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前交叉韧带重建术后采用部分体重支持的跑步机训练:一项随机对照试验。

Treadmill training with partial body-weight support after anterior cruciate ligament reconstruction: a randomized controlled trial.

作者信息

Luo Yuan, Shen Weizhong, Jiang Zhong, Sha Jiao

机构信息

Departments of Orthopedics, The Affiliated Taicang Hospital of Soochow University, China.

Departments of Rehabilitation, The Affiliated Taicang Hospital of Soochow University, China.

出版信息

J Phys Ther Sci. 2016 Dec;28(12):3325-3329. doi: 10.1589/jpts.28.3325. Epub 2016 Dec 27.

Abstract

[Purpose] To compare the effects of treadmill training with partial body weight support (TTPBWS) and conventional physical therapy (PT) on subjects with anterior cruciate ligament reconstructions. [Subjects and Methods] A total of 40 subjects were randomly allocated to either a treatment group or a control group. Subjects received either treadmill training with partial body weight support (treatment group) or conventional physical therapy (control group). The circumferences of the lower extremities, Holden classifications, 10-meter walking times and the International Knee Documentation Committee (IKDC) scores were compared at 12 and 24 weeks post-operation. The knee joint stability was tested at 24 weeks post-operation using a KT-1000. [Results] Significant differences were found between the two groups at the 12 weeks post-operation. For most of the measures, there was no significant difference between the groups at 24 weeks post-operation. Interestingly, for most of the measures, there was no significant difference between their values in the treatment group at 12 weeks and their values in the control group at 24 weeks post-operation. [Conclusion] The function of a subject's lower extremities can be improved and the improvement was clearly accelerated by the intervention of treadmill training with partial body weight support, without compromising the stability of the knee joints in a given follow-up period.

摘要

[目的] 比较部分体重支持下的跑步机训练(TTPBWS)与传统物理治疗(PT)对前交叉韧带重建患者的影响。[对象与方法] 总共40名受试者被随机分配到治疗组或对照组。受试者分别接受部分体重支持下的跑步机训练(治疗组)或传统物理治疗(对照组)。在术后12周和24周比较下肢周长、霍尔登分级、10米步行时间以及国际膝关节文献委员会(IKDC)评分。在术后24周使用KT - 1000测试膝关节稳定性。[结果] 在术后12周时两组之间发现显著差异。对于大多数测量指标,在术后24周时两组之间没有显著差异。有趣的是,对于大多数测量指标,治疗组术后12周时的值与对照组术后24周时的值之间没有显著差异。[结论] 在给定的随访期内,部分体重支持下的跑步机训练干预可改善受试者下肢功能,且改善明显加速,同时不影响膝关节稳定性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3897/5276754/7e51d6c44888/jpts-28-3325-g001.jpg

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