交互式运动康复策略对KOA关节镜手术患者生物力学平衡影响的研究

Investigation of the Influence of Interactive Exercise Rehabilitation Strategy on Biomechanical Balance in Patients with Knee Osteoarthritis Undergoing Arthroscopic Surgery

摘要: 目的：针对KOA高患病率和高致残率问题，本研究旨在探索一种标准化、高效且易于操作的康复运动方案，通过“安有康”人机交互软件推送定制化运动处方，评估其对患者生物力学平衡及关节功能恢复的效果。方法：研究对象为318例KOA关节镜术后患者，随机分为对照组和观察组，分别接受一般功能锻炼指导和规范化运动干预。利用三维步态与运动分析系统评估关节生物力学平衡，并结合WOMAC和VAS评分及膝关节活动度评价疗效。结果：研究显示，试验组患者在术后1月、3月、6月的膝关节活动度、WOMAC评分、VAS评分以及ADL生活质量评分均显著优于对照组(P < 0.05)。具体而言，试验组的受试者展现出了膝关节活动度的显著提升，VAS疼痛评分显著下降，ADL生活质量评分显著提升，同时膝关节的整体功能得到了明显的优化与改善。结论：本研究表明，通过规范化的交互式运动康复策略，可显著改善KOA关节镜手术患者的生物力学平衡和关节功能，减轻疼痛，提高患者生活质量。这一发现为KOA术后康复提供了一种新的、有效的运动干预方案。

Abstract: Objective: In response to the high prevalence and high disability rate of KOA, this study aims to explore a standardized, efficient and easy-to-operate rehabilitation exercise program, and to evaluate its effects on patients’ biomechanical balance and joint function recovery by pushing customized exercise prescriptions through the “oukang” human-machine interaction software. Methods: The research objects were 318 KOA patients after arthroscopy, randomly divided into control group and observation group receiving general functional exercise guidance and standardized exercise intervention respectively. The biomechanical balance of the joint was evaluated by using a three-dimensional gait and movement analysis system, and that was evaluated by combining the WOMAC and VAS scores and the range of motion of the knee joint. Results: The results of the study showed that the knee joint range of WOMAC score, VAS score, and ADL quality of life score of the patients in the experimental group were significantly better than those in the control group at 1, 3 months, and 6 months after the operation (P < 0.05). Specifically, the experimental group showed significant improvement in knee joint range of motion significant decrease in VAS pain score, significant improvement in ADL quality of life score, and significant optimization and improvement of the overall function of the knee joint. Conclusion: This shows that standardized interactive exercise rehabilitation strategies can significantly improve the biomechanical balance and joint function of KOA arthroscopy patients, reduce pain, and improve the quality of life. This finding provides a new and effective exercise intervention program for the postoperative rehabilitation of KOA.