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谨防“移动靶”——男性职业和业余运动员前交叉韧带重建术后康复期间,未受累肢体力量增加超过术前值。

Beware of the "Moving Target" - Uninvolved Limb Strength Increases to Exceed Preoperative Values During Rehabilitation After ACL Reconstruction in Male Professional and Recreational Athletes.

作者信息

Barbosa Olivia, Kotsifaki Roula, Whiteley Rodney, King Enda, Korakakis Vasileios

出版信息

J Orthop Sports Phys Ther. 2024 Apr;54(4):258-266. doi: 10.2519/jospt.2023.11961.

Abstract

To describe the changes in quadriceps and hamstrings muscle strength in the uninvolved limb of male professional and recreational athletes during rehabilitation after anterior cruciate ligament reconstruction (ACLR) and compare to preoperative strength values. Prospective longitudinal study. During rehabilitation, 665 participants who underwent unilateral ACLR performed a strength test preoperatively and every 6 weeks after surgery for up to 9 months. Isokinetic quadriceps and hamstrings strength of the uninvolved limb were measured at an angular velocity of 60°/s and normalized to body weight (N·m/kg). Quadriceps and hamstrings strength of the uninvolved limb gradually increased during rehabilitation until 6 months post-ACLR, and plateaued thereafter. Postoperative quadriceps' strength significantly exceeded preoperative values by 3 months for professional (2.99 N·m/kg; 95% confidence interval [CI]: 2.93, 3.04; = .007) and by 6 months for recreational athletes (2.77 N·m/kg; 95% CI: 2.71, 2.83; <.001), and hamstrings exceeded presurgery levels by 4.5 months (1.71 N·m/kg; 95% CI: 1.67, 1.74; <.001 and 1.43 N·m/kg; 95% CI: 1.40, 1.46; = .002, professional and recreational athletes respectively). In male professional and recreational athletes, uninvolved limb quadriceps and hamstrings strength gradually improved after ACLR, until 6 months after surgery. The uninvolved limb's strength may present as a "moving target" that requires consistent monitoring during rehabilitation. .

摘要

描述男性职业和业余运动员在接受前交叉韧带重建术(ACLR)后的康复过程中,未受伤肢体的股四头肌和腘绳肌力量变化,并与术前力量值进行比较。前瞻性纵向研究。在康复期间,665名单侧接受ACLR的参与者在术前以及术后每6周进行一次力量测试,持续长达9个月。以60°/s的角速度测量未受伤肢体的等速股四头肌和腘绳肌力量,并将其标准化为体重(N·m/kg)。未受伤肢体的股四头肌和腘绳肌力量在康复期间逐渐增加,直到ACLR后6个月,此后趋于平稳。职业运动员术后3个月时,股四头肌力量显著超过术前值(2.99 N·m/kg;95%置信区间[CI]:2.93,3.04;P = 0.007),业余运动员术后6个月时股四头肌力量显著超过术前值(2.77 N·m/kg;95% CI:2.71,2.83;P < 0.001),腘绳肌力量分别在4.5个月时超过术前水平(职业运动员为1.71 N·m/kg;95% CI:1.67,1.74;P < 0.001,业余运动员为1.43 N·m/kg;95% CI:1.40,1.46;P = 0.002)。在男性职业和业余运动员中,ACLR后未受伤肢体的股四头肌和腘绳肌力量逐渐改善,直至术后6个月。未受伤肢体的力量可能表现为一个“动态目标”,在康复过程中需要持续监测。

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