The Research On The Methods Of Proprioception Test And Exercise In The Meniscectomy Rehabilitation Of Knee

In recent years, the roles of proprioception in training, sports injury prevention and rehabilitation have been taken into serious account by sports medicine and clinical and rehabilitation profession. Proprioception is closely linked with injury occurrence, development and recovery, It is important to seek good method to strengthen proprioception training early after operation, and to assess the effect of training, The assessment to proprioception function has become an important part of clinical assessment. There are too many evaluation indexes for assessing proprioception in literature, and these indexes and methods have led to complex results. In order to meet the clinical need: time-saving and accuracy,60 healthy people were selected randomly to conduct proprioception test and complete index selection, then conduct function assessment through corresponding methods according to the patient's condition at different clinical stages. SPSS17.0 was used for statistical analysis, including factor analysis, Coefficient of variation and Correlation analysis. According to proprioception test specific Angle index,25 clinical meniscectomy patients were divided into two groups:conventional rehabilitation training (13 people) and proprioception strengthen training group (12 people). Related indexes were tested and evaluated at diffenrent time points:preoperative and postoperative 2 weeks,4 weeks and 8 weeks to compare the change of proprioception, muscle strength and istonic power in different intervention mode. Repeated measures was used to evaluate the effect of clinical rehabilitation training. Conclusions are as follows:1. Through factor analysis, coefficient of variation and correlation coefficient analysis, active joint position sense at 30°, passive joint position sense at 60°, kinesthesia at 60°are specific indicators for proprioception evaluation.2. There is significant difference (P<0.05) between the two groups in knee joint passive position sense at 60°, and there are significant difference (P<0.001) in kinesthesias at 60°through different training methods with patients in 8 weeks. Compared with regular training, the proprioception strengthening training can better promote the function of passive joint position sense and kinesthesia after knee surgery.3. There is no significant difference (P>0.05) between groups in knee joint active joint position sense and three-dimensional proprioception at 30°with different training methods in patients in 8 weeks. The influences of proprioception strengthen training on active joint position sense and three-dimensional proprioception is obvious than conventional rehabilitation training, but show no statistical difference.4. There is no significant difference (P>0.05) between groups with different training methods with patients in Strength of Isometric at 30°and 60°and Isotonic contraction power.5. Compare to preoperative, proprioception function shows a downward trend 2 weeks after surgery in two groups, this may relate to the discomfort in joint and the adapting to normal gaits after surgery. This situation improved after 4 weeks and the improvement becomes more obvious from 4 to 8weeks.