摘要
目的探讨大腿肌群等速肌力训练对前交叉韧带(ACL)重建术后膝关节功能和姿势控制的影响。方法选择2017年3月至2020年2月江苏省连云港市第一人民医院收治的86例ACL重建术后患者为研究对象,依照随机数字表法将其分为两组,每组各43例。对照组术后给予常规康复训练,研究组在对照组的基础上术后给予大腿肌群等速肌力训练。随访1年,比较术后3(T_(0))、6(T_(1))、12个月(T_(2))两组伸膝关节力矩峰值(PT)、膝关节功能及姿势控制能力。结果两组伸膝PT、Lysholm评分、闭眼泡沫平面重心摆动速度组间比较、时间点比较及交互作用,差异均有统计学意义(P<0.05)。T_(1)时,两组伸膝PT、Lysholm评分、闭眼泡沫平面重心摆动速度高于T_(0),差异有统计学意义(P<0.05),T_(2)时,两组伸膝PT、Lysholm评分、闭眼泡沫平面重心摆动速度高于T_(0)、T_(1)时,差异有统计学意义(P<0.05)。T_(0)时,两组伸膝PT、Lysholm评分、闭眼泡沫平面重心摆动速度比较,差异无统计学意义(P>0.05),T_(1)、T_(2)时,研究组伸膝PT、Lysholm评分、闭眼泡沫平面重心摆动速度高于同一时间点对照组,差异有统计学意义(P<0.05)。结论大腿肌群等速肌力训练可改善ACL重建术后患者膝关节功能及姿势控制能力。
Objective To investigate the effect of isokinetic strength training of thigh muscles on knee joint function and posture control after anterior cruciate ligament(ACL)reconstruction.Methods Eighty-six patients undergoing ACL reconstruction admitted to the First People’s Hospital of Lianyungang from March 2017 to February 2020 were selected as the research objects,and they were divided into two groups according to the random number table method,with 43cases in each group.The control group was given conventional rehabilitation training after the operation,and the study group was given isokinetic training of the thigh muscles after the operation on the basis of the control group.Follow-up for one year,three months after operation(T_(0)),six months after operation(T_(1)),and 12 months after operation(T_(2)),the peak extension torque(PT),knee function,and posture control ability of the two groups were compared.Results There were statistically significant differences betwween the two groups in knee extension PT,Lysholm score,eye-closed foam plane gravity swing speed,time point comparison and interaction between the two groups(P<0.05).At T_(1),knee extension PT,Lysholm score,and eye-closed foam plane gravity swing speed in the two groups were higher than T_(0),and the differences were statistically significant(P<0.05),at T_(2),the knee extension PT,Lysholm score,and eye-closed foam plane gravity swing speed between the two groups were higher than those at T_(0)and T_(1),and the differences were statistically significant(P<0.05).At T_(0),there were no significant differences between the two groups in terms of knee extension PT,Lysholm score,and eye-closed foam plane gravity swing speed(P>0.05),at T_(1)and T_(2),the knee extension PT,Lysholm score,and eye-closed foam plane gravity swing speed in the study group were higher than those in the control group,at the some time point,and the differences were statistically significant(P<0.05).Conclusion Isokinetic training of the thigh muscles can improve the knee joint function
作者
张娟
苏清伦
陆飞
储晓新
赵秦
ZHANG Juan;SU Qinglun;LU Fei;CHU Xiaoxin;ZHAO Qin(Department of Rehabilitation Medicine,the First Affiliated Hospital of Kangda College,Nanjing Medical University the First People’s Hospital of Lianyungang,Jiangsu Province,Lianyungang 222000,China)
出处
《中国医药导报》
CAS
2022年第17期143-146,共4页
China Medical Herald
基金
江苏省基础研究计划-面上项目(BK20191179)。
关键词
大腿肌群等速肌力训练
前交叉韧带重建术
膝关节功能
姿势控制
Isokinetic training of thigh muscles
Anterior cruciate ligament reconstruction
Knee joint function
Posture control
