核心力量训练对前交叉韧带重建术后功能影响的病例对照研究  

Case-control study on the effect of core strength training on the function of anterior cruciate ligament reconstruction

作　　者：吴斌 郑松 蔡震海 王月丽[2] 曾明[2] 

机构地区：[1]嘉兴市第二医院骨科,浙江嘉兴314000 [2]嘉兴市第二医院康复科,浙江嘉兴314000

出　　处：《中国骨伤》2017年第8期716-720,共5页China Journal of Orthopaedics and Traumatology

摘　　要：目的:观察核心力量训练对前交叉韧带重建术后膝关节功能和姿势稳定性的影响。方法:自2013年5月至2015年5月共纳入接受前交叉韧带重建患者80例,分为常规康复训练组和核心力量训练组,各40例。常规康复训练组接受常规前交叉韧带重建术后康复训练,其中男28例,女12例;年龄22~42岁,平均(30.5±5.2)岁;体重指数(BMI)18.2~25.9 kg/m^2,平均(23.8±2.4)kg/m^2;优势侧30例,非优势侧10例。核心力量训练组接受常规前交叉韧带重建术后康复训练加核心力量训练,其中男31例,女9例;年龄21~45岁,平均(31.1±4.8)岁;BMI:18.5~26.1 kg/m^2,平均(24.1±2.7)kg/m^2;优势侧27例,非优势侧13例。收集患者治疗前后膝关节Lysholm量表评分、KT-1000测量的胫骨前移度及治疗后星形偏移平衡测试结果,对两组结果进行比较分析。结果:治疗后常规康复训练组和核心力量训练组胫骨前移度分别为(3.4±1.0)mm和(3.3±1.2)mm,小于治疗前的(12.1±1.8)mm和(12.5±2.0)mm(P<0.05),但两组比较差异无统计学意义(P>0.05);常规康复训练组和核心力量训练组治疗后Lysholm评分分别为91.8±4.3和92.1±3.9,高于治疗前的69.2±5.8和70.2±5.1(P<0.05),但两组比较差异无统计学意义(P>0.05);治疗后星形偏移平衡测试显示核心力量训练组伤侧支撑和健侧支撑下肢所能到达最远的距离在8个方向上均要大于常规康复训练组(P<0.05)。结论:核心力量训练能够有效提高前交叉韧带重建术后患者的动态平衡稳定性。Objective：To observe the effect of core strength training on knee joint function and postural stability after anterior cruciate ligament reconstruction（ACLR）. Methods：A total of 80 ACLR patients were randomly allocated into conventional rehabilitation training group and core strength training group from May 2013 to May 2015 with 40 patients in each group. The patients in conventional rehabilitation training group underwent conventional ACLR rehabilitation training,in which 28 males and 12 females. The mean age was（30.5±5.2） years old（ranged,22 to 42 years old）. The mean BMI was（23.8±2.4）kg/m^2（ranged,18.2 to 25.9 kg/m^2）. Thirty patients had injuries on the dominant side and 10 patients had injuries on the non-dominant side. The core strength training group received conventional ACLR rehabilitation training and core strength training,in which 31 males and 9 females. The mean age was（31.1±4.8） years old（ranged,21 to 45 years old）. The mean BMI was（24.1±2.7） kg/m^2（ranged,18.5 to 26.1 kg/m^2）. Twenty-seven patients had injuries on the dominant side and 13 patients had injuries on the non-dominant side. The Lysholm score,tibial anterior transition measured by KT-1000 before and after treatment,and the Star Excursion Balance Test results after treatment were compared between the two groups. Results：Six months after rehabilitation training,the tibial anterior transition of the conventional rehabilitation training group and the core strength training group were（3.4±1.0） mm and（3.3±1.2） mm respectively,which were less than（12.1±1.8） mm and（12.5±2.0） mm before treatment. But there was no significant difference in anterior tibial translation between two groups（P〈0.05）. The Lysholm score of the conventional rehabilitation training group and the core strength training group were 91.8 ±4.3 and 92.1±3.9 individually,which were higher than 69.2 ±5.8 and 70.2 ±5.1 before treatment. But there was no significant difference in Lysholm score between two gro

关 键 词：前交叉韧带 重建外科手术 康复 病例对照研究 

分 类 号：R686.5[医药卫生—骨科学]