Department of Physical Therapy, Wichita State University, 1845 North Fairmount, Wichita, KS, USA,
Curr Rev Musculoskelet Med. 2012 Mar;5(1):59-71. doi: 10.1007/s12178-011-9109-4.
Injuries to the anterior cruciate ligament are common. Surgical reconstruction is more prevalent than ever. This review article discusses treatment of the patient following surgical reconstruction of the anterior cruciate ligament. Various phases of rehabilitation are discussed with emphasis on early return of passive motion, early weight bearing, bracing, kinetic chain exercises, neuromuscular electrical stimulation and accelerated rehabilitation. Although evidence exists for the treatment of the surgically reconstructed cruciate ligament, more is needed to better define specific timeframes for advancement. Evidence exists that many of these young individuals are not fully returning to unlimited high level activities. This review article presents some of the latest evidence regarding anterior cruciate ligament rehabilitation in an attempt to help the busy clinician understand and relate basic and clinical research to rehabilitation of a patient following reconstruction.
前交叉韧带损伤很常见。手术重建比以往任何时候都更为普遍。本文回顾了前交叉韧带重建术后患者的治疗方法。讨论了康复的各个阶段,重点是尽早恢复被动运动、早期负重、支具、运动链练习、神经肌肉电刺激和加速康复。虽然有证据表明可以治疗手术重建的前交叉韧带,但还需要更多的证据来更好地确定进展的具体时间框架。有证据表明,许多这样的年轻人并没有完全恢复到无限制的高水平活动。本文回顾了前交叉韧带康复的一些最新证据,旨在帮助忙碌的临床医生理解和将基础研究和临床研究与重建后患者的康复联系起来。