在前十字带重建后,与开放的运动链运动的内在移植松变化:一个非随机对照研究
Florian Forelli1, Jean Mazeas2, Yannis Zeghoudi2
1Orthosport Rehab Center, 16 Rue de Paris, 95330 Domont, France; Clinic of Domont, Ramsay Healthcare, 85 Route de Domont, 95330 Domont, France; SFMKS-Lab, Société Française des Masseurs-kinésithérapeutes Du Sport, Pierrefitte/Seine, France.
概括
在前十字带重建 (ACLR) 康复中,早期的开放动力链 (OKC) 和封闭动力链 (CKC) 练习不会增加移植松性. 这一发现支持在ACLR恢复计划中将OKC练习与CKC练习相结合.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 前交叉带重建 (ACLR) 通常涉及重建计划,重点是闭合动力链 (CKC) 练习.
- 早期开放动力链 (OKC) 练习与四头肌和腿筋强化ACLR后的CKC练习的作用和安全性仍然是关于移植稳定性的调查对象.
研究的目的:
- 调查早期四头四和腿筋强化,利用OKC和/或CKC膝关节炼,对前十字带 (ACL) 移植松的影响.
- 在ACLR后1,3个月和6个月的移植松症中,将接受OKC和CKC炼组合康复的患者与仅使用CKC炼的患者进行比较.
主要方法:
- 采用了回顾性研究设计,比较了53名ACLR患者的两组.
- 一组接受了综合OKC和CKC练习的康复计划,手术后2周开始OKC. 对照组只接受了CKC练习.
- 移植松性和异动力学强度是在手术后的1,3个月和6个月前性测量.
主要成果:
- 在加入早期OKC练习的组和在ACLR后1,3个月和6个月仅使用CKC练习的组之间没有观察到ACL移植松的统计学意义上的差异.
- 组内分析也显示,无论是在干预组还是对照组,从1到6个月内,膝盖松性没有显著变化.
结论:
- 除了CKC练习外,早期引入OKC练习似乎不会对ACLR移植松产生不利影响.
- 这些发现表明,一项整治计划,包括早期OKC练习与CKC练习一起,对于从ACLR康复的患者来说是一个安全的选择.
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