Application of intelligent telerehabilitation based on reinforcement theory on out-of-hospital rehabilitation in patients after reconstructive surgery of anterior cruciate ligament
10.3969/j.issn.1671-8283.2025.08.005
- VernacularTitle:基于强化理论的智能远程康复模式在前交叉韧带重建术患者院外康复中的应用
- Author:
Hongjuan LIU
1
;
Xue ZHAN
1
;
Minglong WU
1
;
Qi XIAO
1
;
Qian WANG
1
;
Jing LIAO
1
Author Information
1. 华中科技大学同济医学院附属同济医院护理部,湖北 武汉,430030
- Publication Type:Journal Article
- Keywords:
reinforcement theory;
intelligent telerehabilitation;
anterior cruciate ligament reconstruction surgery;
postoperative rehabilitation;
before-after study
- From:
Modern Clinical Nursing
2025;24(8):30-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of an intelligent telerehabilitation developed with reinforcement theory on the postoperative functional recovery and return to sport in patients after reconstructive surgery of anterior cruciate ligament.Methods By using the convenience sampling method,120 patients after reconstructive surgery of anterior cruciate ligament at a tertiary general hospital in Wuhan from June 2022 to June 2023 were selected as the research subjects.Sixty patients admitted to our hospital between June 2022 and December 2022 were assigned to a control group,while another 60 patients admitted to our hospital between January 2023 and June 2023 were assigned to an trial group.The patients in the control group received conventional surgical treatment,nursing care and instructions for rehabilitation,whereas additional rehabilitation based on the intelligent telerehabilitation developed with reinforcement theory was given to the patients in the trial group.The two groups were compared in terms of postoperative knee function and compliance with rehabilitation exercise.Results The compliance of the trial group with home rehabilitation training was higher than that of the control group.The comparison between the two groups showed a statistically significant difference(P<0.05).12 months after surgery,patients in the trial group exhibited higher scores in International Knee Documentation Committee Subjective knee form(IKDC)and Lysholm and Gillquist knee scores compared with those in the control group(both P<0.05.Also,the patients in trial group showed lower incidences of pain,swelling and joint instability compared with those in the control group(all P<0.05).At 12 months after surgery,the patients in trial group showed better capability to perform daily activities and participate in sports in comparison with those in the control group(both P<0.05).Conclusion The intelligent telerehabilitation based on reinforcement theory can improve the compliance of patient with rehabilitation.It therefore is able to reduce incidences of postoperative complications such as pain,swelling,knee instability and locking in patients who had the surgery for reconstruction of anterior cruciate ligament.It also enhances the function recovery of knee,and helps patients to resume the activities in life and sports.
