在ACL重建后,大腿直骨和大中间肌肉不对称
Manal Fasih1, Caleb Voskuil2, Christopher Rivas3
1Department of Medical Education, Texas Christian University Anne Burnett Marion School of Medicine, Fort Worth, United States.
International journal of sports medicine
|May 9, 2025
概括
前交叉带重建 (ACLR) 导致肌肉缩和质量变化,在直腿筋和巨大的中间肌肉之间观察到显著差异. 这些发现突显了ACLR后的独特的骨肌肉变化.
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:
- 前十字带重建 (ACLR) 往往导致持续的骨肌缩和神经肌肉缺陷.
- 肌肉骨超声波是评估肌肉大小和质量的有价值的非侵入性工具.
研究的目的:
- 在有ACLR病史的个体与健康对照人群中,比较直骨肌和广大中间肌的厚度和回声强度.
- 为了调查ACLR之后的潜在肌肉特异性变化.
主要方法:
- 利用扩展视野超声波来测量靠近,中间和远部大腿区域的肌肉厚度.
- 通过回声强度测量来评估肌肉质量.
- 对26名ACLR患者和20名健康对照者的数据进行了比较.
主要成果:
- 在ACLR组中发现了肌肉厚度和回声强度的显著不对称性,有利于不受影响的腿部.
- 对照组表现出更大的大介质肌肉厚度比直腿筋肌肉厚度,在ACLR组中没有这种差异.
- 两组之间没有观察到肌肉厚度或回声强度的特定位置差异.
结论:
- 在ACLR诱导的直骨 femoris和巨大的中间肌肉明显的变化,影响大小和质量.
- 这些肌肉特异性变化可能与手术后膝盖延伸功能受损有关.
- 超声波有效量化这些神经肌肉变化在ACLR患者.
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