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膝关节损伤康复中核心训练的可行性研究

Feasibility study of core training in knee injury recovery.

作者信息

Wang Yue, Liu Hui, Wang Shuyuan, Yang Bo, Sun Di, Han Shuangyang

机构信息

Department of Nursing, Peking University Third Hospital Qinhuangdao Hospital, Qinhuangdao, China.

Department of Orthopedics, Peking University Third Hospital Qinhuangdao Hospital, Qinhuangdao, China.

出版信息

Turk J Phys Med Rehabil. 2024 Jul 26;71(1):37-47. doi: 10.5606/tftrd.2024.12985. eCollection 2025 Mar.

Abstract

OBJECTIVES

This study aims to investigate the effects of core and routine training on joint function, anterior tibia translation and balance in patients with knee joint injury.

PATIENTS AND METHODS

Between March 2021 and March 2022, a total of 70 patients (49 males, 21 females; mean age: 31.2±5.3 years; range, 17 to 44 years) with knee ligament injury or meniscus injury were included. The patients were divided into core training group (n=35) and conventional training group (n=35) by matching method. During the recovery process, the regular training group performed routine training, whereas the core training group engaged in core training. Both groups were trained for a total of eight weeks. After training, the Visual Analog Scale (VAS), knee Lysholm score, KT-2000 tibial anterior translation, and the star excursion balance test (SEBT) results were collected.

RESULTS

The mean VAS scores in both groups were decreased from baseline values. The mean Lysholm score increased from baseline data; the degree of tibial anterior translation decreased compared with baseline data (p<0.05). The mean SEBT scores showed significant improvement over baseline data. In contrast with the routine training group, the mean VAS score of core training was lower and the total score of Lysholm was higher (p<0.05). When bending the knee at 90°, the mean tibial anterior translation was 3.87±1.23 mm in the core training group, significantly lower than in the regular training group (p<0.05). The SEBT results showed that, after eight weeks of training, healthy and injured legs in core training group exceeded those of the regular training group in the farthest distance (p<0.05).

CONCLUSION

Our study results indicate that core training is more successful than regular training in reducing pain, and it can ameliorate the dynamic balance stability of patients with knee injury.

摘要

目的

本研究旨在探讨核心训练和常规训练对膝关节损伤患者关节功能、胫骨前移及平衡能力的影响。

患者与方法

2021年3月至2022年3月,共纳入70例膝关节韧带损伤或半月板损伤患者(男49例,女21例;平均年龄:31.2±5.3岁;年龄范围17至44岁)。采用匹配法将患者分为核心训练组(n=35)和传统训练组(n=35)。在恢复过程中,常规训练组进行常规训练,而核心训练组进行核心训练。两组均训练8周。训练后,收集视觉模拟评分(VAS)、膝关节Lysholm评分、KT-2000胫骨前移测量值及星形偏移平衡测试(SEBT)结果。

结果

两组的平均VAS评分均较基线值降低。平均Lysholm评分较基线数据升高;胫骨前移程度较基线数据降低(p<0.05)。平均SEBT评分较基线数据有显著改善。与常规训练组相比,核心训练组的平均VAS评分更低,Lysholm总分更高(p<0.05)。屈膝90°时,核心训练组的平均胫骨前移为3.87±1.23mm,显著低于常规训练组(p<0.05)。SEBT结果显示,训练8周后,核心训练组健侧和患侧腿在最远位移方面均超过常规训练组(p<0.05)。

结论

我们的研究结果表明,在减轻疼痛方面,核心训练比常规训练更有效,并且它可以改善膝关节损伤患者的动态平衡稳定性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb4f/12012924/5d78ffdb1ba1/TJPMR-2025-71-1-037-047-F1.jpg

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