前交叉韧带重建术后闭链训练结合多角度等长肌力训练增强膝关节稳定性的研究  

Effect of closed-chain and isometric contraction based different angle strengthening on stability of knee after anterior cruciate ligament reconstruction

作　　者：于惠贤[1] 陈亚平[1] 何蕾[1] 柴双双 

机构地区：[1]首都医科大学附属北京同仁医院康复医学科,北京100069

出　　处：《现代医学与健康研究电子杂志》2017年第1期1-3,7,共4页Modern Medicine and Health Research

基　　金：北京市医院管理局"青苗"计划专项经费资助(QML20150204);首都医科大学附属北京同仁医院科研种子基金资助项目2014-YJJZZL-019

摘　　要：目的前瞻性研究前交叉韧带重建术后早期行闭链肌力训练结合不同角度等长收缩练习对膝关节稳定性的影响。方法搜集62例自体腘绳肌肌腱重建患者,年龄20~45岁。随机分为对照组(A组)和实验组(B组),进行为期12周的康复治疗,随后指导下行家庭康复治疗至12周。分别于6周、12周采集主动直腿抬高试验结果、平衡功能结果以及6个月后IKDC评分。结果实验组术后12周的主动主动直腿抬高迟滞大于5°的例数显著小于对照组(A组10例,B组2例),具有统计学意义;术后6周(A组:6.28±3.42;B组:3.97.28±0.87)和12周(A组:4.89±1.02;B组:0.78±0.19)两组平衡功能测试存在显著差异,B组分值显著小于A组;术后IKDC评分有明显差异。结论前交叉韧带重建术后早期行闭链肌力训练结合不同角度等长收缩练习可以提高终末伸膝肌力和术后平衡功能从而提高膝关节稳定性。Objective To explore the clinical effect of closed-chain and isometric contraction based different angle strengthening training on stability of the knee joint after anterior cruciate ligament reconstruction. Methods 62 cases of patients,20 ~ 45 years old were underwent anterior cruciate ligament rupture auto graft tendon reconstruction,Who were randomly divided into experimental group(group A)and routine rehabilitation group(group B). Active angles of rate of motion of the knee extension more than 5° at 6 weeks and12 weeks,balance function test scale at 6 weeks and 12 weeks,and the score of IKDCcases at 6 month after rehabilitation were analyzed. Results The number who active angles of rate of motion of knee extension more than 5° in B group were significantly lower than A group at 12 weeks( A group: 10,B group: 2); The balance function test scale in B group were significantly lower than A group at 6 weeks and 12 weeks( A group: 6. 28±3. 42; B group: 3. 97. 28±0. 87); IKDC scores of moderate procedure were better than that of accelerated procedure. Conclusion Closed-chain and isometric contraction based different angle strengthening training can improve stability of knee after anterior cruciate ligament reconstruction by improving the terminal strength and balance function,thus can reduce the postoperative pain in the long run.

关 键 词：前交叉韧带重建 闭链肌力训练 肌肉等长收缩 膝关节稳定性 

分 类 号：R687.4[医药卫生—骨科学]