knee joint after ACLR, which is better than routine balance training.

Key words: anterior cruciate ligament reconstruction, proprioception, virtual reality, knee

CLC Number:

R684

SHI Ming,PAN Wen-ping,ZENG Ming,LIN Si-jie,LI Yan,WU Hua,WANG Wei-guo. Effects of Virtual Reality Balance Training on Proprioception of Knee after Anterior Cruciate Ligament Reconstruction[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(12): 1458-1463.

Figures/Tables 8

References 25

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组别	n	性别(n)		年龄(岁)	身高(cm)	体质量(kg)
组别	n	男	女	年龄(岁)	身高(cm)	体质量(kg)
对照组	36	28	8	31.44±2.42	169.01±6.24	66.31±2.22
观察组	36	26	10	31.82±2.71	169.62±5.13	67.12±1.93
χ²/t值		0.586		0.606	0.453	1.652
P值		0.786		0.532	0.652	0.103

组别	n	训练前	训练后	t值	P值
对照组	36	2.75±0.50	2.33±0.41	7.197	< 0.001
观察组	36	2.73±0.50	1.78±0.34	9.499	< 0.001
t值		-0.175	6.216
P值		0.862	< 0.001

组别	n	训练前	训练后	t值	P值
对照组	36	3.92±0.31	2.38±0.31	18.435	< 0.001
观察组	36	3.90±0.46	1.89±0.30	22.486	< 0.001
t值		-0.165	-5.079
P值		0.869	< 0.001

组别	n	训练前	训练后	t值	P值
对照组	36	5.22±0.47	4.22±0.44	14.444	< 0.001
观察组	36	5.08±0.62	3.76±0.41	12.415	< 0.001
t值		-1.075	-4.590
P值		0.286	< 0.001

组别	n	训练前	训练后	t值	P值
对照组	36	1.75±0.21	1.24±0.41	8.252	< 0.001
观察组	36	1.72±0.33	0.94±0.26	11.033	< 0.001
t值		-0.404	-3.771
P值		0.687	< 0.001

Effects of Virtual Reality Balance Training on Proprioception of Knee after Anterior Cruciate Ligament Reconstruction

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组别	n	训练前	训练后	t值	P值
对照组	36	82.68±10.24	115.40±15.22	-12.655	< 0.001
观察组	36	81.62±12.46	118.90±12.46	-14.007	< 0.001
t值		-0.396	1.054
P值		0.693	0.296

组别	n	30°		60°		t值^a	P值^a	t值^b	P值^b
组别	n	治疗前	治疗后	治疗前	治疗后	t值^a	P值^a	t值^b	P值^b
对照组	36	8.18±1.03	7.50±0.81	9.49±1.08	8.35±0.82	5.611	< 0.001	11.114	< 0.001
观察组	36	8.39±0.77	6.73±0.66	9.01±1.17	7.73±0.83	9.466	< 0.001	11.635	< 0.001
t值		0.991	-4.440	-1.785	-3.232
P值		0.325	< 0.001	0.079	0.002

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