Pôle de médecine physique et réadaptation, hôpital Saint-Jacques, CHU de Nantes, 85, rue Saint-Jacques, 44035 Nantes cedex 01, France.
Ann Phys Rehabil Med. 2010 Apr;53(3):150-61. doi: 10.1016/j.rehab.2009.12.006. Epub 2010 Jan 16.
The aim of this study was to analyze the effect of running retraining on the recovery of the knee's functional and muscular properties after anterior cruciate ligament (ACL) reconstruction.
Eighty-five athletes who had undergone ACL reconstruction surgery were selected randomly to receive, or not to receive, controlled running training based on interval training and speed exercises. The effect of retraining was measured by the evolution of the knee's isokinetic strength deficit and progress (at angular speeds of 60 and 180 degrees /s), the knee laxity parameters and the score on the Lysholm Knee Scale from the 4th to the 6th month after the surgery. Forty subjects were retrained and compared with 40 control-group subjects. The effect of the retraining program was studied in terms of the type of ACL reconstruction and the effect of time.
After retraining, no difference was found for isokinetic knee strength deficit and progress, knee laxity and Lysholm Knee Score. The isokinetic strength deficit was influenced mainly by the type of ACL reconstruction.
It would seem that running retraining has an insufficient effect on the muscular and functional recovery after ACL reconstruction, despite the fact that this type of training is well-tolerated.
本研究旨在分析跑步再训练对前交叉韧带（ACL）重建后膝关节功能和肌肉特性恢复的影响。
随机选择 85 名接受 ACL 重建手术的运动员，根据间歇训练和速度练习接受或不接受受控跑步训练。再训练的效果通过膝关节等速力量缺陷和进展的变化（角速度为 60 和 180 度/秒）、膝关节松弛度参数和手术后第 4 至 6 个月的 Lysholm 膝关节评分来衡量。40 名受试者接受再训练，并与 40 名对照组受试者进行比较。从 ACL 重建的类型和时间的角度研究再训练计划的效果。
再训练后，等速膝关节力量缺陷和进展、膝关节松弛度和 Lysholm 膝关节评分均无差异。等速力量缺陷主要受 ACL 重建类型的影响。
尽管这种类型的训练耐受性良好，但跑步再训练似乎对 ACL 重建后肌肉和功能的恢复影响不大。
