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前交叉韧带重建术后增强肌肉力量:一项评估俄罗斯电流有效性的病例报告

Enhancing Muscle Strength Post Anterior Cruciate Ligament Reconstruction: A Case Report Assessing the Effectiveness of Russian Current.

作者信息

Gandhi Khushi M, Ratnani Grisha, Deodhe Nishigandha P, Shende Krishnayani

机构信息

Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Feb 21;16(2):e54593. doi: 10.7759/cureus.54593. eCollection 2024 Feb.

DOI:10.7759/cureus.54593
PMID:38524050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10959462/
Abstract

The effectiveness of Russian electrical stimulation in enhancing muscular strength after anterior cruciate ligament (ACL) restoration is examined in this case study. In addition to traditional physiotherapy, a 29-year-old male athlete having ACL repair took part in a Russian contemporary rehabilitation regimen. Subjective evaluations of pain and functional tests all showed a substantial increase in muscular strength following the intervention. The Russian current's distinct waveform and high-frequency bursts appeared to improve neuromuscular control and quicken the activation of skeletal muscle in the excitation-contraction phase. The evaluation conducted after the intervention revealed notable enhancements in muscular strength and scores on the lower extremity functional scale. The initial score of 32, indicating a moderate functional limitation, improved to 64, indicating a minimal functional limitation. Additionally, the use of Russian electrical stimulation in ACL rehabilitation programs resulted in a reduction in pain levels from 9/10 to 3/10, as measured by the visual analog scale. These findings suggest that the implementation of Russian electrical stimulation shows promise in ACL rehabilitation. However, to validate and further explore these results, it is necessary to conduct larger-scale research studies and randomized controlled trials.

摘要

本案例研究考察了俄罗斯电刺激在增强前交叉韧带(ACL)修复后肌肉力量方面的有效性。除了传统物理治疗外,一名接受ACL修复的29岁男性运动员还参与了俄罗斯当代康复方案。疼痛的主观评估和功能测试均显示,干预后肌肉力量显著增加。俄罗斯电流独特的波形和高频脉冲似乎改善了神经肌肉控制,并加快了兴奋收缩期骨骼肌的激活。干预后进行的评估显示,肌肉力量和下肢功能量表得分有显著提高。初始分数为32,表明功能有中度受限,提高到64,表明功能有轻度受限。此外,通过视觉模拟量表测量,在ACL康复计划中使用俄罗斯电刺激使疼痛水平从9/10降至3/10。这些发现表明,俄罗斯电刺激的应用在ACL康复中显示出前景。然而,为了验证并进一步探究这些结果,有必要进行更大规模的研究和随机对照试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff53/10959462/095a522c066e/cureus-0016-00000054593-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff53/10959462/ef08771c8f2b/cureus-0016-00000054593-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff53/10959462/095a522c066e/cureus-0016-00000054593-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff53/10959462/ef08771c8f2b/cureus-0016-00000054593-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff53/10959462/095a522c066e/cureus-0016-00000054593-i02.jpg

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本文引用的文献

1
Rehabilitation After Anterior Cruciate Ligament Injury: Review of Current Literature and Recommendations.前交叉韧带损伤后的康复:当前文献综述与建议
Curr Rev Musculoskelet Med. 2022 Jun;15(3):170-179. doi: 10.1007/s12178-022-09752-9. Epub 2022 Apr 6.
2
ACL injury prevention: Where have we come from and where are we going?前交叉韧带损伤预防:我们从何而来,又将走向何方?
J Orthop Res. 2022 Jan;40(1):43-54. doi: 10.1002/jor.25058. Epub 2021 May 11.
3
A Secondary Injury Prevention Program May Decrease Contralateral Anterior Cruciate Ligament Injuries in Female Athletes: 2-Year Injury Rates in the ACL-SPORTS Randomized Controlled Trial.
二次损伤预防计划可能降低女性运动员的对侧前交叉韧带损伤:ACL-SPORTS 随机对照试验的 2 年损伤率。
J Orthop Sports Phys Ther. 2020 Sep;50(9):523-530. doi: 10.2519/jospt.2020.9407. Epub 2020 Aug 1.
4
Russian current versus high voltage current with isokinetic training on the quadriceps muscle strength and endurance.俄罗斯电流与高压电流结合等速训练对股四头肌力量和耐力的影响
J Exerc Rehabil. 2020 Jun 30;16(3):272-278. doi: 10.12965/jer.2040260.130. eCollection 2020 Jun.
5
[Rehabilitation program for patients after the anterior cruciate ligament of the knee plasty].[膝关节前交叉韧带成形术后患者的康复计划]
Vopr Kurortol Fizioter Lech Fiz Kult. 2020;97(2):29-35. doi: 10.17116/kurort20209702129.
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Russian Stimulation/Functional Electrical Stimulation in the Treatment of Foot Drop Resulting from Lumbar Radiculopathy: A Case Series.俄罗斯式刺激/功能性电刺激治疗腰椎神经根病所致足下垂:病例系列
Innov Clin Neurosci. 2019 May 1;16(5-6):46-49.
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Effects of hip strengthening on early outcomes following anterior cruciate ligament reconstruction.髋关节强化训练对前交叉韧带重建术后早期疗效的影响。
Int J Sports Phys Ther. 2014 Apr;9(2):157-67.
8
Updating Recommendations for Rehabilitation after ACL Reconstruction: a Review.更新 ACL 重建后康复治疗的推荐意见:综述。
Clin J Sport Med. 2013 Nov;23(6):501-2. doi: 10.1097/JSM.0000000000000044.
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The meniscus tear. State of the art of rehabilitation protocols related to surgical procedures.半月板撕裂。与手术程序相关的康复方案的最新进展。
Muscles Ligaments Tendons J. 2013 Jan 21;2(4):295-301. Print 2012 Oct.
10
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