膝关节和脚关节训练在ACL重建后对膝关节机械学的交叉效应:一个随机对照试验
Ahmed Atteya Ashour1, Salam Mohamed Elhafez2, Mohamed Magdy ElMeligie3
1Department of Biomechanics, Faculty of Physical Therapy, October 6 University, Egypt.
Gait & posture
|August 22, 2024
概括
在前交叉带重建 (ACLR) 康复中,在膝盖训练之前开始脚训练,可以显著改善行走过程中膝盖曲和伸展扭矩. 这种顺序比反向顺序更有效地提高恢复结果.
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) 重建康复对于恢复功能至关重要.
- 运动进展的顺序可能会影响步态参数和肌肉功能.
- 研究训练序列可以优化康复方案.
研究的目的:
- 为了确定膝关节和脚关节的训练序列是否会影响膝关节扭矩.
- 为了比较膝盖-然后-脚与脚-然后-膝盖训练的效果.
主要方法:
- 42名男性ACL重建患者被随机分为两组:膝盖然后脚或脚然后膝盖训练.
- 使用交叉设计,每项干预持续四周,分开一周的洗.
- 膝盖延伸和曲扭矩在介入前和之后的步行周期的姿势阶段进行测量.
主要成果:
- 这两种训练序列都改善了膝盖延伸扭矩 (p=0.001,科恩的D=0.65).
- 膝盖屈曲扭矩仅在开始脚训练的组中显著改善 (p=0.001,科恩的D=0.97).
- 在所有测试变量中,脚后膝盖组在所有测试变量中表现出优异的改善,与膝盖后脚组相比.
结论:
- 在ACLR后的步行过程中,先进行脚康复训练,然后进行膝盖训练更有效地提高膝盖扭矩.
- 这种序列可能比通过膝盖练习开始康复提供更好的结果.
- 建议对不同种群和ACLR类型进行进一步的研究.
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