在评估阿基里斯肌负荷时剪波张力计:在破裂后对保守治疗的肌进行横截面研究
Alessandro Schneebeli1,2, Giuseppe Filardo3,4, Enrique Testa4,5
1Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK.
Journal of foot and ankle research
|April 28, 2025
概括
长期阿基里斯肌破裂 (ATR) 恢复显示没有整体剪波速度 (SWS) 差异. 然而,中肌病变显示SWS变异,肌大小和强度的持续差异.
科学领域:
- 生物力学 生物力学
- 肌肉骨成像系统的成像
- 整形外科手术 整形外科手术
背景情况:
- 阿基里斯肌破裂 (ATR) 是一个常见的伤害.
- 保守治疗是ATR的一个可行的选择.
- 了解长期肌愈合对于康复至关重要.
研究的目的:
- 量化切割波速度 (SWS) 的差异,在破裂后保守处理的阿基里斯 (AT) 与相反的AT相比.
- 为了评估肌的机械特性和形状学后保守的ATR治疗.
主要方法:
- 在受伤1-7年后,对29名先前接受过ATR保守治疗的参与者进行了评估.
- 剪切波张力计被用来测量负载下的SWS.
- 超声波和MyotonPRO评估了肌厚度,横截面积 (CSA) 和性.
主要成果:
- 在破裂和未破裂的AT之间,在整体SWS中没有显著的群体差异.
- 在患有中肌病变的参与者中,在特定负荷 (3.5Nm,7Nm) 时发现了显著的SWS差异.
- 受影响的AT表现出明显增加的厚度和CSA,与未受影响的侧面相比,脚下 flexor 的强度降低.
结论:
- 长期保守的ATR治疗会导致与未受影响的AT相比的总体SWS.
- 中损伤可能导致负载依赖的SWS变化.
- 在受影响的AT后保守治疗中存在持续的形态 (厚度,CSA) 和功能 (强度) 缺陷.
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