在ACL重建后,膝关节功能结果和四头肌缩:一项前性观察性研究
Nagma Sheenam1, Ravi Gaur2, Nitesh Manohar Gonnade1
1Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
BMC sports science, medicine & rehabilitation
|May 10, 2025
概括
前十字带 (ACL) 重建后的结构化康复显著改善膝盖功能并减少疼痛. 然而,早期恢复显示肌肉低和活化减少,需要针对性干预以获得最佳结果.
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
- 生物医学工程 生物医学工程
背景情况:
- 前十字带 (ACL) 损伤很普遍,导致膝盖不稳定和功能缺陷.
- 在ACL重建后,患者经常经历疼痛和膝盖功能受损,影响日常活动和运动参与.
研究的目的:
- 描述三个月的 ACL 撕裂患者的膝盖功能结果.
- 为了评估功能恢复,疼痛水平和神经肌肉状态在三个术后访问.
主要方法:
- 对98名接受ACL重建 (ACLR) 的患者进行前性观察性研究.
- 评估包括泰格纳活动量表,IKDC主观膝关节评估,莱肖尔姆膝关节评分量表,疼痛评估,四头肌肉厚度 (超声波) 和肌肉激活 (电肌图).
主要成果:
- 在三个月内观察到活动 (Tegner),膝盖功能 (IKDC,Lysholm) 和疼痛得分 (p < 0.001) 的显著改善.
- 超声波和电肌图显示持续的四头肌肌肉缩和神经肌肉功能减弱.
结论:
- 结构化康复有效地提高功能结果,并缓解ACL重建后的疼痛.
- 肌肉质量和激活的早期缺陷需要有针对性的康复策略来优化恢复.
- 关注早期的神经肌肉缺陷对于改善膝盖稳定性和预防长期并发症至关重要.
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