在全膝关节关节整形术患者的负载对称性上的同时力反
Steni Sackiriyas1, Becky Heinert2,3, Drew Rutherford1
1Health Professions University of Wisconsin-La Crosse.
International journal of sports physical therapy
|August 7, 2023
概括
同时的力量反在治疗期间在全膝关节整形术 (TKA) 后改善了负载对称性,但这种效果不会持续一周. 腿部压力练习显示出比坐更大的不对称性.
科学领域:
- 生物力学 生物力学
- 康复医学 康复医学 康复医学
- 整形外科手术 整形外科手术
背景情况:
- 在全膝关节整形术 (TKA) 后,负荷不对称是常见的,并可能阻碍康复.
- 传统的TKA康复专注于力量,疼痛和运动范围.
- 运动再培训,包括负载反,正在成为解决负载不对称问题的策略.
研究的目的:
- 在TKA患者的腿按压和腰练习中,研究并发力反对负载对称性的直接影响.
- 评估干预后一周内观察到的负载对称性的任何变化是否保留.
主要方法:
- 一个涉及26名TKA患者在门诊体育医学环境中的案例系列研究.
- 使用负载板传感器测量负载不对称性,在基线的腿压和练习期间,在强力反训练后立即进行,并在7-10天的洗期后进行.
- 用重复测量差异分析 (ANOVA) 来分析负载对称指数 (LSI) 随时间和练习之间变化的变化.
主要成果:
- 对于平均负载对称指数 (p=0.027) 发现了一个统计学上显著的时间效应,表明随着时间的推移发生了变化.
- 在所有时间点 (p=0.001) 中,按摩运动的平均对称度指数与坐运动相比显著更高.
- 在负载对称指数的标准偏差在时间或演习之间没有观察到任何显著的变化.
结论:
- 同时的力量反训练在同一疗程内在TKA患者的腿压和练中暂时改善了负载对称性.
- 观察到的负载对称度的改善在一周后没有得到保留,这表明需要对持续干预进行进一步研究.
- 在这个TKA队列中,腿压运动始终显示出比坐运动更大的负载不对称性.
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