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前交叉韧带重建术后两年的单腿姿势稳定性及膝关节功能结果评估

Single-leg assessment of postural stability and knee functional outcome two years after anterior cruciate ligament reconstruction.

作者信息

Zouita Ben Moussa A, Zouita S, Dziri C, Ben Salah F Z

机构信息

Ksar-Said Higher Institute of Sports and Physical Education, résidence Essaada, rue 13-Août, Manouba, 2010, Tunisia.

出版信息

Ann Phys Rehabil Med. 2009 Jul;52(6):475-84. doi: 10.1016/j.rehab.2009.02.006. Epub 2009 May 23.

DOI:10.1016/j.rehab.2009.02.006
PMID:19477706
Abstract

OBJECTIVE

To analyse postural stability and the single-leg hop for distance in subjects 2 years after anterior cruciate ligament reconstruction (ACLR), in comparison with an age- and activity-matched control group.

DESIGN AND SETTING

Subjects reported to a sports medicine or athletic training research laboratory for testing.

SUBJECTS

Twenty-six subjects having undergone ACLR and 26 age- and activity-matched controls were selected to participate in this study. An arthroscopically-assisted, central, one-third bone-patellar tendon procedure was used to repair the ACLs.

MEASUREMENTS

One-leg stance postural stability was measured with the NeuroCom Balance Master platform system. We recorded the single-leg hop for distance as an objective measure of function.

RESULTS

We found a significant difference (p<0.05) between the ACLR and control subjects in terms of the one-leg stance sway velocity (knee fully extended) on the operated side.

CONCLUSIONS

After ACLR (mean time postoperatively: 24+/-1 months), single-leg hop for distance score was normal, when compared with the contralateral limb. Our results indicate that 2 years after surgery, single-limb postural stability in the ACLR group differed significantly from that in the control group. The persistence of poor stability control may be correlated to an impairment in proprioception.

摘要

目的

与年龄及活动量相匹配的对照组相比,分析前交叉韧带重建术(ACLR)两年后受试者的姿势稳定性和单腿跳远距离情况。

设计与地点

受试者前往运动医学或运动训练研究实验室接受测试。

受试者

选取26例接受过ACLR的受试者以及26例年龄和活动量相匹配的对照者参与本研究。采用关节镜辅助下的中央三分之一髌腱手术修复前交叉韧带。

测量方法

使用NeuroCom Balance Master平台系统测量单腿站立姿势稳定性。记录单腿跳远距离作为功能的客观测量指标。

结果

在患侧单腿站立摇摆速度(膝关节完全伸展)方面,ACLR组与对照组之间存在显著差异(p<0.05)。

结论

ACLR术后平均时间为24±1个月时,与对侧肢体相比,单腿跳远距离得分正常。我们的结果表明,术后两年,ACLR组的单肢姿势稳定性与对照组有显著差异。稳定性控制不佳的持续存在可能与本体感觉受损有关。

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