School of Sports Medicine and Health, Chengdu Sport University, Chengdu, China.
Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China; Dr. Stephen Hui Research Centre for Physical Recreation and Wellness, Hong Kong Baptist University, Hong Kong, China.
J Rehabil Med. 2024 Sep 18;56:jrm18701. doi: 10.2340/jrm.v56.18701.
Rehabilitation and recovery duration following anterior cruciate ligament reconstructive surgery play a pivotal role in restoring optimal knee functionality in athletes. This study aimed to explore the impact of a 3-month functional training programme aligned with enhanced recovery after surgery on recuperation subsequent to anterior cruciate ligament reconstructive surgery.
A quasi-experimental study.
A cohort of 34 patients aged 14 to 24, who underwent anterior cruciate ligament reconstructive surgery and adhered to enhanced recovery after surgery protocols during the perioperative period, were allocated to an experimental group and a control group according to their eligibility, capacity, and willingness to engage in the functional training programme.
The participants in the experimental group underwent a 3-month regimen of functional training following anterior cruciate ligament reconstructive surgery, whereas the control group followed a conventional recovery approach. Evaluations were conducted both prior to and following the 3-month recovery interval, utilizing the Y-Balance Test, Functional Movement Screening, and Isokinetic Knee Test.
Assessment outcomes of the Y-Balance Test, Isokinetic Knee Test, and Functional Movement Screening exhibited significant enhancement (p < 0.05) within the experimental group, as opposed to the control group. These findings underscore that those athletes who undertook the 3-month functional training regimen within the experimental group exhibited heightened dynamic balance capabilities, increased knee joint mobility, and enhanced stability compared with their counterparts in the control group.
Consequently, this underscores the efficacy of the 3-month functional training protocol aligned with enhanced recovery after surgery, as a means to effectively facilitate recuperation subsequent to anterior cruciate ligament reconstructive surgery.
前交叉韧带重建术后的康复和恢复时间对于运动员恢复最佳膝关节功能至关重要。本研究旨在探讨与术后增强康复相吻合的 3 个月功能训练方案对前交叉韧带重建术后恢复的影响。
准实验研究。
34 名年龄在 14 至 24 岁之间的患者，他们接受了前交叉韧带重建手术，并在围手术期遵循了增强康复后的方案，根据他们的资格、能力和参与功能训练计划的意愿，将他们分配到实验组和对照组。
实验组在接受前交叉韧带重建手术后进行为期 3 个月的功能训练，而对照组则采用传统的康复方法。在 3 个月的恢复间隔前后，利用 Y 平衡测试、功能性运动筛查和等速膝关节测试进行评估。
实验组的 Y 平衡测试、等速膝关节测试和功能性运动筛查的评估结果均有显著提高（p<0.05），而对照组则没有。这些发现表明，实验组中接受 3 个月功能训练方案的运动员与对照组相比，表现出更高的动态平衡能力、更大的膝关节活动度和更强的稳定性。
因此，这凸显了与术后增强康复相吻合的 3 个月功能训练方案在促进前交叉韧带重建术后恢复方面的有效性。
