摘要
目的:探讨臀中肌激活训练与前交叉韧带(ACL)功能性单束重建在ACL损伤患者中的应用效果及对患者膝关节功能恢复的影响。方法:选取2018年8月—2023年8月北京大学首钢医院收治的106例ACL损伤患者作为研究对象,根据治疗方法的不同分为对照组(n=53例,实施ACL功能性单束重建术)与观察组(n=53例,联合臀中肌激活训练),比较两组临床疗效、膝关节功能、膝关节稳定性及下肢平衡功能。结果:观察组临床疗效高于对照组,差异有统计学意义(P<0.05);干预后,观察组Lysholm评分、国际膝关节评分委员会(IKDC)评分高于对照组,差异有统计学意义(P<0.05);干预后,观察组膝关节稳定性优于对照组,差异有统计学意义(P<0.05);干预后,观察组Fugl-Meyer平衡量表(FM-B)评分、Berg平衡量表(BBS)评分高于对照组,差异有统计学意义(P<0.05)。结论:臀中肌激活训练与ACL功能性单束重建在ACL损伤患者中的应用效果较好,能够更好地改善膝关节功能,增强关节的稳定性,提高下肢平衡能力。
Objective:To investigate the effect of gluteus media activation training and Anterior Cruciate Ligament(ACL)functional single-bundle reconstruction in patients with ACL injury and the effect on knee function recovery.Method:106 patients with ACL injury admitted to Peking University Shougang Hospital from August 2018 to August 2023 were selected as the study objects and divided into control group(n=53 patients undergoing functional single beam ACL reconstruction)and observation group(n=53 patients combined with gluteus media activation training)according to different treatment methods.The clinical effect,knee function,knee stability and lower limb balance function were compared between the two groups.Result:The clinical efficacy of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the Lysholm score and International knee Documentation Committee(IKDC)score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the knee stability of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of Fugl-Meyer Balance Scale(FM-B)and Berg Balance Scale(BBS)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The activation training of gluteus medius muscle and functional single-bundle reconstruction of anterior cruciate ligament in patients with ACL injuries are effective,which can better improve the function of the knee joint,enhance the stability of the joint,and improve the balance ability of the lower limbs.
作者
薛涛
张克石
XUE Tao;ZHANG Keshi(Peking University Shougang Hospital,Beijing 100144,China;不详)
出处
《中外医学研究》
2025年第15期123-126,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
臀中肌激活训练
前交叉韧带损伤
应用效果
Gluteus medius activation training
Anterior cruciate ligament injury
Application effect
