|
|
|
| Effect of rehabilitation training nursing based on muscle energy technology on functional rehabilitation after meniscus injury |
| YE Zhiyu LI Simin▲ |
| Rehabilitation Medicine Center, West China Hospital, Sichuan University Sichuan Provincial Key Laboratory of Rehabilitation Medicine, Sichuan Province, Chengdu 610041, China |
|
|
|
Abstract Objective To investigate the intervention effect of rehabilitation training nursing based on muscle energy technique in patients with meniscus injury. Methods Retrospectively analysis, collected the clinical data of 82 meniscus injury patients who completed surgical treatment, postoperative rehabilitation and follow-up from March 2018 to October 2019 in West China Hospital, Sichuan University, and they were divided into control groups (conventional rehabilitation training nursing, 38 cases) and observation group (conventional rehabilitation training nursing + rehabilitation training nursing based on muscle energy technology, 44 cases) according to different rehabilitation training nursing interventions, they were treated with 4 weeks of intervention. Before intervention, at 3 d and at 7 d of intervention, visual analogue scale (VAS) was used to assess the pain level in both groups; Lysholm knee scale was used to assess the recovery of knee function in both groups; protractor was used to measure the knee joint mobility of the two groups, the isokinetic strength test and training system were used to assess the degree of quadriceps atrophy in both groups. Results The VAS scores of patients at different times and groups were different, and there was an interaction between time and group (P ＜ 0.05). Further comparison between the two groups, comparison within the group: the VAS scores of the two groups at 3 d and 7 d were lower than before the intervention; comparison between the groups: the VAS scores of the observation group at 3d and 7d were lower than the control group (P ＜ 0.05); Before intervention, there was no significant difference in knee joint function (LKSS) score between the two groups (P ＞ 0.05); after intervention, the LKSS scores of the two groups were higher than before intervention, and the observation group was higher than the control group (P ＜ 0.05); before intervention, there was no statistically significant difference in knee joint mobility and quadriceps atrophy between the two groups (P ＞ 0.05); after intervention, the knee joint mobility of the two groups was higher than before intervention, and the degree of atrophy of the quadriceps muscle was lower than before the intervention, and the knee joint mobility of the observation group was higher than that of the control group, and the degree of atrophy of the quadriceps muscle was lower than that of the control group (P ＜ 0.05). Conclusion The application of rehabilitation training nursing based on muscle energy technology in patients with meniscus injury has a significant effect, which can effectively reduce the pain of patients, promote the rehabilitation of knee joint function, and is more conducive to the recovery of postoperative function of patients.
|
|
|
|
|
|
[1] 管重远，赵峥睿，莫非.康复结合温针灸治疗半月板损伤修补术后膝关节活动不利的疗效调查分析[J].解放军预防医学杂志，2018，36（9）：138.
[2] 周述娜，李景云.常规康复结合强化本体感觉训练对运动所致膝关节前交叉韧带并半月板损伤患者术后康复效果的观察[J].中国中西医结合外科杂志，2019，25（2）：174-178.
[3] 罗开民，戚天臣，侯志，等.康复训练联合改良输刺法治疗半月板缝合修复术后关节功能障碍临床研究[J].中国针灸，2017，37（9）：957-960.
[4] Jalal Y，Ahmad A，Rahman AU. Effectiveness of muscle energy technique on cervical range of motion and pain [J]. J Pak Med Assoc，2018，68（5）：811-813.
[5] 陈孝平，石应康，邱兴贵，等.外科学[M].北京：人民卫生出版社，2010：966.
[6] Boonstra AM，Schiphorst Preuper HR，Balk GA，et al. Cut-off points for mild，moderate，and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain [J]. Pain，2014，155（12）：2545-2550.
[7] Briggs KK，Kocher MS，Rodkey WG，et al. Reliability，validity，and responsiveness of the Lysholm knee score and Tegner activity scale for patients with meniscal injury of the knee [J]. J Bone Joint Surg Am，2006，88（4）：698-705.
[8] 张蕊，张娜，徐会，等.以人为本护理在半月板损伤患者关节镜下治疗中的应用效果[J].中华现代护理杂志，2015， 21（28）：3403-3405.
[9] 李昭扬，赵超，余捷.康复干预联合物理治疗官兵半月板损伤疗效观察[J].人民军医，2018，61（7）：582-584.
[10] 夏回容.强化股四头肌锻炼在半月板损伤关节镜术后康复护理中的应用[J].实用临床医药杂志，2016，20（20）：67-69.
[11] 孙立伟，杨建全，弥军民.运动康复疗法对早期创伤性半月板损伤患者Lysholm膝关节评分及Barthel指数的影响[J].河北医药，2017，39（17）：2620-2622.
[12] 李健，石辉，徐闯，等.快速康复外科在膝关节半月板损伤关节镜治疗中的应用研究[J].中国矫形外科杂志，2017， 25（12）：1091-1095.
[13] O'Donnell K，Freedman KB，Tjoumakaris FP. Rehabilitation Protocols After Isolated Meniscal Repair：A Systematic Review [J]. Am J Sports Med，2017，45（7）：1687-1697.
[14] 刘永红.关节镜半月板成形术联合功能锻炼对膝关节半月板损伤的疗效及关节功能影响研究[J].中国药物与临床，2019，19（7）：101-103.
[15] 刘莉，李静，赵冬梅，等.血流限制训练在膝关节镜术后患者康复训练中的应用[J].护理学杂志，2017，32（24）：82-84.
[16] 刘喜，朱雯楠.膝关节镜治疗半月板损伤围术期康复护理[J].中国伤残医学，2019，27（19）：80-81.
[17] 韦利芳.膝关节镜治疗半月板损伤的护理[J].中国医药导报，2010，7（16）：138.
[18] 马子君，张爽，鲁楠.加速康复外科在关节镜下半月板损伤修复围术期护理中的应用[J].骨科，2018，9（5）：400-405.
[19] 梁鲁波，张新斐，刘初容，等.悬吊训练技术（SET）结合肌肉力量技术治疗失稳性颈型颈椎病的疗效观察[J].颈腰痛杂志，2017，38（1）：95-96.
[20] 吴频霞.肌内效贴结合肌肉能量技术治疗足底筋膜炎的临床研究[J].中国康复医学杂志，2017，32（11）：1280-1282.
[21] 李新伟，杜嘉，谭克平，等.浮针疗法结合肌肉能量技术治疗肱骨外上髁炎疗效观察[J].中华中医药学刊，2017（6）：230-233.
[22] 周煜达，高宏，邱纪方，等.针刀结合肌肉能量技术对梨状肌综合征的疗效观察[J].中国康复，2018，33（3）：237-239.
[23] 李剑峰，张君，黑光，等.肌内效贴联合肌肉能量技术治疗肱骨外上髁炎的疗效观察[J].中华物理医学与康复杂志，2018，40（3）：208-210.
[24] 刘宏光，王艳萍，王洪英，等.针刺结合肌肉能量技术治疗前斜角肌综合征的疗效观察[J].中国康复，2018，33（6）：476-478.
[25] 黄莉华，吴毅，刘强.肌肉能量技术联合常规康复训练治疗老年膝骨性关节炎的疗效分析[J].老年医学与保健，2017，23（6）：485-487. |
|
|
|
