Bochdansky T, Schabus R, Liederer A, Kwasny O, Kollos S
Institut für Physikalische Medizin, Universität Wien.
Fortschr Med. 1990 Mar 20;108(7):125-8.
Operations on the anterior cruciate ligament (ACL) represents a great challenge to the therapeutic team. Apart from early mobilisation, increasing attention must be paid to long-term after-care. Nineteen patients receiving reconstruction of the ACL underwent 6 weeks of training an average of 7.6 months after the procedure. At the start and end of the program, a dynamometric test (Dynamatik), and a function test, modified by Noyes, comprising a one-leg standing jump and hopping on one leg for six meters, were performed. Dynamometry revealed a clearly greater improvement in knee extension in the operated leg as compared with the non-operated leg, while the function tests revealed an improvement only in the operated leg. Correlation studies revealed no relationship between knee extension and function tests. For this reason, in addition to muscular strength, both training programs and after-care should take account also of the functional components of human locomotion, and should be carried out for a number of years.
前交叉韧带(ACL)手术对治疗团队来说是一项巨大挑战。除了早期活动外,还必须更加关注长期的术后护理。19例接受ACL重建的患者在术后平均7.6个月接受了6周的训练。在训练开始和结束时,进行了一次测力测试(Dynamatik)以及一项由诺伊斯改良的功能测试,该测试包括单腿站立跳跃和单腿跳跃6米。测力测试显示,与未手术的腿相比,手术腿的膝关节伸展明显改善,而功能测试仅显示手术腿有所改善。相关性研究表明膝关节伸展与功能测试之间没有关系。因此,除了肌肉力量外,训练计划和术后护理还应考虑人类运动的功能成分,并且应该持续数年。