前交叉韧带重建术后康复:系统评价。
Postoperative Rehabilitation of Anterior Cruciate Ligament Reconstruction: A Systematic Review.
机构信息
MedStar Health Physical Therapy at Irving Street Orthopedic Center, National Rehabilitation Hospital.
Georgetown University School of Medicine.
出版信息
Sports Med Arthrosc Rev. 2021 Jun 1;29(2):63-80. doi: 10.1097/JSA.0000000000000314.
Recent studies have investigated the various components of postoperative rehabilitation protocols following anterior cruciate ligament reconstruction (ACLR). The objective of this article was to access and summarize the latest evidence for postoperative rehabilitation protocols following ACLR to evaluate common timeframes, number of phases, exercises, as well as the length of rehabilitation protocol. Common interventions include vibration training, open-chain and closed-chain exercises, electrical stimulation, postoperative bracing, and aquatic therapy. The eligibility criteria included English-language articles published from 2000 to 2019 pertaining to rehabilitation following ACLR, excluding addresses, commentaries, and editorials. Two blinded reviewers screened, graded, and extracted data from articles. Recommendations on various aspects of rehabilitation were summarized. A total of 3651 articles were retrieved from the database search, and 62 level 1 to 2 studies were available for extraction. On the basis of the evidence, vibration training can be safely incorporated into the postoperative rehabilitation protocol following ACLR. Accelerated rehabilitation may give patients short-term functional benefits. Open kinetic chain exercises may have additional strength and endurance benefits. Postoperative bracing does not confer additional benefits. Long-term use of neuromuscular electrical stimulation seems to be more beneficial than short-term use. Aquatic rehabilitation may be beneficial in the early phases of anterior cruciate ligament rehabilitation.
最近的研究调查了前交叉韧带重建(ACLR)术后康复方案的各个组成部分。本文的目的是评估 ACLR 术后康复方案的最新证据,以评估常见的时间框架、阶段数量、练习以及康复方案的长度。常见的干预措施包括振动训练、开链和闭链运动、电刺激、术后支具和水疗。纳入标准包括 2000 年至 2019 年间发表的与 ACLR 后康复相关的英语文章,不包括地址、评论和社论。两名盲审员对文章进行了筛选、评分和数据提取。对康复的各个方面进行了总结。从数据库搜索中检索到 3651 篇文章,可提取 62 篇 1 至 2 级研究。根据证据,振动训练可以安全地纳入 ACLR 术后康复方案。加速康复可能会给患者带来短期的功能益处。开链运动可能具有额外的力量和耐力益处。术后支具没有额外的益处。长期使用神经肌肉电刺激似乎比短期使用更有益。水疗可能有益于前交叉韧带康复的早期阶段。