Champion Sports Medicine-Physiotherapy Associates, Birmingham, AL, USA.
J Orthop Sports Phys Ther. 2012 Mar;42(3):153-71. doi: 10.2519/jospt.2012.3741. Epub 2012 Feb 29.
Rehabilitation following anterior cruciate ligament surgery continues to change, with the current emphasis being on immediate weight bearing and range of motion, and progressive muscular strengthening, proprioception, dynamic stability, and neuromuscular control drills. The rehabilitation program should be based on scientific and clinical research and focus on specific drills and exercises designed to return the patient to the desired functional goals. The goal is to return the patient's knee to homeostasis and the patient to his or her sport or activity as safely as possible. Unique rehabilitation techniques and special considerations for the female athlete will also be discussed. The purpose of this article is to provide the reader with a thorough scientific basis for anterior cruciate ligament rehabilitation based on graft selection, patient population, and concomitant injuries.
前交叉韧带手术后的康复治疗一直在不断变化,目前的重点是立即负重和活动范围,以及渐进性肌肉强化、本体感觉、动态稳定性和神经肌肉控制训练。康复计划应基于科学和临床研究,并侧重于旨在使患者恢复到预期功能目标的特定训练和练习。目标是使患者的膝关节恢复到平衡状态,并使患者尽可能安全地回到其运动或活动中。还将讨论女性运动员的独特康复技术和特殊注意事项。本文的目的是为读者提供基于移植物选择、患者人群和伴随损伤的前交叉韧带康复的全面科学基础。