基于虚拟现实技术的康复方法对TKA术后早期功能锻炼的临床研究

发布时间：2018-03-08 13:53

本文选题：虚拟现实技术　切入点：全膝关节置换术　出处：《中国地方病防治杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨基于虚拟现实(VR)技术的康复方法在全膝关节置换术(TKA)后早期功能恢复及关节功能的影响。方法选取2015年3月-2016年10月在我院关节外科行TKA治疗的50例患者作为研究对象。按照随机数表法随机分为试验组(23例)和对照组(27例)。试验组术后采用虚拟现实技术(VR)康复锻炼,对照组术后采用持续性被动活动(CPM)进行功能锻炼,术后随访比较两组患者在术后VAS疼痛评分、膝关节肿胀程度、膝关节活动度、膝关节功能评分(HSS)、Berg平衡量表评分(BBS)、膝关节本体感觉评分。结果 (1)两组患者在术后3d、5d、7d VAS评分及术后5d、7d肿胀度差异具有统计学意义(P0.05);(2)两组患者在术后2周、6周膝关节主被动活动度上试验组明显要高于对照组(P0.05);(3)两组患者术后2周、6周及3个月HSS评分差异均具有统计学意义(P0.05);(4)两组患者发现术后1周、2周、6周及3个月试验组BBS评分均显著优于对照组水平(P0.05);(5)术前、术后1周、2周、6周及3个月两组患者膝关节本体感觉评分差异均无统计学意义(P0.05)。结论基于虚拟现实技术的康复锻炼可以有效的缓解TKA术后疼痛及肿胀程度,同时还可以促进膝关节功能的恢复,但是对膝关节本体感觉的改善无明显优势。
[Abstract]:Objective to investigate the effect of virtual reality (VR) technique on early functional recovery and joint function after total knee arthroplasty (TKA). Methods from March 2015 to October 2016, 50 patients underwent TKA treatment in our hospital. The subjects were randomly divided into two groups according to the random list method: the experimental group (n = 23) and the control group (n = 27). The experimental group was rehabilitated by virtual reality technique (VRV) after operation. The patients in the control group were followed up to compare the postoperative VAS pain score, knee joint swelling degree, knee joint activity. The score of knee joint function and Berg balance scale (BBS) and the knee proprioceptive score were compared. Results: there were significant differences between the two groups in the VAS score of 3 days and 5 days after operation and the degree of swelling on the 5th day after operation (P 0.05 / 2). The patients in the two groups had two weeks after operation and six weeks after the operation, the two groups had their knees closed at the second week and the sixth week after the operation, and there was a significant difference between the two groups. The HSS scores of the two groups were significantly higher than that of the control group (P 0.05) the HSS scores of the two groups were significantly higher than that of the control group at 2 weeks and 3 months postoperatively (P < 0.05). The BBS of the two groups was found to be 1 week, 2 weeks, 6 weeks and 3 months after operation. The scores were significantly better than those in the control group (P0.05 / 5) before operation. There was no significant difference in knee proprioceptive score between the two groups at 1 week and 2 weeks and 3 months after operation (P 0.05). Conclusion the rehabilitation exercise based on virtual reality technique can effectively relieve the pain and swelling after TKA. At the same time, it can promote the recovery of knee joint function, but there is no obvious advantage to the improvement of knee joint proprioceptive sensation.
【作者单位】：沧州市中心医院骨三科;
【基金】：沧州市科技支撑计划项目(项目编号162302115)
【分类号】：R473.6

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