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| Effects of Extracorporeal Shock Wave Therapy Combined with Lower Limb Muscle Strength Training on Joint Stability Range of Motion and Balance Function in Patients after Arthroscopic Anterior Cruciate Ligament Reconstruction |
| ZHANG Yi, GU Yuanyuan, QU Jingzhi, et al |
| 983 Hospital of Joint Support Forces, Tianjin 300000, China |
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Abstract Objective: To investigate the effect of extracorporeal shock wave therapy (ESWT) combined with lower limb muscle strength training on joint stability, range of motion (ROM) and balance function of patients after arthroscopic anterior cruciate ligament reconstruction (ACLR). Methods: 92 post-arthroscopic ACLR patients admitted to Hospital 983 of the Joint Security Force between January 2020 and September 2021 were selected for the study and randomly divided into the observation group (n=46) and the control group (n=46), the control group was given conventional post-operative lower limb muscle strength training, and the patients in the observation group were given ESWT on top of the above for 5 weeks. The difference in the distance of posterior anterior tibial movement between the affected side and the healthy side before and 10 weeks after the intervention (hereinafter referred to as "tibial anterior displacement difference"), the knee ROM, the knee function score of the international knee documentation committee (IKDC) and the Berg Balance Scale (BBS) were compared between the two groups. Results: In the intra-group comparison, patients in both groups had lower tibial anterior displacement difference after the intervention than before the intervention, and higher knee ROM, IKDC and BBS scores than before the intervention (P<0.05). For comparison between groups, the difference in tibial anterior displacement of patients in the observation group after intervention was lower than that of the control group during the same period, and the difference in knee ROM, IKDC and BBS scores and each index before and after intervention was higher than that of the control group (P<0.05). Conclusion: ESWT combined with lower limb muscle strength training could significantly improve the knee joint stability, ROM and balance function of patients after arthroscopic ACLR, which is worthy of clinical application.
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2023, Vol. 29 
