附加功能性运动训练改善半月板修复术后膝关节恢复：一项随机对照试验
简介
这项前瞻性随机对照试验将96例半月板修复患者随机分为常规康复组与常规康复加功能性运动训练（FET）组（各48例），均完成6个月随访并纳入意向性分析。术后6个月，FET组关节活动度（ROM）大于常规康复组（134.36°±3.04° vs. 127.62°±3.66°；平均差6.74°，95%CI 5.37–8.10；校正P<0.001），而6个月时Lysho…
英文摘要
This study evaluated whether adding functional exercise training (FET) to conventional rehabilitation improves postoperative knee recovery after meniscus repair. In this prospective randomized controlled trial, 96 patients who underwent meniscus repair between April 2023 and September 2024 were randomly assigned to conventional rehabilitation (CON; n = 48) or conventional rehabilitation plus FET (n = 48) using a computer-generated randomization sequence. All participants completed the 6-month follow-up and were included in the intention-to-treat analysis. Outcomes assessed at baseline, 1 month, and 6 months included the Lysholm rating scale (LRS), International Knee Documentation Committee (IKDC) score, visual analog scale (VAS) pain score, range of motion (ROM), prostaglandin E2 (PGE2), 5-hydroxytryptamine (5-HT), passive 60° position sense, and 60° motion sense; postoperative complications within 1 month were also recorded. At 6 months, ROM was greater with FET than with CON (134.36° ± 3.04° vs. 127.62° ± 3.66°; mean difference, 6.74°; 95% confidence interval [CI], 5.37-8.10; adjusted P < 0.001). After Holm-Bonferroni adjustment for multiple secondary comparisons, IKDC scores were higher with FET at 1 and 6 months, LRS scores were higher at 1 month, and VAS scores were lower at both follow-up assessments. PGE2 and 5-HT levels and passive 60° position-sense error and 60° motion-sense values were lower with FET at 1 month. Differences in ROM at 1 month and passive 60° position sense at 6 months did not remain statistically significant after multiplicity adjustment. No significant between-group differences were observed at 6 months for LRS, PGE2, 5-HT, or 60° motion sense, and postoperative complication rates did not differ significantly between groups. Adding FET to conventional rehabilitation may improve postoperative recovery after meniscus repair, with the strongest evidence supporting improved ROM. Findings for secondary outcomes require cautious interpretation and further validation, particularly given the retrospective trial registration and multiplicity of secondary outcomes.