Lee Joong-Chul, Kim Ji Youn, Park Gi Duck
Department of Exercise Prescription, Dongsin University, Republic of Korea.
Department of Leisure Sport, Kyungpook National University, Republic of Korea.
J Phys Ther Sci. 2013 Dec;25(12):1595-9. doi: 10.1589/jpts.25.1595. Epub 2014 Jan 8.
[Purpose] To examine changes in the knee joint's isokinetic muscle functions following systematic and gradual rehabilitation exercises lasting for 12 weeks for male and female patients who underwent anterior cruciate ligament (ACL) reconstruction. Differences in muscle functions between the uninvolved side (US) and the involved side (IS) before surgery, differences in muscle functions between US and IS after rehabilitation exercises lasting for 12 weeks, and changes in muscle functions on US and IS between before and after surgery were analyzed to examine the effects of accelerated rehabilitation exercises after ACL reconstruction. [Subjects] The study subjects were 10 patients, five females and five males, who underwent ACL reconstruction performed by the same surgeon. [Methods] As a measuring tool, a Biodex Multi-joint system 3pro (USA), which is an isokinetic measuring device, was used to examine the flexion and extension forces of the knee joint. During isokinetic muscle strength evaluation, the ROM of US was set to be the same as that of IS for consistency of measurement. [Results] At 60°/s, the isokinetic muscle functions of the females did not show any significant change between before and after surgery in any of the variables on both US and IS. At 60°/s, the isokinetic muscle functions of the males did not show any significant change between before and after surgery in the peak torque, average power, and entire work done on US. In extension, peak torque on IS did not show any significant change.
[目的] 研究接受前交叉韧带（ACL）重建的男性和女性患者在进行为期12周的系统渐进式康复训练后膝关节等速肌肉功能的变化。分析手术前非患侧（US）和患侧（IS）肌肉功能的差异、持续12周康复训练后US和IS肌肉功能的差异，以及手术前后US和IS肌肉功能的变化，以探讨ACL重建后加速康复训练的效果。[对象] 研究对象为10例患者，5名女性和5名男性，均由同一位外科医生进行ACL重建手术。[方法] 使用Biodex多关节系统3pro（美国）作为测量工具，这是一种等速测量设备，用于检测膝关节的屈伸力量。在等速肌肉力量评估过程中，为保证测量一致性，将US的活动范围（ROM）设置为与IS相同。[结果] 在60°/s时，女性患者在手术前后，US和IS的任何变量的等速肌肉功能均未显示出任何显著变化。在60°/s时，男性患者在手术前后，US的峰值扭矩、平均功率和总功的等速肌肉功能未显示出任何显著变化。在伸展时，IS的峰值扭矩未显示出任何显著变化。
