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膝关节手术后的等速股四头肌物理治疗:一项回顾性研究。

Isokinetic quadriceps physiotherapy after knee surgery: a retrospective study.

作者信息

Nikolić Siniša, Obradović Borislav, Dimitrijević Vanja, Rašković Bojan, Dragičević-Cvjetković Dragana

机构信息

Institute of Physical Medicine, Rehabilitation and Orthopedic Surgery "Dr. Miroslav Zotović", Banja Luka, Bosnia and Herzegovina.

Faculty of Medicine, Department of Physiotherapy, University of Banja Luka, Banja Luka, Bosnia and Herzegovina.

出版信息

Front Rehabil Sci. 2024 May 16;5:1336847. doi: 10.3389/fresc.2024.1336847. eCollection 2024.


DOI:10.3389/fresc.2024.1336847
PMID:38818411
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11137227/
Abstract

INTRODUCTION: Quadriceps weakness after knee surgery is the most common consequence that can have different consequences not only for the knee itself but also for the locomotor system in general. This study aimed to compare the results of isokinetic and isotonic exercise on torque restoration quadriceps on knee surgery. METHODS: A sample of 180 subjects was analyzed and divided into two subsamples according to the type of rehabilitation protocol that was implemented. The examined group A-isokinetic consisted of 90 male subjects aged 28.54 ± 4.44 years, with a rehabilitation protocol based on the isokinetic exercise of the quadriceps. The examined group B-isotonic also consisted of 90 male subjects aged 27.93 ± 4.27 years, with a rehabilitation protocol for strengthening the quadriceps that applied an exercise program with additional resistance, i.e., isotonic exercise in the gym. Before the start of the rehabilitation treatment, an initial isokinetic test was performed at an angular speed of 60 °/s in all subjects. After 3 and 6 weeks of rehabilitation treatment, the control tests were performed in the same way as in the initial test. RESULTS: Based on the values of MANOVA analysis and discriminative analysis, significantly better results of isokinetic tests were found in the examined group A-isokinetic compared with those in the examined group B-isotonic. At the final measurement of group A, 83 respondents (92.2%) were placed in the "biggest" class out of the 90 respondents. CONCLUSION: Based on the obtained research results, we conclude that isokinetic exercise is more effective in terms of physiotherapy of quadriceps hypotrophy after knee surgery.

摘要

引言:膝关节手术后股四头肌无力是最常见的后果,这不仅会给膝关节本身带来不同影响,还会对整个运动系统产生影响。本研究旨在比较等速运动和等张运动对膝关节手术后股四头肌扭矩恢复的效果。 方法:对180名受试者进行分析,并根据实施的康复方案类型将其分为两个子样本。被检查的A组(等速运动组)由90名年龄在28.54±4.44岁的男性受试者组成,其康复方案基于股四头肌的等速运动。被检查的B组(等张运动组)也由90名年龄在27.93±4.27岁的男性受试者组成,其股四头肌强化康复方案采用了带有额外阻力的运动项目,即在健身房进行等张运动。在康复治疗开始前,对所有受试者以60°/秒的角速度进行了初始等速测试。在康复治疗3周和6周后,以与初始测试相同的方式进行了对照测试。 结果:基于多变量方差分析(MANOVA)和判别分析的值,发现被检查的A组(等速运动组)的等速测试结果明显优于被检查的B组(等张运动组)。在A组的最终测量中,90名受访者中有83名(92.2%)被归入“最大”类别。 结论:根据获得的研究结果,我们得出结论,在膝关节手术后股四头肌萎缩的物理治疗方面,等速运动更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd1e/11137227/20c72dfcc74c/fresc-05-1336847-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd1e/11137227/33f9403367db/fresc-05-1336847-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd1e/11137227/ee9799643a88/fresc-05-1336847-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd1e/11137227/20c72dfcc74c/fresc-05-1336847-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd1e/11137227/33f9403367db/fresc-05-1336847-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd1e/11137227/ee9799643a88/fresc-05-1336847-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd1e/11137227/20c72dfcc74c/fresc-05-1336847-g003.jpg

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本文引用的文献

[1]
Systematic Video Analysis of Anterior Cruciate Ligament Injuries in Professional Male Rugby Players: Pattern, Injury Mechanism, and Biomechanics in 57 Consecutive Cases.

Orthop J Sports Med. 2021-11-15

[2]
Bilateral Comparisons of Quadriceps Thickness after Anterior Cruciate Ligament Reconstruction.

Medicina (Kaunas). 2020-7-3

[3]
Does early anterior cruciate ligament reconstruction prevent development of meniscal damage? Results from a secondary analysis of a randomised controlled trial.

Br J Sports Med. 2019-10-25

[4]
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Clin Physiol Funct Imaging. 2017-3

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Clin Physiol Funct Imaging. 2015-5

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J Bone Joint Surg Am. 2012-10-3

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Med Sci Monit. 2011-1

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Anterior cruciate ligament-deficient potential copers and noncopers reveal different isokinetic quadriceps strength profiles in the early stage after injury.

Am J Sports Med. 2010-1-28

[10]
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Knee Surg Sports Traumatol Arthrosc. 2009-7

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