Czamara Andrzej
College of Physiotherapy, ul. Kościuszki 4, Wroclaw, Poland.
Ortop Traumatol Rehabil. 2010 Nov-Dec;12(6):519-33.
The aim of the study was to use selected functional benchmarks (FBs) to assess the level of physical fitness in patients undergoing rehabilitation following anterior cruciate ligament (ACL) reconstruction surgery.
The study involved 115 patients (51 women) after ACL reconstruction surgery. The patients (aged 18-43) were monitored by an orthopedist during their rehabilitation. In order to supplement the clinical examination results, we applied our own classification of functional benchmarks and examination methods which allowed objective assessment of the degree of restoration of locomotor function at individual stages of rehabilitation. The following FBs were established: minimum (MFB), standard (SFB), optimal (OFB) and sports (SPFB).
A poor clinical outcome was noted in 6 patients (5.2%). 104 patients had a stable knee on physical examination, and a significant restoration of the range of motion and circumference of the operated knees was noted in this group in the 12th week compared with the healthy knees. The patients walked 4 km on a treadmill, with female patients covering an additional 1.13 km, and male patients 2.04 km at an inclination angle of 10°. They climbed 116 steps when going up and then down stairs (separate counts). Between rehabilitation weeks 20 and 21, 81 patients (including 33 women) achieved significant improvement in muscle torques, which now approximated those of the non-operated limbs. Female patients covered a distance of 600 metres on a treadmill at the speed of 12 kph, and male patients covered 625 metres at 16 kph. Patients were also able to perform full knee bends and jumps with both feet.
本研究的目的是使用选定的功能基准（FBs）来评估前交叉韧带（ACL）重建手术后接受康复治疗的患者的体能水平。
本研究纳入了115例ACL重建手术后的患者（51例女性）。这些患者（年龄在18 - 43岁之间）在康复期间由骨科医生进行监测。为了补充临床检查结果，我们应用了自己的功能基准分类和检查方法，以便在康复的各个阶段客观评估运动功能的恢复程度。建立了以下功能基准：最低（MFB）、标准（SFB）、最佳（OFB）和运动（SPFB）。
6例患者（5.2%）临床结果较差。104例患者体检时膝关节稳定，与健康膝关节相比，该组在第12周时患侧膝关节活动范围和周长有显著恢复。患者在跑步机上行走4公里，女性患者在倾斜角度为10°时多走1.13公里，男性患者多走2.04公里。他们上下楼梯共爬了116级台阶（分别计数）。在康复第20至21周期间，81例患者（包括33例女性）肌肉扭矩有显著改善，现已接近未手术肢体的水平。女性患者在跑步机上以12公里/小时的速度跑了600米，男性患者以16公里/小时的速度跑了625米。患者还能够进行全膝关节弯曲和双脚跳跃。
