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悬吊训练对前交叉韧带重建患者神经肌肉功能、姿势控制和膝关节运动学的影响。

Effect of suspension training on neuromuscular function, postural control, and knee kinematics in anterior cruciate ligament reconstruction patients.

作者信息

Huang Dong-Dong, Chen Liang-Hua, Yu Zhe, Chen Quan-Jun, Lai Jie-Nuan, Li Hai-Hong, Liu Gang

机构信息

Department of Rehabilitation Medicine, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong Province, China.

Department of Rehabilitation Medicine, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China.

出版信息

World J Clin Cases. 2021 Apr 6;9(10):2247-2258. doi: 10.12998/wjcc.v9.i10.2247.

Abstract

BACKGROUND

Suspension training (SET) is a method of neuromuscular training that enables the body to carry out active training under unstable support through a suspension therapy system. However, there have been few reports in the literature on the application of SET to anterior cruciate ligament reconstruction (ACLR) patients. It is not clear what aspects of the patient's function are improved after SET.

AIM

To investigate the effect of SET on the neuromuscular function, postural control, and knee kinematics of patients after ACLR surgery.

METHODS

Forty participants were randomized to an SET group or a control group. The SET group subjects participated in a SET protocol over 6 wk. The control group subjects participated in a traditional training protocol over 6 wk. Isokinetic muscle strength of the quadriceps and hamstrings, static and dynamic posture stability test, and relative translation of the injured knee were assessed before and after training.

RESULTS

The relative peak torque of the quadriceps and hamstrings in both groups increased significantly ( < 0.001), and the SET group increased by a higher percentage than those in the control group (quadriceps: = 0.004; hamstrings: = 0.011). After training, both groups showed significant improvements in static and dynamic posture stability ( < 0.01), and the SET group had a greater change than the control group ( < 0.05). No significant improvement on the relative translation of the injured knee was observed after training in either group ( > 0.05).

CONCLUSION

Our findings show that SET promotes great responses in quadriceps and hamstring muscle strength and balance function in ACLR patients.

摘要

背景

悬吊训练(SET)是一种神经肌肉训练方法,可使身体通过悬吊治疗系统在不稳定支撑下进行主动训练。然而,关于将SET应用于前交叉韧带重建(ACLR)患者的文献报道较少。目前尚不清楚SET后患者功能的哪些方面得到了改善。

目的

探讨SET对ACLR术后患者神经肌肉功能、姿势控制和膝关节运动学的影响。

方法

40名参与者被随机分为SET组或对照组。SET组受试者参加为期6周的SET方案。对照组受试者参加为期6周的传统训练方案。在训练前后评估股四头肌和腘绳肌的等速肌力、静态和动态姿势稳定性测试以及受伤膝关节的相对平移。

结果

两组股四头肌和腘绳肌的相对峰值扭矩均显著增加(<0.001),且SET组的增加百分比高于对照组(股四头肌:=0.004;腘绳肌:=0.011)。训练后,两组的静态和动态姿势稳定性均有显著改善(<0.01),且SET组的变化大于对照组(<0.05)。两组训练后受伤膝关节的相对平移均未观察到显著改善(>0.05)。

结论

我们的研究结果表明,SET能促进ACLR患者股四头肌和腘绳肌力量以及平衡功能的显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3e/8026838/80e38396f679/WJCC-9-2247-g001.jpg

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