电邮这篇文章 对侧电刺激在膝关节半月板术后康复中的作用
- 作者: Doctorov A.V.1, Gilfanov S.I.1, Mikhaleva A.V.2, Gerasimenko M.Y.2,3
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隶属关系:
- Central Clinical Hospital with a Polyclinic
- Russian Medical Academy of Continuous Professional Education
- Pirogov Russian National Research Medical University
- 期: 卷 24, 编号 3 (2025)
- 页面: 189-195
- 栏目: Original studies
- ##submission.datePublished##: 02.07.2025
- URL: https://rjpbr.com/1681-3456/article/view/656881
- DOI: https://doi.org/10.17816/rjpbr656881
- EDN: https://elibrary.ru/COFEKV
- ID: 656881
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详细
背景。当前治疗半月板损伤的主要手段是膝关节镜手术。然而，手术效果不仅取决于外科技术，还与术后康复的完整性密切相关。尽管术后早期康复方案不断优化，现有研究主要集中于手术侧膝关节，对对侧训练的效果仍缺乏系统研究。在手术侧肌肉完全静止或活动受限的情况下，对侧下肢肌肉电刺激作为一种神经肌肉训练手段具有应用前景，对于维持肌张力、预防肌萎缩、减少并发症及提高生活质量具有潜在价值。
目的。分析在半月板术后康复过程中，将对侧下肢股部肌群电刺激纳入康复方案的有效性。
材料与方法。共纳入60例因半月板损伤接受手术治疗的患者，按性别、年龄及主要临床表现匹配分为两组。所有患者接受基础治疗，包括对症药物治疗及常规运动疗法。干预组患者在基础治疗的基础上，于术前及固定阶段接受健康侧股四头肌的电刺激治疗。
结果。在解除固定阶段，干预组较对照组表现出更大的患膝关节活动范围、更强的肌力，且运动时疼痛评分（Visual Analog Scale评分）显著降低。由此可见，在康复方案中纳入对侧下肢电刺激，有助于更早恢复膝关节的受损功能。
结论。将对侧下肢电刺激纳入术前及术后早期康复方案，显著改善了临床功能指标，促进了膝关节活动范围的恢复，加快了疼痛缓解，提高了患者的生活质量。
全文:
作者简介
Alexey V. Doctorov
Central Clinical Hospital with a Polyclinic
编辑信件的主要联系方式.
Email: adoktorov@rambler.ru
ORCID iD: 0000-0001-8935-3299
SPIN 代码: 2781-1688
俄罗斯联邦, 15 Marshala Timoshenko st, Moscow, 121359
Sergey I. Gilfanov
Central Clinical Hospital with a Polyclinic
Email: gilfanov63@rambler.ru
ORCID iD: 0009-0006-3600-1752
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, 15 Marshala Timoshenko st, Moscow, 121359Alina V. Mikhaleva
Russian Medical Academy of Continuous Professional Education
Email: gimnast2001@mail.ru
ORCID iD: 0000-0002-2213-3280
SPIN 代码: 8192-5828
MD, Cand. Sci. (Medicine)
俄罗斯联邦, MoscowMarina Yu. Gerasimenko
Russian Medical Academy of Continuous Professional Education; Pirogov Russian National Research Medical University
Email: mgerasimenko@list.ru
ORCID iD: 0000-0002-1741-7246
SPIN 代码: 7625-6452
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, Moscow; Moscow参考
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