摘要
目的探讨认知运动疗法对前交叉韧带重建术(anterior cruciate ligament reconstruction,ACLR)后患者静态平衡及步行过程中步态周期的影响。方法选取2021年1—11月首都医科大学附属北京康复医院ACLR后6~8周的患者56例,采用随机数字表法分为试验组和对照组,每组28例。对照组进行常规康复训练,试验组在常规康复训练的基础上联合认知运动疗法训练;两组均按照每周干预5次、每次45 min,共干预8周进行训练。评估两组患者干预前后闭眼站立时压力中心(center of pressure,COP)轨迹总长、COPX轴偏差、COPY轴偏差和步行过程中支撑相、摆动相、患侧和健侧单支撑相以及双支撑相等指标的差异。结果干预前,两组在COP轨迹总长、COPX轴偏差、COPY轴偏差、患侧支撑相与摆动相、患侧和健侧单支撑相以及双支撑相比较,差异均无统计学意义(P>0.05)。干预后,试验组椭圆COP轨迹总长、COPX轴偏差、COPY轴偏差、患侧摆动相和健侧单支撑相均低于对照组[(88.92±15.83)mm比(103.36±12.09)mm,(5.18±0.90)mm比(6.03±0.98)mm,(9.56±2.12)mm比(11.26±1.23)mm,(39.70±1.80)%比(41.97±2.94)%和(39.70±1.80)%比(41.97±2.94)%],差异均有统计学意义(P<0.05);患侧支撑相和双支撑相均高于对照组[(60.30±1.80)%比(58.03±2.94)%,(22.92±3.46)%比(20.40±1.06)%],差异均有统计学意义(P<0.05)。结论认知运动疗法可改善患者ACLR后站立静态平衡功能和步态周期的分布,可在临床应用中推广。
Objective To explore the effect of cognitive exercise therapy on the static balance and gait cycle of the patients after anterior cruciate ligament reconstruction(ACLR).Methods A total of 56 patients after ACLR in Traditional Chinese Medicine Rehabilitation Center,Beijing Rehabilitation Hospital,Capital Medical University from January to November 2021 were selected,and were randomly divided into experimental group(n=28)and control group(n=28)by random number table method.The control group received routine rehabilitation training,while the experimental group received cognitive exercise therapy training on the basis of routine rehabilitation training.Both groups were trained for 5 times a week,45 min each time,and a total of 8 weeks intervention.The differences of total length of the center of pressure(COP)trajectory,deviation of COPX axis,deviation of COPY,the supporting phase,swinging phase,single supporting phase of the affected side and the healthy side,double supporting phase between the two groups were compared.Results Before the intervention,there were no significant differences between the two groups in the total length of COP trajectory,COPX axis deviation,COPX axis deviation,supporting phase and swing phase of the affected side,single supporting phase of the affected and healthy side,double supporting phase(all P>0.05).After intervention,the total length of COP trajectory,COPX axis deviation,COPX axis deviation,swing phase of the affected side and single supporting phase of healthy side in the experimental group were lower than those in the control group[(88.92±15.83)mm vs.(103.36±12.09)mm,(5.18±0.90)mm vs.(6.03±0.98)mm,(9.56±2.12)mm vs.(11.26±1.23)mm,(39.70±1.80)%vs.(41.97±2.94)%and(39.70±1.80)%vs.(41.97±2.94)%],the differences were all statistically significant(all P<0.05).The supporting phase of the effected side and double supporting phase in the experimental group were higher than those of the control group[(60.30±1.80)%vs.(58.03±2.94)%,(22.92±3.46)%vs.(20.40±1.06)%],the differences were all statistically significant(all P<0.05).Conclusions Cognitive exercise therapy can improve the standing static balance function and the gait cycle distribution of patients after ACLR,which can be popularized in clinical application.
作者
娄亚兵
高维广
马玉宝
王晨曦
Lou Yabing;Gao Weiguang;Ma Yubao;Wang Chenxi(Traditional Chinese Medicine Rehabilitation Center,Beiing Rehabiliation Hospital,Capital Medical University,Beijing 100144,China)
出处
《北京医学》
CAS
2022年第11期984-989,共6页
Beijing Medical Journal
基金
首都卫生发展科研专项(2020-2-2251)
首都医科大学附属北京康复医院2021—2023科研发展专项(2021-003)。
关键词
前交叉韧带重建术
认知运动疗法
静态平衡功能
步态周期
anterior cruciate ligament reconstruction(ACLR)
cognitive exercise therapy
static balance function
gait cycle
