本体感觉训练对半月板手术患者康复的影响：系统评价和荟萃分析。
Effects of proprioceptive training in the recovery of patients submitted to meniscus surgery: systematic review and meta-analysis.
机构信息
Medical Rehabitation Department, Affiliated Sport Hospital Of Chengdu Sport University, Chengdu, China.
School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
出版信息
BMJ Open. 2022 Jun 9;12(6):e055810. doi: 10.1136/bmjopen-2021-055810.
OBJECTIVE
To evaluate the effects of proprioceptive training on rehabilitation of knee after arthroscopic partial meniscectomy (APM).
DESIGN
PubMed, EMBASE, The Cochrane Library, Web of Science, China National Knowledge Infrastructure, Technology Periodical Database, WanFang Data and China Biology Medicine were searched until December 2021 for randomised controlled trials.
PARTICIPANTS
Patients who have undergone APM for meniscus injury caused by traumatic tear.
RESULTS
A total of 9 studies with 453 patients were included in this study for meta-analysis, and 2/9 with high quality, 6/9 with moderate quality. Based on very low quality evidence, the pooled effect showed significant improvement for proprioceptive training group in proprioception test (p<0.05, I=18%), knee extensor muscle strength (p<0.05, I=29%), knee flexor muscle strength (p<0.05, I=0%) and knee function score (p<0.05, I=0%) compared with conventional training group in patients after APM.
CONCLUSION
Based on very low quality, adding proprioceptive training to conventional rehabilitation programmes might be beneficial to promote functional recovery for patients after APM. It is necessary to carry out more samples and higher quality large-scale studies to provide high evidence in the future.
PROSPERO REGISTRATION NUMBER
CRD42020213201.
目的
评估本体感觉训练对关节镜下半月板部分切除术（APM）后膝关节康复的影响。
设计
检索 PubMed、EMBASE、The Cochrane Library、Web of Science、中国知网、中国科技期刊数据库、万方数据和中国生物医学文献数据库，截至 2021 年 12 月，收集关于本体感觉训练对半月板损伤患者行 APM 术后康复影响的随机对照试验。
参与者
因创伤性撕裂导致半月板损伤而行 APM 的患者。
结果
共纳入 9 项研究（453 例患者）进行荟萃分析，其中 2 项研究质量较高，6 项研究质量中等。基于极低质量证据，荟萃分析结果显示，与常规康复训练组相比，本体感觉训练组在本体感觉测试（p<0.05，I²=18%）、膝关节伸肌肌力（p<0.05，I²=29%）、膝关节屈肌肌力（p<0.05，I²=0%）和膝关节功能评分（p<0.05，I²=0%）方面均有显著改善。
结论
基于极低质量证据，在常规康复方案中加入本体感觉训练可能有助于促进 APM 术后患者的功能恢复。未来有必要开展更多样本、更高质量的大规模研究，提供更高质量的证据。
PROSPERO 注册号：CRD42020213201。
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