临床医学论著

肌内效贴联合康复训练对前后交叉韧带一期重建患者早期疗效评价*

  • 田燕龙 ,
  • 武捷宇 ,
  • 王学辉 ,
  • 蔚磊 ,
  • 郭鹏年 ,
  • 赵继军 ,
  • 樊建军
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  • 1.内蒙古科技大学包头医学院研究生院,内蒙古包头 014040;
    2.内蒙古科技大学包头医学院第一附属医院
樊建军

收稿日期: 2024-12-04

  网络出版日期: 2025-06-12

基金资助

*包头市卫生健康科技计划项目(wsjkkj010)

Early efficacy evaluation of Kinesio taping combined with rehabilitation training on patients with one-stage reconstruction of anterior and posterior cruciate ligament

  • TIAN Yanlong ,
  • WU Jieyu ,
  • WANG Xuehui ,
  • WEI Lei ,
  • GUO Pengnian ,
  • ZHAO Jijun ,
  • FAN Jianjun
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  • 1. Graduate School, Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou 014040, China;
    2. The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology

Received date: 2024-12-04

  Online published: 2025-06-12

摘要

目的: 探讨肌内效贴联合康复训练对关节镜下一期重建前后交叉韧带患者的早期疗效。方法: 选取2013年5月至2023年4月在内蒙古科技大学包头医学院第一附属医院行关节镜下前、后交叉韧带一期重建患者40例(40膝)进行回顾性分析。患者中男性28例,女性12例;年龄18~50岁,平均年龄32.5岁;受伤至就诊时间1~12 d,平均5.9 d;受伤至手术时间8~21 d,平均15.1 d。接受传统康复治疗20例为对照组,接受传统康复+肌内效贴20例为试验组。在术前及术后5 d,术后2、4、6、8周,通过疼痛视觉模拟评分(VAS)评价两组患者患肢疼痛程度;患肢髌上5 cm周径与健侧同样位置周径的差值评估两组患者膝关节肿胀程度;Lysholm评分评定患者术后膝关节功能恢复:Berg量表评估两组患者患肢平衡能力恢复;主动屈曲位置重现法,评估两组患者患肢本体感觉恢复情况。结果: 40例患者术后均获随访。试验组在术后2周患肢VAS评分低于对照组(P<0.05),术后4周肿胀程度改善优于对照组(P<0.01),术后4周Lysholm评分逐渐高于试验组(P<0.05),术后6周Berg评分优于对照组(P<0.01),术后8周患肢本体感觉恢复情况优于对照组(P<0.05)。 结论: 肌内效贴能有效缓解关节镜下一期重建前后交叉韧带断裂患者早期患肢疼痛及肿胀,促进膝关节平衡能力及本体感觉恢复,改善膝关节功能。

本文引用格式

田燕龙 , 武捷宇 , 王学辉 , 蔚磊 , 郭鹏年 , 赵继军 , 樊建军 . 肌内效贴联合康复训练对前后交叉韧带一期重建患者早期疗效评价*[J]. 包头医学院学报, 2025 , 41(5) : 77 -83 . DOI: 10.16833/j.cnki.jbmc.2025.05.015

Abstract

Objective: To investigate the early effect of Kinesio taping combined with rehabilitation training on patients with anterior and posterior cruciate ligament reconstruction under arthroscopy. Methods: A retrospective analysis of 40 patients (40 knees) who underwent arthroscopic anterior and posterior cruciate ligament reconstruction in the First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology from May 2013 to April 2023, including 28 males and 12 females, aged 18-50 years, with an average age of 32.5 years; the time from injury to treatment was 1-12 days, with an average of 5.9 days, and the time from injury to operation was 8-21 days, with an average of 15.1 days; among them, 20 patients receiving traditional rehabilitation were defined as the control group, and 20 patients receiving traditional rehabilitation+Kinesio taping were defined as the experimental group. The pain degree of the affected limbs of the two groups was evaluated by Visual Analogue Scale (VAS) before operation and 5 days, 2, 4, 6 and 8 weeks after operation. The swelling degree of the knee joint of the two groups was evaluated by the difference between the circumference of 5 cm above the patella of the affected limb and the circumference of the same position on the healthy side. Lysholm score was used to evaluate the recovery of knee joint function after operation. Berg scale was used to evaluate the recovery of limb balance ability in the two groups. The recovery of proprioception of the affected limbs of the two groups was evaluated by active flexion position recurrence method. Results: All 40 patients were followed up after operation. The VAS score of the affected limb in the experimental group was lower than that in the control group at 2 weeks after operation (P<0.05), the improvement of swelling degree was better than that in the control group at 4 weeks after operation (P<0.01), the Lysholm score was gradually higher than that in the control group at 4 weeks after operation (P<0.05), the Berg score was better than that in the control group at 6 weeks after operation (P<0.01), and the recovery of proprioception of the affected limb was better than that in the control group at 8 weeks after operation (P<0.05). Conclusion: Kinesio taping can effectively relieve early limb pain and swelling in patients with anterior and posterior cruciate ligament rupture after arthroscopic reconstruction, promote the recovery of knee joint balance and proprioception, and improve knee joint function.

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