在前十字带重建后进行长时间的物理治疗并不能改善肌肉的强度和功能
Marc Dauty1,2,3, Emmanuel Le Mercier1, Pierre Menu1,2,3
1Physical Medicine and Rehabilitation, Sport Medicine Center, University Hospital of Nantes, CHU Nantes, 44093 Nantes, France.
Journal of clinical medicine
|May 11, 2024
概括
延长前十字带 (ACL) 重建的物理治疗超过三个月没有改善膝盖的强度或功能. 长时间的训练对恢复运动的运动员没有显著的益处.
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:
- 前十字带 (ACL) 断裂通常需要为膝盖的不稳定性进行手术或恢复旋转运动.
- 目前的趋势表明,在ACL重建后延长物理治疗,直到恢复体育运动.
- 这项研究调查了手术后长达4个月的长期物理治疗的疗效.
研究的目的:
- 评估延长前十字带 (ACL) 重建患者的物理治疗疗程延长至术后4个月的益处.
- 评估对恢复肌肉膝盖强度和功能的影响.
- 为了确定长期康复是否能改善肢体对称度指数 (LSI) 和莱肖尔姆分数.
主要方法:
- 分析了470名患者的历史队列,这些患者接受了用腿筋移植进行初级ACL重建.
- 患者被分为基于手术后3个月以上的持续物理治疗的组.
- 四头四肢和腿筋的异动性四肢对称指数 (LSI) 和莱肖尔姆分数是主要的结果指标.
主要成果:
- 148名患者 (31.4%) 持续了超过3个月的物理治疗,平均49个会话,而早些时候停止治疗的患者则为33个会话.
- 两组之间没有观察到异动因子膝盖LSI或Lysholm得分的显著差异.
- 持续的物理治疗与女性性别,高体育水平,阴茎修复,侧面形和门诊康复有关.
结论:
- 在ACL重建后延长物理疗法超过3个月,与改善膝盖强度 (LSI) 或功能 (Lysholm评分) 并没有显著相关.
- 延长的康复似乎对加强膝盖强度恢复和ACL重建后的功能结果无效.
- 性别,运动水平和外科手术等因素影响了物理治疗的继续,但并没有影响功能恢复的结果.
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