Application of Traditional Chinese Medicine Combined with Exercise in Anterior Cruciate Ligament Reconstruction after Arthroscopy
FAN Ji-kang,GE Yin-li,HUA Rui,CUI Jing
Rehabilitation Department of Acupuncture and Moxibustion in Traditional Chinese Medicine, Xi' an Daxing Hospital, Xi' an (710016), China
Abstract:
Objective To evaluate the clinical curative effect of early intervention with traditional Chinese medicine (TCM) combined with progressive rehabilitation exercise on the functional recovery of knee joint after anterior cruciate ligament reconstruction under arthroscope, and explore the mechanism. Methods In this study, 70 patients selected according to the inclusion criteria were randomly divided into treatment group and control group, 35 cases in each group. The patients in control group were given progressive rehabilitation exercise after arthroscopic surgery, and the patients in treatment group were given internal medicine and acupuncture on the basis of the control group, 3 months for one course and they were followed up for 12 months. Lysholm knee function score, VAS score, Lachman test, AAKE test and isokinetic muscle strength test were used to observe the knee function after 3 months and 6 months of surgery, and comparative analysis was conducted. Results Lysholm scores in the treatment group after 3 months and 6 months of surgery were (68.76±5.2) and (83.78±8.52) score, which were higher than those of the control group [(54.62±4.57) and (72.16±7.33) score] (P<0.05); VAS scores in the treatment group after 3 months and 6 months of surgery were (2.05±0.34) and (1.98±0.22) score, which were lower than those of the control group [(2.67±0.45) and (2.24±0.31) score] (P<0.05); Lachman test values in the treatment group after 3 months and 6 months of surgery were [(2.01±0.31) and (1.75±0.06) mm, which were lower than those of the control group [(2.36±0.42) and (2.05±0.08) mm] (P<0.05); AAKE in the treatment group after 3 months and 6 months of surgery were (–1.84±0.82)? and (–0.57±0.12)?, which were lower than those of the control group [(–2.06±0.87)? and (–0.84±0.21)?] (P<0.05). Conclusion The early intervention using TCM combined with progressive rehabilitation exercise can improve knee function and maintain knee stability obviously, with high safety and worthy of clinical promotion, and the possible mechanism is to increase the knee muscle strength such as hamstring muscle.
