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后交叉韧带损伤患者膝关节松弛度与等速肌力的比较。

Comparison of knee laxity and isokinetic muscle strength in patients with a posterior cruciate ligament injury.

作者信息

Jeon Kyoungkyu

机构信息

Sport Science Institute, Incheon National University, Republic of Korea.

出版信息

J Phys Ther Sci. 2016 Mar;28(3):831-6. doi: 10.1589/jpts.28.831. Epub 2016 Mar 31.

Abstract

[Purpose] The aim of this study was to compare knee laxity and isokinetic muscle strength in patients with an isolated posterior cruciate ligament injury. [Subjects and Methods] Twenty high school rugby players with a previous posterior cruciate ligament injury and abnormal findings higher than surgical grade I were included. Laxity with 132 N of pressure was measured using Kneelax 3 to assess the stability of the posterior cruciate ligament, and flexor and extensor torques were measured at 60°/sec, 180°/sec, and 240°/sec to measure the isokinetic muscle strength of the knee joint. The average and standard deviation values were extracted from all data to assess the measured data. [Results] Regarding the ipsilateral and contralateral laxity, the deviation value at the peak force and maximum manual drawer was statistically significant. The peak torque and peak torque per body weight in isokinetic measurements were significantly different only for knee extensor torque at 60°/sec, 180°/sec, and 240°/sec. [Conclusion] Return to normal activities post injury is important. Thus base data gathered by comparing patients' ipsilateral and contralateral sides will serve as essential criteria for structuring future rehabilitation programs to facilitate functional improvements.

摘要

[目的] 本研究旨在比较单纯后交叉韧带损伤患者的膝关节松弛度和等速肌力。[对象与方法] 纳入20名曾有后交叉韧带损伤且异常表现高于手术I级的高中橄榄球运动员。使用Kneelax 3以132 N的压力测量松弛度,以评估后交叉韧带的稳定性,并在60°/秒、180°/秒和240°/秒时测量屈伸扭矩,以测量膝关节的等速肌力。从所有数据中提取平均值和标准差以评估测量数据。[结果] 关于同侧和对侧松弛度,峰值力和最大手动抽屉试验时的偏差值具有统计学意义。等速测量中的峰值扭矩和每体重峰值扭矩仅在60°/秒、180°/秒和240°/秒时的膝关节伸肌扭矩上有显著差异。[结论] 损伤后恢复正常活动很重要。因此,通过比较患者同侧和对侧收集的基础数据将作为构建未来康复计划以促进功能改善的重要标准。

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