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前交叉韧带重建术后股四头肌力量最大化

Maximizing quadriceps strength after ACL reconstruction.

作者信息

Palmieri-Smith Riann M, Thomas Abbey C, Wojtys Edward M

机构信息

Division of Kinesiology, University of Michigan, 401 Washtenaw Avenue, Ann Arbor, MI 48109-2214, USA.

出版信息

Clin Sports Med. 2008 Jul;27(3):405-24, vii-ix. doi: 10.1016/j.csm.2008.02.001.

DOI:10.1016/j.csm.2008.02.001
PMID:18503875
Abstract

The primary objectives of ACL surgery and rehabilitation are to restore knee function to preinjury levels and promote long-term joint health. Often these goals are not achieved, however. The quadriceps is critical to dynamic joint stability, and weakness of this muscle group is related to poor functional outcomes. Because of this, identifying strategies to minimize quadriceps weakness following ACL injury and reconstruction is of great clinical interest. This article reviews the current literature and critically discusses current rehabilitation approaches to restore quadriceps muscle function after ACL reconstruction.

摘要

前交叉韧带(ACL)手术和康复的主要目标是将膝关节功能恢复到受伤前的水平,并促进关节的长期健康。然而,这些目标往往无法实现。股四头肌对动态关节稳定性至关重要,该肌群无力与功能预后不良有关。因此,确定在ACL损伤和重建后尽量减少股四头肌无力的策略具有重大临床意义。本文回顾了当前的文献,并批判性地讨论了目前ACL重建后恢复股四头肌功能的康复方法。

相似文献

1
Maximizing quadriceps strength after ACL reconstruction.前交叉韧带重建术后股四头肌力量最大化
Clin Sports Med. 2008 Jul;27(3):405-24, vii-ix. doi: 10.1016/j.csm.2008.02.001.
2
Pre-operative quadriceps strength predicts IKDC2000 scores 6 months after anterior cruciate ligament reconstruction.术前股四头肌力量可预测前交叉韧带重建术后6个月的IKDC2000评分。
Knee. 2013 Jun;20(3):208-12. doi: 10.1016/j.knee.2012.07.011. Epub 2012 Sep 27.
3
Report of the Clinical and Functional Primary Outcomes in Men of the ACL-SPORTS Trial: Similar Outcomes in Men Receiving Secondary Prevention With and Without Perturbation Training 1 and 2 Years After ACL Reconstruction.前交叉韧带运动损伤(ACL-SPORTS)试验男性患者临床及功能主要结局报告:ACL重建术后1年和2年接受或未接受扰动训练1和2进行二级预防的男性患者结局相似。
Clin Orthop Relat Res. 2017 Oct;475(10):2523-2534. doi: 10.1007/s11999-017-5280-2.
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Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction.前交叉韧带损伤与重建后的下肢肌肉力量。
J Athl Train. 2013 Sep-Oct;48(5):610-20. doi: 10.4085/1062-6050-48.3.23.
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Quadriceps muscle weakness after anterior cruciate ligament reconstruction: a risk factor for knee osteoarthritis?前交叉韧带重建术后股四头肌无力:膝关节骨关节炎的危险因素?
Arthritis Care Res (Hoboken). 2010 Dec;62(12):1706-14. doi: 10.1002/acr.20299. Epub 2010 Jul 26.
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Quadriceps function following ACL reconstruction and rehabilitation: implications for optimisation of current practices.前交叉韧带重建与康复后的股四头肌功能:对优化当前实践的启示
Knee Surg Sports Traumatol Arthrosc. 2014 May;22(5):1163-74. doi: 10.1007/s00167-013-2577-x. Epub 2013 Jun 28.
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Time line for noncopers to pass return-to-sports criteria after anterior cruciate ligament reconstruction.非依从者在前交叉韧带重建后通过重返运动标准的时间线。
J Orthop Sports Phys Ther. 2010 Mar;40(3):141-54. doi: 10.2519/jospt.2010.3168.
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Combination of eccentric exercise and neuromuscular electrical stimulation to improve quadriceps function post-ACL reconstruction.离心运动与神经肌肉电刺激相结合以改善前交叉韧带重建术后股四头肌功能
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Dynamics of the increase in strength and girth of quadriceps muscle after the reconstruction of anterior cruciate ligament.前交叉韧带重建术后股四头肌力量和围度增加的动态变化
Pol Orthop Traumatol. 2014 Jun 2;79:71-6.
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Effects of early progressive eccentric exercise on muscle size and function after anterior cruciate ligament reconstruction: a 1-year follow-up study of a randomized clinical trial.早期渐进性离心运动对前交叉韧带重建术后肌肉大小和功能的影响:一项随机临床试验的1年随访研究
Phys Ther. 2009 Jan;89(1):51-9. doi: 10.2522/ptj.20070189. Epub 2008 Nov 6.

引用本文的文献

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Early Postoperative Evaluation of Arthrogenic Muscle Inhibition, Anterior Knee Laxity, and Kinesiophobia After ACL Reconstruction: A Cross-Sectional Observational Study.前交叉韧带重建术后关节源性肌肉抑制、前膝松弛和运动恐惧的早期术后评估:一项横断面观察性研究。
Healthcare (Basel). 2025 Jun 20;13(13):1481. doi: 10.3390/healthcare13131481.
2
Gastrocnemius activation deficits and running biomechanics after anterior cruciate ligament reconstruction: the missing link?前交叉韧带重建术后腓肠肌激活不足与跑步生物力学:缺失的环节?
Front Sports Act Living. 2025 May 9;7:1594247. doi: 10.3389/fspor.2025.1594247. eCollection 2025.
3
Isokinetic Knee Strength and Patient-Reported Outcomes Differ Between Graft Types in Adolescents After Anterior Cruciate Ligament Reconstruction: A Multicenter Study.
青少年前交叉韧带重建术后不同移植物类型的等速膝关节力量及患者报告结局的差异:一项多中心研究
Orthop J Sports Med. 2025 May 12;13(5):23259671251334143. doi: 10.1177/23259671251334143. eCollection 2025 May.
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Effects of neuromuscular electrical stimulation on neuromuscular function and muscle quality in patient following anterior cruciate ligament reconstruction.神经肌肉电刺激对前交叉韧带重建术后患者神经肌肉功能和肌肉质量的影响。
J Exerc Rehabil. 2025 Apr 30;21(2):79-91. doi: 10.12965/jer.2550086.043. eCollection 2025 Apr.
5
Isokinetic Testing After Anterior Cruciate Ligament Injury Showed a Greater Hamstrings/Quadriceps Ratio at 240°/S Over 6 Months From Injury but No Difference of Limb Symmetry Index.前交叉韧带损伤后等速测试显示,受伤6个月后,在240°/秒时,腘绳肌/股四头肌比值更大,但肢体对称指数无差异。
Arthrosc Sports Med Rehabil. 2024 Dec 12;7(2):101063. doi: 10.1016/j.asmr.2024.101063. eCollection 2025 Apr.
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Rethinking the Assessment of Arthrogenic Muscle Inhibition After ACL Reconstruction: Implications for Return-to-Sport Decision-Making-A Narrative Review.重新思考前交叉韧带重建术后致动性肌肉抑制的评估:对恢复运动决策的影响——一项叙述性综述
J Clin Med. 2025 Apr 11;14(8):2633. doi: 10.3390/jcm14082633.
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Virtual reality-enhanced rehabilitation for improving musculoskeletal function and recovery after trauma.虚拟现实增强康复用于改善创伤后肌肉骨骼功能及恢复。
J Orthop Surg Res. 2025 Apr 23;20(1):404. doi: 10.1186/s13018-025-05705-3.
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Cureus. 2025 Mar 4;17(3):e80051. doi: 10.7759/cureus.80051. eCollection 2025 Mar.
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Cureus. 2025 Feb 18;17(2):e79197. doi: 10.7759/cureus.79197. eCollection 2025 Feb.