Institute of Clinical Rehabilitation, Faculty of Motor Rehabilitation, University of Physical Education in Krakow, Al. Jana Pawla II 78, 31-571, Krakow, Poland.
Trauma and Orthopaedics Clinical Department, University Hospital in Krakow, Krakow, Poland.
BMC Musculoskelet Disord. 2021 Nov 23;22(1):975. doi: 10.1186/s12891-021-04862-w.
There are no scientific reports clearly describing the effectiveness of the High Tone Power Therapy in patients after ACL reconstruction. This caused that in own research an attempt was made to present the possibilities of using the selected method of electrical stimulation in the treatment of an orthopaedic patient. The aim was to assess the effectiveness of electro stimulation of the quadriceps muscle in patients after ACL reconstruction, with the use of High Tone Power Therapy.
In randomized controlled trial took part thirty-five men, aged 21-50, after ACL reconstruction. The tests were carried prior to and 6 months following the ACL reconstruction. After the surgery, the patients were randomly divided into experimental group (17 patients) with the High Tone Power Therapy in rehabilitation and control group (18 patients) without the High Tone Power Therapy. Patients were subjected to 6-month rehabilitation. Research tools included the measurement of muscle strength torque, ROM, knee and thigh circumference measurements, the Lysholm and the VAS scale.
After applying HiToP, the analysis showed a statistically significant improvement of muscle torque (p = 0.041, Es = 3.71), knee circumference (p = 0.039, Es = 1.65), thigh circumference (p = 0.049, Es = 1.26), knee extension (p < 0.001, Es = 2.20) in Experimental group compared to the control group. Only the results of the VAS scale did not differ statistically significantly both within a given group and between groups.
The results confirm the hypothesis that the use of HiToP in patients after ACLr have a beneficial effect on muscle strength, reduction of joint effusion, muscle mass gain and joint function. The assumption that HiToP significantly reduces pain levels is not supported - the results in both groups are statistically insignificant.
The research project was retrospectively registered in the Australian New Zealand Clinical Trials Registry (ANZCTR). Date of first registration 11.10.2016. Registration number: ACTRN12616001416482 .
目前尚无科学报告明确描述 ACL 重建后患者接受 High Tone Power Therapy 的疗效。因此，本研究旨在探讨选择性电刺激在骨科患者治疗中的应用潜力。目的是评估 High Tone Power Therapy 对 ACL 重建后患者股四头肌电刺激的疗效。
本随机对照试验纳入了 35 名年龄在 21-50 岁的男性 ACL 重建患者。在 ACL 重建前和重建后 6 个月进行了测试。手术后，患者被随机分为实验组（17 例）和对照组（18 例），实验组接受 High Tone Power Therapy 康复治疗，对照组不接受 High Tone Power Therapy。所有患者均接受了 6 个月的康复治疗。研究工具包括肌肉力量扭矩测量、ROM、膝关节和大腿周长测量、Lysholm 和 VAS 量表。
应用 HiToP 后，分析显示实验组肌肉扭矩（p=0.041，Es=3.71）、膝关节周长（p=0.039，Es=1.65）、大腿周长（p=0.049，Es=1.26）、膝关节伸展（p<0.001，Es=2.20）均有统计学显著改善，而对照组无显著差异。只有 VAS 量表的结果在组内和组间均无统计学差异。
结果证实了使用 HiToP 对 ACLr 后患者的肌肉力量、关节积液减少、肌肉质量增加和关节功能有有益影响的假设。HiToP 能显著降低疼痛水平的假设未得到支持——两组的结果均无统计学意义。
该研究项目在澳大利亚新西兰临床试验注册中心（ANZCTR）进行了回顾性注册。首次注册日期为 2016 年 10 月 11 日。注册号：ACTRN12616001416482。
