侧方滑动练习在前交叉韧带重建康复家庭锻炼计划中的有效性。

Effectiveness of lateral slide exercise in an anterior cruciate ligament reconstruction rehabilitation home exercise program.

作者信息

Blanpied P, Carroll R, Douglas T, Lyons M, Macalisang R, Pires L

机构信息

University of Rhode Island, Kingston 02881, USA.

出版信息

J Orthop Sports Phys Ther. 2000 Oct;30(10):602-8; discussion 609-11. doi: 10.2519/jospt.2000.30.10.602.

DOI:10.2519/jospt.2000.30.10.602

PMID:11041197

Abstract

STUDY DESIGN

Two-group repeated measures design using a sample of convenience of subjects with anterior cruciate ligament (ACL) reconstructive surgery.

OBJECTIVES

To determine the effect of incorporating one specific weight-bearing exercise (lateral slide exercise using a slide board) into an ACL reconstruction home exercise program.

BACKGROUND

Reduced clinic visits have increased the importance of home exercise programs in knee ligament reconstruction rehabilitation. Few studies have been conducted to test the efficacy of specific exercises as part of a home-based treatment program on subjects who have undergone ACL reconstruction.

METHODS AND MEASURES

Fourteen subjects who underwent patella tendon autograft reconstruction on one of their ACLs were studied. Testing consisted of the following 4 measurements: peak isometric knee extension torque, peak isometric knee flexion torque, maximum lateral step height, and lateral step-up repetitions to fatigue. Subjects were pretested at 8 weeks after surgery and were randomly placed into either a control or experimental group. The postsurgical rehabilitation was similar for both groups, except the experimental group incorporated lateral slide exercise into their home exercise program. All subjects were re-evaluated 14 weeks after surgery.

RESULTS

A 2-way repeated measure ANOVA (group by test session), and posthoc testing revealed significant improvements in the slide group for quadricep strength (101.9 +/- 31.3 N m to 140.5 +/- 31.3 N m of torque), while the control group showed no significant increase (125.1 +/- 61.7 N m to 125.8 +/- 45.1 N m of torque). Lateral step height also improved in the slide group (from 22.9 +/- 5.3 cm to 28.7 +/- 5.6 cm), while the control group showed no increase (20.0 +/- 4.5 cm to 20.7 +/- 3.4 cm). Both groups increased in lateral step-up repetitions to fatigue.

CONCLUSION

Including lateral slide exercise in a home exercise program after ACL reconstruction appears to improve knee extension strength.

摘要

研究设计

采用两组重复测量设计，样本为接受前交叉韧带（ACL）重建手术的便利受试者。

目的

确定将一种特定的负重运动（使用滑板进行侧滑运动）纳入ACL重建家庭锻炼计划的效果。

背景

门诊就诊次数的减少增加了家庭锻炼计划在膝关节韧带重建康复中的重要性。很少有研究对特定运动作为家庭治疗计划的一部分对接受ACL重建的受试者的疗效进行测试。

方法与测量

对14名在一侧ACL上进行髌腱自体移植重建的受试者进行了研究。测试包括以下4项测量：等长膝关节伸展峰值扭矩、等长膝关节屈曲峰值扭矩、最大侧步高度以及侧步提升至疲劳的重复次数。受试者在术后8周进行预测试，并随机分为对照组或实验组。两组术后康复情况相似，只是实验组将侧滑运动纳入其家庭锻炼计划。所有受试者在术后14周进行重新评估。

结果

双向重复测量方差分析（组间×测试阶段）及事后检验显示，滑动组的股四头肌力量有显著改善（扭矩从101.9±31.3 N·m提高到140.5±31.3 N·m），而对照组无显著增加（扭矩从125.1±61.7 N·m提高到125.8±45.1 N·m）。滑动组的侧步高度也有所改善（从22.9±5.3 cm提高到28.7±5.6 cm），而对照组无增加（从20.0±4.5 cm提高到20.7±3.4 cm）。两组侧步提升至疲劳的重复次数均增加。