ABSTRACT
Objective To explore the clinical effect of proprioceptive training on knee joint function rehabilitation after minimally invasive surgery for patellar fracture.Methods Fifty-eight patients with minimally invasive Kirschner wire tension band internal fixation under arthroscopy in department of orthopedics,Peking Union Medical College Hospital of Chinese Academy of Medical Sciences from March 2016 to April 2018 were selected as research objects,and were divided into experimental group and conventional group according to digital lottery,Twenty-nine cases in each group.The conventional group received conventional rehabilitation therapy such as joint range of motion (ROM) training,joint mobilization technique,muscle strength training,weight-bearing standing and ambulation training,The experimental group added proprioception training on the basis of the conventional group.The affected knee active range of motion (AROM),Lysholm knee scoring scale (LKSS),Berg balance scale (BBS) score and modified Barthel index (MBI) score before treatment and after 2 months of treatment between the two groups were observed and compared.According to the LKSS scoring system,the effect of knee function rehabilitation was evaluated.Results After 2 months of treatment,the active range of motion of the knee joint in the experimental group ((120.3± 17.1) °) was better than that in the conventional group ((100.4± 17.5) °),with significant difference (t =4.380,P =0.000);the LYSHOLM knee joint function score in the experimental group ((93.2 ± 5.3) points) was higher than that in the conventional group ((80.6 ± 7.7) points),with significant difference (t=7.259,P=0.000);the score of BERG balance scale ((52.4±1.6) points vs.(43.7±2.8)points),the difference was significant (t =14.528,P =0.000);the score of improved BARTHEL index ((92.5± 3.1) points vs.(85.6± 2.2) points),the difference was significant (t =9.775,P=0.000).The excellent and good rate of knee joint function in the experimental group was 93.10％ (27/29),which was significantly higher than 72.41％ (21/29) in the conventional group.There was significant difference between the two groups (Z =-2.390,P =0.017).Conclusion The proprioceptive training has a remarkable effect on knee joint function rehabilitation after minimally invasive surgery for patellar fracture.It can significantly improve the range of motion,joint stability and motion control ability of the affected knee,and improve the daily living ability of the patients.
ABSTRACT
Objective To explore the short-term and long-term curative effects of proprioception training for pre-term infants with functional dysphagia. Methods Seventy premature infants with functional dysphagia were ran-domly divided into a control group and an observation group, each of 35. Thirty infants of the control group and 32 from the observation group completed the whole study. Both groups were given routine medication and interventions such as touching and passive exercise training. The observation group additionally received a comprehensive interven-tion based on proprioception training. The intervention lasted from the initial stabilization of their condition to the age of 3 months. They were trained twice a day, about 20 minutes each time. The clinical manifestations and complica-tions of dysphagia were evaluated on the 28th day after their birth. At the age of 3 months, the average body mass and development quotient (DQ) were compared between the two groups. Results At the age of twenty-eight days there were significant differences between the two groups in the average number of cases of oral milk residue and coughing or oral-nasal reflux after feeding, as well as in the total number of infants with complications. However, no significant differences were found in the incidence of aspiration pneumonia or dyspnea after feeding. The average body mass and developmental quotient of the observation group were significantly better than those of the control group at the age of 3 months. Conclusion The comprehensive intervention based on proprioception training has a good clinical effect on functional dysphagia among premature infants. It can improve their life quality in both the near and longer term, and it is worth popularizing.
ABSTRACT
Objective To observe any therapeutic effect of proprioception training and intra-articular injection of sodium hyaluronate on knee osteoarthritis (KOA) in the elderly.Methods Forty-five patients with KOA were randomly divided into a treatment group (23 cases) and a control group (22 cases).The arthritic knees of both groups were treated with sodium hyaluronate injections,but the patients in the treatment group also received proprioception training.Before treatment,and after 5 weeks and 3 months of treatment,knee function was assessed against Lysholm's assessment standard.Results There was no significant difference in the average Lysholm scores of the two groups before treatment.After 5 weeks and 3 months the patients in each group scored significantly higher than before treatment.After 3 months the average score of the treatment group was significantly higher than that of the control group.Conclusion Proprioception training and sodium hyaluronate injections together constitute a useful method to treat KOA in elderly patients.
ABSTRACT
Objective To study the effects of proprioception training on the motor function and ability in the activities of daily living (ADL) of hemiplegic stroke patients. Methods Forty hemiplegic stroke patients were divided into study group and a control group ( n =20 in each).The two groups received conventional rehabilitation treatment and pharmacotherapy,but the study group received additional proprioception training.The Technobody proprioceptive system assessment,the Fugl-Meyer lower limb assessment (FMA),the Berg balance scale (BBS) and the modified Barthel index (MBI) were used to evaluate their proprioceptive ability,lower limb motor function,balance and ADL ability,before and after 4 weeks of treatment. Results After 4 weeks,proprioception,lower limb motor function,balance and ADL ability had all improved significantly in the experimental group.Lower limb motor function,balance and ADL ability had also improved significantly in the control group,but they showed no significant change in their average proprioceptive ability.The improvement in the experimental group was superior to that of the control group in terms of proprioceptive ability,balance and ADL ability. Conclusions Proprioception training can improve the motor function (including the proprioception and balance) and ADL ability of hemiplegic stroke patients.