基于活动平板训练的虚拟现实技术在全膝关节表面置换术患者中的应用
发布时间：2018-11-03 13:59
【摘要】：目的探讨基于活动平板训练的虚拟现实技术(Virtual reality,VR)在全膝关节表面置换术(Total knee arthroplasty,TKA)患者中的应用。方法将我院关节外科行单侧TKA术后的62例患者随机均分为观察组(31例)和对照组(31例)。两组患者术后均接受常规的康复训练,观察组在此基础上进行基于活动平板训练的VR训练。对比两组患者术后VAS疼痛评分、膝关节肿胀程度及主动活动度、美国特种外科医院膝关节功能评分(HSS)以及临床疗效。结果两组术后3d、5d、7d VAS评分及术后5d、7d膝关节肿胀度差异具有统计学意义(P0.05);但术后第3d两组膝关节肿胀度差异无统计学意义(P0.05);观察组术后2周、6周膝关节主动活动度显著高于对照组(P0.05),两组术前及术后3个月、6个月膝关节主动活动度差异无统计学意义(P0.05)。两组患者术前HSS评分差异无统计学意义(P0.05),术后1周、2周、6周及3个月两组差异具有统计学意义(P0.05)。观察组患者优良率明显高于对照组,差异具有统计学意义(P0.05)。结论基于活动平板训练的VR技术可以有效的缓解TKA术后早期康复的疼痛、减轻膝关节的肿胀,提高术后膝关节的功能。
[Abstract]:Objective to investigate the application of virtual reality technique (Virtual reality,VR) based on treadmill training in patients with total knee joint surface replacement (Total knee arthroplasty,TKA). Methods Sixty-two patients undergoing unilateral TKA surgery in our hospital were randomly divided into observation group (n = 31) and control group (n = 31). The patients in both groups received routine rehabilitation training, and the observation group received VR training based on treadmill training. VAS pain score, knee joint swelling degree and active activity, knee joint function score (HSS) and clinical efficacy were compared between the two groups. Results there was significant difference in VAS score between the two groups on the 3rd and 5th day after operation (P0.05), but there was no significant difference in the knee joint swelling between the two groups on the 3rd day after operation (P0.05). The knee active motion in the observation group was significantly higher than that in the control group at 2 and 6 weeks after operation (P0.05). There was no significant difference between the two groups before and after 3 months and 6 months of knee joint active motion (P0.05). There was no significant difference in preoperative HSS score between the two groups (P0.05), but there was significant difference between the two groups at 1 week, 2 weeks, 6 weeks and 3 months after operation (P0.05). The excellent and good rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P0.05). Conclusion the VR technique based on treadmill training can effectively relieve the pain of early recovery after TKA, alleviate the swelling of knee joint, and improve the function of knee joint after TKA.
【作者单位】： 沧州市中心医院骨四科;
【分类号】：R687.4
本文编号：2307999
[Abstract]:Objective to investigate the application of virtual reality technique (Virtual reality,VR) based on treadmill training in patients with total knee joint surface replacement (Total knee arthroplasty,TKA). Methods Sixty-two patients undergoing unilateral TKA surgery in our hospital were randomly divided into observation group (n = 31) and control group (n = 31). The patients in both groups received routine rehabilitation training, and the observation group received VR training based on treadmill training. VAS pain score, knee joint swelling degree and active activity, knee joint function score (HSS) and clinical efficacy were compared between the two groups. Results there was significant difference in VAS score between the two groups on the 3rd and 5th day after operation (P0.05), but there was no significant difference in the knee joint swelling between the two groups on the 3rd day after operation (P0.05). The knee active motion in the observation group was significantly higher than that in the control group at 2 and 6 weeks after operation (P0.05). There was no significant difference between the two groups before and after 3 months and 6 months of knee joint active motion (P0.05). There was no significant difference in preoperative HSS score between the two groups (P0.05), but there was significant difference between the two groups at 1 week, 2 weeks, 6 weeks and 3 months after operation (P0.05). The excellent and good rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P0.05). Conclusion the VR technique based on treadmill training can effectively relieve the pain of early recovery after TKA, alleviate the swelling of knee joint, and improve the function of knee joint after TKA.
【作者单位】： 沧州市中心医院骨四科;
【分类号】：R687.4
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，本文编号：2307999
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