| 章怡沁,林甲纯,李凯洋,莫亚峰,胡志豪,秦郑圆,金以翔.血流限制训练联合神经肌肉电刺激对前交叉韧带重建术后康复的疗效研究[J].中国康复,2026,41(9):540-544 |
| 血流限制训练联合神经肌肉电刺激对前交叉韧带重建术后康复的疗效研究 |
| Effects of blood flow restriction training combined with neuromuscular electrical stimulation on rehabilitation outcomes after anterior cruciate ligament reconstruction |
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| DOI：10.3870/zgkf.2026.09.005 |
| 中文关键词: 血流限制训练 神经肌肉电刺激 前交叉韧带重建术 |
| 英文关键词: blood flow restriction training neuromuscular electrical stimulation anterior cruciate ligament reconstruction |
| 基金项目:浙江康复医疗中心院级科研课题（ZKYB2503） |
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| 中文摘要: |
| 目的：观察血流限制训练（BFRT）联合神经肌肉电刺激（NMES）对前交叉韧带（ACL）重建术后患者的康复疗效。方法：将66例接受ACL重建术的患者按照随机数字表法分为对照组和研究组，每组33例。在常规康复训练基础上，对照组协同神经肌肉电刺激（NMES），研究组协同神经肌肉电刺激（NMES）联合血流限制训练（BFRT）。所有患者在治疗前和治疗8周后，分别通过Lysholm评分、关节位置重现角度差值、被动运动检测阈值、坦帕运动恐惧量表（TSK-11）及大腿周径差值评估疗效，同时记录不良事件的发生。结果：干预8周后，2组患者Lysholm评分均较治疗前显著提高（P<0.05），且研究组高于对照组（P<0.05）；2组关节位置重现角度差值、被动运动检测阈值及TSK-11评分均较治疗前显著降低（P<0.05），且研究组低于对照组（P<0.05）；2组患者大腿周径差值虽较治疗前减小，但组间比较差异无统计学意义；不良事件发生率2组间差异亦无统计学意义。结论：BFRT联合NMES用于ACL重建术后康复可显著促进膝关节功能恢复、改善本体感觉、有效缓解运动恐惧，且安全性良好，值得在康复中推广研究。 |
| 英文摘要: |
| Objective: To evaluate the rehabilitation efficacy of blood flow restriction training (BFRT) combined with neuromuscular electrical stimulation (NMES) in patients undergoing anterior cruciate ligament (ACL) reconstruction. Methods: A total of 66 patients who underwent ACL reconstruction were randomly divided into a control group and an experimental group using a random number table, with 33 cases in each group. In addition to conventional rehabilitation exercises, the control group received NMES therapy, while the experimental group received NMES combined with BFRT. The therapeutic outcomes were assessed before treatment and at 8th week post-treatment using the Lysholm score, joint position reproduction error, passive movement detection threshold, the tampa scale of kinesiophobia (TSK-11), and thigh circumference difference. Adverse events were also recorded. Results: After 8 weeks of intervention, both groups showed significant improvement in Lysholm scores compared with baseline (P<0.05), with the experimental group demonstrating significantly greater improvement than the control group (P<0.05). The joint position reproduction error, passive movement detection threshold, and TSK-11 scores were significantly reduced in both groups compared with baseline (P<0.05), with the experimental group showing a more pronounced reduction than the control group (P<0.05). Although the thigh circumference difference decreased in both groups, no statistically significant difference was observed between them. Similarly, there was no statistically significant difference in the incidence of adverse events between the groups. Conclusion: The combination of BFRT and NMES in postoperative rehabilitation after ACL reconstruction significantly enhances knee function recovery, improves proprioception, and effectively alleviates kinesiophobia, with good safety profile, making it worthy of further clinical application in rehabilitation studies. |
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