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中频电刺激股内侧肌促进前交叉韧带重建术后膝关节功能恢复

Intermediate frequency electrotherapy stimulation to the medial femoris muscle for functional recovery of knee joint after anterior cruciate ligament reconstruction.

作者信息

Song Dejun, Ma Yubao, Zhang Lihua, Ma Quansheng

机构信息

Dejun Song, Musculoskeletal Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, P.R. China.

Yubao Ma, Musculoskeletal Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, P.R. China.

出版信息

Pak J Med Sci. 2022 Mar-Apr;38(3Part-I):652-656. doi: 10.12669/pjms.38.3.5298.


DOI:10.12669/pjms.38.3.5298
PMID:35480521
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9002450/
Abstract

OBJECTIVES: To compare the effect of medial femoral muscle stimulation with medium frequency electrotherapy and conventional rehabilitation therapy on knee function recovery after anterior cruciate ligament (ACL) reconstruction. METHODS: Medical records of 50 patients with ACL reconstruction, treated in our hospital between July 2019 and December 2020, were retrospectively analyzed. Patients were divided into control group and study group (n=25, 18 males and 7 females in each group), based on the rehabilitation method used. The control group included patients that received conventional rehabilitation therapy, active quadriceps femoris exercise, traction, and acupuncture. The study group included patients that received medium frequency electrotherapy to stimulate the medial femoris muscle in addition to conventional rehabilitation therapy. The limb circumference recorded before and after the treatment was compared between the two group. The Lysholm scores of the two groups were compared to assess knee function, knee range of motion, and knee motor comfort assessed by visual analogue scale (VAS). RESULTS: We found similar thigh circumferences, Lysholm scores, knee motion ranges and VAS scores between the patients in both groups before the treatment (P > 0.05). After the treatment, the thigh circumferences and motion ranges were larger, the Lysholm scores higher, and the VAS scores lower in patients of the study group than those in patients of the control group (all s < 0.05). CONCLUSION: Intermediate frequency electrotherapy to stimulate the medial femoris muscle can improve knee function and motion range and reduce the patient's pain after ACL reconstruction.

摘要

目的:比较股内侧肌刺激联合中频电疗法与传统康复疗法对前交叉韧带(ACL)重建术后膝关节功能恢复的影响。 方法:回顾性分析2019年7月至2020年12月在我院接受ACL重建术的50例患者的病历。根据所采用的康复方法,将患者分为对照组和研究组(每组n = 25,每组18例男性和7例女性)。对照组患者接受传统康复治疗、股四头肌主动锻炼、牵引和针灸。研究组患者除接受传统康复治疗外,还接受中频电疗法刺激股内侧肌。比较两组治疗前后记录的肢体周长。比较两组的Lysholm评分,以评估膝关节功能、膝关节活动范围,并通过视觉模拟量表(VAS)评估膝关节运动舒适度。 结果:我们发现两组患者治疗前的大腿周长、Lysholm评分、膝关节活动范围和VAS评分相似(P > 0.05)。治疗后,研究组患者的大腿周长和活动范围更大,Lysholm评分更高,VAS评分低于对照组患者(均P < 0.05)。 结论:刺激股内侧肌的中频电疗法可改善ACL重建术后的膝关节功能和活动范围,并减轻患者疼痛。

相似文献

[1]
Intermediate frequency electrotherapy stimulation to the medial femoris muscle for functional recovery of knee joint after anterior cruciate ligament reconstruction.

Pak J Med Sci. 2022

[2]
[Effect of electroacupuncture on rehabilitation of knee joint movement after anterior cruciate ligament reconstruction].

Zhongguo Zhen Jiu. 2020-2-12

[3]
Adding high-frequency transcutaneous electrical nerve stimulation to the first phase of post anterior cruciate ligament reconstruction rehabilitation does not improve pain and function in young male athletes more than exercise alone: a randomized single-blind clinical trial.

Disabil Rehabil. 2017-11-9

[4]
Report of the Clinical and Functional Primary Outcomes in Men of the ACL-SPORTS Trial: Similar Outcomes in Men Receiving Secondary Prevention With and Without Perturbation Training 1 and 2 Years After ACL Reconstruction.

Clin Orthop Relat Res. 2017-10

[5]
[Effects of mobile health intervention on early knee function after anterior cruciate ligament reconstruction: a prospective randomized controlled study].

Zhonghua Wai Ke Za Zhi. 2020-12-1

[6]
Open kinetic chain exercises in a restricted range of motion after anterior cruciate ligament reconstruction: a randomized controlled clinical trial.

Am J Sports Med. 2013-2-19

[7]
Outcomes of Anatomic Anterior Cruciate Ligament Reconstruction: Bone-Quadriceps Tendon Graft Versus Double-Bundle Hamstring Tendon Graft.

Am J Sports Med. 2016-9

[8]
Use of electrical stimulation to enhance recovery of quadriceps femoris muscle force production in patients following anterior cruciate ligament reconstruction.

Phys Ther. 1994-10

[9]
Young Athletes With Quadriceps Femoris Strength Asymmetry at Return to Sport After Anterior Cruciate Ligament Reconstruction Demonstrate Asymmetric Single-Leg Drop-Landing Mechanics.

Am J Sports Med. 2015-11

[10]
Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trial.

BMC Musculoskelet Disord. 2021-11-23

引用本文的文献

[1]
Effect of electrical stimulation on functional recovery of lower limbs in patients after anterior cruciate ligament surgery: a systematic review and meta-analysis.

BMJ Open. 2025-7-25

[2]
Observation on the therapeutic effect of laser acupuncture combined with Schroth therapy on adolescent idiopathic scoliosis.

Pak J Med Sci. 2024-7

[3]
A comparison of interferential current efficacy in elderly intervertebral disc degeneration patients with or without sarcopenia: a retrospective study.

BMC Musculoskelet Disord. 2024-3-13

[4]
Clinical effect of glucosamine hydrochloride combined with compound osteopeptide injection for knee osteoarthritis.

Pak J Med Sci. 2023

[5]
Analgesic effect of thoracic paravertebral block on patients undergoing thoracoscopic lobectomy under general anesthesia.

Pak J Med Sci. 2023

本文引用的文献

[1]
Heterotrophic calcification of medial collateral ligament of knee joint: A case report.

J Pak Med Assoc. 2021-2

[2]
Comparison between single- and double-bundle anterior cruciate ligament reconstructions for knee with grade 2 medial collateral ligament injury.

Medicine (Baltimore). 2021-3-19

[3]
Effects of cranial electrotherapy stimulation on preoperative anxiety and blood pressure during anesthetic induction in patients with essential hypertension.

J Int Med Res. 2020-8

[4]
Meniscal Allograft Transplantation After Anterior Cruciate Ligament Reconstruction Can Improve Knee Stability: A Comparison of Medial and Lateral Procedures.

Am J Sports Med. 2020-7-21

[5]
Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction.

Knee Surg Sports Traumatol Arthrosc. 2021-3

[6]
Bridge-Enhanced Anterior Cruciate Ligament Repair Is Not Inferior to Autograft Anterior Cruciate Ligament Reconstruction at 2 Years: Results of a Prospective Randomized Clinical Trial.

Am J Sports Med. 2020-4-16

[7]
Greater Muscle Stiffness during Contraction at Menstruation as Measured by Shear-Wave Elastography.

Tohoku J Exp Med. 2020-4

[8]
Transphyseal anterior cruciate ligament reconstruction using living parental donor hamstring graft: excellent clinical results at 2 years in a cohort of 100 patients.

Knee Surg Sports Traumatol Arthrosc. 2020-8

[9]
Medial femoral cutaneous nerve conduction study with distal recording: A novel technique.

Muscle Nerve. 2020-1-29

[10]
Pigmented villonodular synovitis after anterior cruciate ligament reconstruction using active bioprosthetic composite artificial ligament.

Rheumatol Int. 2020-4

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