Song Dejun, Ma Yubao, Zhang Lihua, Ma Quansheng
Dejun Song, Musculoskeletal Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, P.R. China.
Yubao Ma, Musculoskeletal Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, P.R. China.
Pak J Med Sci. 2022 Mar-Apr;38(3Part-I):652-656. doi: 10.12669/pjms.38.3.5298.
OBJECTIVES: To compare the effect of medial femoral muscle stimulation with medium frequency electrotherapy and conventional rehabilitation therapy on knee function recovery after anterior cruciate ligament (ACL) reconstruction. METHODS: Medical records of 50 patients with ACL reconstruction, treated in our hospital between July 2019 and December 2020, were retrospectively analyzed. Patients were divided into control group and study group (n=25, 18 males and 7 females in each group), based on the rehabilitation method used. The control group included patients that received conventional rehabilitation therapy, active quadriceps femoris exercise, traction, and acupuncture. The study group included patients that received medium frequency electrotherapy to stimulate the medial femoris muscle in addition to conventional rehabilitation therapy. The limb circumference recorded before and after the treatment was compared between the two group. The Lysholm scores of the two groups were compared to assess knee function, knee range of motion, and knee motor comfort assessed by visual analogue scale (VAS). RESULTS: We found similar thigh circumferences, Lysholm scores, knee motion ranges and VAS scores between the patients in both groups before the treatment (P > 0.05). After the treatment, the thigh circumferences and motion ranges were larger, the Lysholm scores higher, and the VAS scores lower in patients of the study group than those in patients of the control group (all s < 0.05). CONCLUSION: Intermediate frequency electrotherapy to stimulate the medial femoris muscle can improve knee function and motion range and reduce the patient's pain after ACL reconstruction.
目的:比较股内侧肌刺激联合中频电疗法与传统康复疗法对前交叉韧带(ACL)重建术后膝关节功能恢复的影响。 方法:回顾性分析2019年7月至2020年12月在我院接受ACL重建术的50例患者的病历。根据所采用的康复方法,将患者分为对照组和研究组(每组n = 25,每组18例男性和7例女性)。对照组患者接受传统康复治疗、股四头肌主动锻炼、牵引和针灸。研究组患者除接受传统康复治疗外,还接受中频电疗法刺激股内侧肌。比较两组治疗前后记录的肢体周长。比较两组的Lysholm评分,以评估膝关节功能、膝关节活动范围,并通过视觉模拟量表(VAS)评估膝关节运动舒适度。 结果:我们发现两组患者治疗前的大腿周长、Lysholm评分、膝关节活动范围和VAS评分相似(P > 0.05)。治疗后,研究组患者的大腿周长和活动范围更大,Lysholm评分更高,VAS评分低于对照组患者(均P < 0.05)。 结论:刺激股内侧肌的中频电疗法可改善ACL重建术后的膝关节功能和活动范围,并减轻患者疼痛。
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