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在ACL重建后四头肌和腿筋肌肉强度的故事:通过纵向和多变量元分析进行系统审查

Michael Girdwood¹, Adam G Culvenor¹, Ebonie K Rio^1,2,3

¹La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia.

British journal of sports medicine

|October 10, 2024

概括

在前交叉带重建 (ACLR) 一年后,膝盖延伸器的强度仍然显著降低 (> 10%),随后的收益最小. 持续的力量缺陷是ACLR后常见的,与未受伤的四肢进行比较,显示出比未受伤的四肢更大的缺陷.

科学领域:

整形外科和运动医学
康复科学康复科学康复科学
生物机械工程生物机械工程

背景情况:

前十字带重建 (ACLR) 是一种常见的手术程序.
评估长期的功能恢复,特别是肌肉力量,对于患者的治疗结果至关重要.
了解ACLR后膝盖延伸器和屈曲器强度的轨迹对于有效的康复至关重要.

研究的目的:

在ACLR之后,系统地审查和元分析随着时间的推移,膝盖延伸器和 flexor 的强度的变化.
在手术后的不同时间点使用人与人之间的比较来量化力量缺陷.

主要方法:

一个系统的审查和研究的纵向元分析发表到2023年2月.
纳入标准:初级ACLR,参与者年龄18-40岁,定量强度测量,与反侧或对照肢体进行比较.
数据来源包括Medline,Embase,CINAHL,Scopus,Cochrane CENTRAL和SPORTDiscus. 这些数据来源主要来自美国.

主要成果:

纳入了232项研究,共有34,220名参与者.
一年后,膝关节延伸器强度缺陷超过了10% (相对于对手) 和20% (相对于对照).
膝关节屈曲器强度缺陷较小 (5-7%相比反侧),但持久.
强度的改善在手术后12-18个月左右停滞不前.

结论:

在ACLR之后,显著的膝盖延伸器强度缺陷持续超过5年.
长期的力量缺陷可能很常见,影响功能恢复.
个人之间的比较显示出比个人内部的比较更大的力量缺陷,突出了潜在的低估缺陷.

关键词:

前交叉带前交叉带腿筋腿筋腿筋腿筋康复康复康复康复

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