前交叉韧带重建术后患者膝本体感觉与姿势控制的相关性

目的:探讨前交叉韧带重建术后患者本体感觉及姿势控制的相关性.方法:选取32例符合纳入排除标准的前交叉韧带重建患者和10例健康对照组,观察组行常规康复治疗,观察组患者术后16周与健康对照组使用多关节等速测试及训练系统进行角度再现测试评估膝关节本体感觉,平衡测试仪进行单腿支撑动态平衡测试来评估姿势控制能力.动态平衡指标为总...

Correlation between proprioception and postural control in patients with ACL reconstruction

Objective: To investigate the correlation between proprioception and postural control in patients with anterior cruciate ligament (ACL) reconstruction. Methods: Thirty-two patients with ACL reconstruction were included in experimental group, and 10 healthy subjects served as control group. Joint position sense test in isokinetic testing and training system was used to evaluate the proprioception of the knee. Single-leg stance dynamic balance assessment in balance test instrument was used to evaluate the postural control ability. Overall stability index, anterior-posterior stability index and medial-lateral stability index were used as postural stability indices. Results: The overall stability index, anterior-posterior stability index, medial-lateral stability index and joint position sense at 15°, 45°, 75° of the injured and healthy knees in the experimental group were significantly higher than those in the control group (all P<0.05). The overall stability index, anterior-posterior stability index, medial-lateral stability index and joint position sense at 15°, 45°, 75°of the injured knees in the experimental group were significantly higher than those in the healthy side (all P<0.05). There was a positive correlation between joint position sense at 15°, 45° and overall stability index, anterior-posterior stability index, medial-lateral stability index (all P<0.05). There was a positive correlation between the joint position sense at 75° and the overall stability index (P<0.01). Conclusion: The proprioception and postural control ability of injured side and healthy side decreased in patients with ACL reconstruction. There was a positive correlation between proprioception and postural control ability. It is suggested to strengthen the training of proprioception and posture control in both nonoperated and operated knees.