前交叉韧带重建术后患者的等速肌力训练和疗效评定  

Isokinetic knee flexion- and extension-strength exercises and evaluation after anterior cruciate ligament reconstruction

作　　者：陶莉[1] 冯华[1] 郭险峰[1] 侯燕[1] 张辉[1] 

机构地区：[1]北京积水潭医院物理康复科,北京100035

出　　处：《中国康复医学杂志》2008年第11期990-993,共4页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:研究用Biodex system 3多关节等速肌力评定及训练系统对ACL重建术后患者肌力的影响。方法:将50例行ACL重建术后的患者随机分成试验组25例(等速训练患侧肌力)和对照组25例(等张训练患侧肌力)并分别进行功能训练,在术后第12、24周进行等速向心肌力测试。结果:术后第12、24周对患者进行膝关节等速向心肌力测试,试验组膝屈、伸肌患侧峰力矩/健侧峰力矩比值明显高于对照组,差异具有显著性(P<0.05),试验组在30°时的股内侧肌患侧峰力矩/健侧峰力矩比值明显高于对照组,差异具有显著性(P<0.05)。结论:通过等速训练进行系统的康复治疗可使膝关节ACL重建术后的患者短期(6个月)达到健侧屈伸肌力水平,并能达到运动水平。Objective：To study the effects of training flexion and extension of knee muscles on Biodex Multi-Joint System in ACL reconstruetion patients. Method： Subjects were assigned randomly to either experimental group（n=25, isokinetic exercises） or control group （n=25,isotonic exercises）. Bolh groups received rehabilitation training after ACL reconstruction. Subjects were assessed with isokinetic measurement after 12 and 24 weeks postoperation. Result：In experimental group involved peak touque/uninvolved peak torque ratio were significantly higher than that in control group （P〈0.05）, In experimental group involved touque/uninvolved torque ratio at flexion 30° of knee were significantly higher than that in control group（P〈0.05）. Conclusion：The knee muscles flexion- and extension-strength of patients in experimental group had significant improvement when compared with the control group after 6 month postoperation. After isokinetie training patients can return to sport.

关 键 词：等速训练 ACL重建术 康复 

分 类 号：R493[医药卫生—康复医学]