全身振动训练对前交叉韧带损伤重建术后患者下肢运动控制的影响  

Effects of whole-body vibration training on the motor control of lower limb after anterior cruciate ligament reconstruction surgery

作　　者：吴博[1] 张雷[1] 庞文君[1] 张鸣生[1] 

机构地区：[1]广东省人民医院(广东省医学科学院),510080

出　　处：《中国康复医学杂志》2016年第4期421-425,共5页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:研究全身振动训练对膝关节前交叉韧带损伤(ACL)重建术后患者下肢肌力和运动控制的影响。方法:选取符合纳入标准的40例前交叉韧带损伤重建术后患者为研究对象,所有患者术后12周进行常规康复训练。第13周开始将患者用数字法随机分为对照组和试验组,每组20例。对照组继续给予常规康复训练,试验组在对照组的基础上,加入每天1次,每次10min,每周5次,持续4周的全身振动训练。两组患者第12周和第16周,均进行等速肌力测试训练系统膝关节屈伸肌群的峰力矩、拮抗肌比值检测和动态平衡仪中本体感觉评估。结果:1两组患者膝关节屈伸峰力矩,治疗前后和治疗后组间对比均有显著性差异(P<0.05);2两组患者动态平衡测试的平均轨迹误差值,治疗前后和治疗后组间对比有显著性差异(P<0.05)。结论:全身振动训练能够促进ACL重建术后患者的下肢肌力和运动控制的恢复。Objective： To compare the effects of whole-body vibration training（WBVT） with conventional training（CT）program on strength and motor control of lower limb after anterior cruciate ligament（ACL） reconstruction.Method： Forty patients with ACL reconstruction were randomly divided into WBVT group or CT group. The two groups were treated with the conventional training immediately after ACL- reconstruction for 12 weeks,since the 13 th week after ACL reconstruction, the patients in WBVT group were treated with CT program added WBVT 10 min per day for 4 weeks. The motor control function was measured with balance system; the peak torque of knee flexion and extension and the antagonistic muscle ratio were measured by ISOMED2000pre-intervention and post-intervention at the 12 th and 16 th week.Result： 1 The pre-intervention and post-intervention peak torque of knee flexion and extension had significant difference, the peak torque between the two groups after treating also had significant difference（P〈0.05）. 2The pre-intervention and post-intervention average trace error（ATE） in dynamic balance test had significant difference, the ATE between the two groups after treating also had significant difference（P〈0.05）.Conclusion： WBVT can improve the strength of knee and the lower limb motor control function of patients with ACL reconstruction.

关 键 词：前交叉韧带损伤 全身振动训练 运动控制 等速测试 

分 类 号：R687.4[医药卫生—骨科学] R493[医药卫生—外科学]