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Effect of isokinetic muscle strength training on knee muscle strength, proprioception, and balance ability in athletes with anterior cruciate ligament reconstruction: a randomised control trial.

作者信息

Wang Kun, Cheng Liang, Wang Bingcheng, He Benxiang

机构信息

Post-Doctoral Scientific Research Workstation of Affiliated Sport Hospital, Chengdu Sport University, Chengdu, China.

School of Sports Medicine and Health, Chengdu Sport University, Chengdu, China.

出版信息

Front Physiol. 2023 Sep 19;14:1237497. doi: 10.3389/fphys.2023.1237497. eCollection 2023.


DOI:10.3389/fphys.2023.1237497
PMID:37795267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10546193/
Abstract

This study aimed to investigate the effects of regular isokinetic muscle strength training on knee muscle strength, proprioception, and balance ability in athletes after anterior cruciate ligament (ACL) reconstruction. Forty-one athletes who underwent ACL reconstruction were randomly divided into the experimental ( = 21) and control ( = 20) groups. The experimental group used an isokinetic muscle strength tester for 4 weeks (five times/ week) of knee flexion and extension isokinetic muscle strength training. The control group used the knee joint trainer (pneumatic resistance) for the same exercise regimen as the experimental group. 1) Four weeks when compared with the baseline. Experimental group: the knee flexion and extension PT (60°/s and 240°/s) increased by 31.7%, 40.3%, 23.4%, and 42.9% ( < 0.01), and the flexion muscular endurance increased by 21.4% and 19.7% ( < 0.01). The flexion and extension kinaesthesia and the 30° and 60° position sense decreased by 36.2%, 32.3%, 40.0%, and 18.9% ( < 0.05). The anterior-posterior and medial-lateral displacement and speed decreased by 30.2%, 44.2%, 38.4%, and 24.0% ( < 0.05). Control group: the knee peak torque (60°/s) increased by 18.8% ( < 0.01). The anterior-posterior and medial-lateral displacement and speed decreased by 14.9%, 40.0%, 26.8%, and 19.5% ( < 0.01). 2) After 4 weeks, compared with the control group, the knee flexion and extension peak torque (60°/s), extension, peak torque (240°/s), and extension muscular endurance of the treatment group increased to varying degrees ( < 0.05). However, the kinaesthesia, 30° position sense, and anterior-posterior displacement decreased to varying degrees ( < 0.05). Adding regular isokinetic muscle strength training to rehabilitation training further improved the knee flexion and extensor strength and extensor endurance of athletes with ACL reconstruction, as well as enhanced the kinaesthesia and 30° position sense and the balance between the anterior and posterior directions. However, the treatment had limited effects on knee flexion kinaesthesia and muscle endurance.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dc7/10546193/a907e15d26e8/fphys-14-1237497-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dc7/10546193/b7f645713e30/fphys-14-1237497-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dc7/10546193/a907e15d26e8/fphys-14-1237497-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dc7/10546193/b7f645713e30/fphys-14-1237497-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dc7/10546193/a907e15d26e8/fphys-14-1237497-g002.jpg

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[1]
Effect of isokinetic muscle strength training on knee muscle strength, proprioception, and balance ability in athletes with anterior cruciate ligament reconstruction: a randomised control trial.

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本文引用的文献

[1]
Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction.

Br J Sports Med. 2023-5

[2]
A comparison of isokinetic muscle strength in patients with chondromalacia patella: a cross-sectional study.

Eur Rev Med Pharmacol Sci. 2022-11

[3]
Rewiring Cortico-Muscular Control in the Healthy and Poststroke Human Brain with Proprioceptive β-Band Neurofeedback.

J Neurosci. 2022-9-7

[4]
The effects of initial graft tension on femorotibial relationship following anatomical rectangular tunnel anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft.

Knee. 2022-8

[5]
Changes in Dynamic Postural Stability After ACL Reconstruction: Results Over 2 Years of Follow-up.

Orthop J Sports Med. 2022-6-13

[6]
The Effects of Proprioceptive Training on Balance, Strength, Agility and Dribbling in Adolescent Male Soccer Players.

Int J Environ Res Public Health. 2022-2-11

[7]
Stiff Landings, Core Stability, and Dynamic Knee Valgus: A Systematic Review on Documented Anterior Cruciate Ligament Ruptures in Male and Female Athletes.

Int J Environ Res Public Health. 2021-4-6

[8]
The majority of athletes fail to return to play following anterior cruciate ligament reconstruction due to reasons other than the operated knee.

Knee Surg Sports Traumatol Arthrosc. 2021-11

[9]
Effect of Tai Chi on depression symptoms and sleep quality among older adult women after exercise cessation.

Res Sports Med. 2021

[10]
Long-term Effect of a Single Subcritical Knee Injury: Increasing the Risk of Anterior Cruciate Ligament Rupture and Osteoarthritis.

Am J Sports Med. 2021-2

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