Chen Shangmin, Du Lin, Gao Yongshan, Li Haorui, Zheng Yanxun, Xie Lei, Zhong Zhigang
Sports Medicine Center, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
Sports Medicine Institute, Shantou University Medical College, Shantou, China.
Front Public Health. 2024 Sep 17;12:1441790. doi: 10.3389/fpubh.2024.1441790. eCollection 2024.
Ultimate frisbee can lead to severe sports injuries, especially joint injuries in the lower limbs, such as knee meniscus injuries. This study examines the impact of personalized exercise therapy on knee meniscus injuries in ultimate frisbee players in the Lingnan region of China.
Seventy-six patients with confirmed meniscal injuries participated in the study, divided into an intervention group ( = 38) and a control group ( = 38). The control group received standard treatment, including drug therapy and physical therapy. The intervention group received standard treatment plus a personalized exercise regimen based on FITT-VP (frequency, intensity, time, type, volume, and progression) principles, incorporating strength training, aerobic exercise, flexibility training, neuromuscular training, and aquatic exercise. This program was monitored and adjusted over a six-month period through both online and offline methods. The primary outcomes were joint range of motion (ROM), thigh circumference atrophy index (TCAI), Lysholm Rating Scale (LRS) scores, and visual analog scores (VAS). The secondary outcome was the International Knee Documentation Committee (IKDC) score. Data were collected before the intervention, and at 1 month and 6 months after the intervention. Statistical analysis was conducted using SPSS 24.0 and GraphPad 10.0, with a significance level set at = 0.05.
After 1 month, the intervention group showed significantly better results in ROM (116.67 ± 9.063), LRS score (86.316 ± 3.750), and IKDC score (80.473 ± 5.421) compared to the control group (111.784 ± 4.778, 82.579 ± 3.818, and 77.684 ± 4.430, respectively) ( < 0.05). The TCAI (3.219 ± 1.889) and VAS score (1.921 ± 0.673) in the intervention group were significantly lower than those in the control group (5.228 ± 2.131 and 2.710 ± 1.112, respectively) ( < 0.01). After 6 months, the differences in LRS and VAS scores between the groups were not significant. However, the intervention group continued to show significant improvements in ROM (134.934 ± 3.011), TCAI (1.107 ± 1.158), and IKDC score (93.315 ± 1.847) compared to the control group (125.395 ± 18.554, 4.574 ± 1.109, and 87.789 ± 4.437, respectively) ( < 0.05).
Personalized exercise prescriptions offer significant therapeutic and rehabilitative benefits for ultimate frisbee players with knee meniscus injuries. This approach helps to reduce symptoms, alleviate pain, and improve joint function, muscle strength, and athletic performance after sports-related injuries.
极限飞盘运动可能导致严重的运动损伤，尤其是下肢关节损伤，如膝关节半月板损伤。本研究探讨个性化运动疗法对中国岭南地区极限飞盘运动员膝关节半月板损伤的影响。
76例确诊半月板损伤的患者参与本研究，分为干预组（n = 38）和对照组（n = 38）。对照组接受标准治疗，包括药物治疗和物理治疗。干预组在接受标准治疗的基础上，根据FITT-VP（频率、强度、时间、类型、运动量和进阶）原则接受个性化运动方案，包括力量训练、有氧运动、柔韧性训练、神经肌肉训练和水上运动。该方案在6个月内通过线上和线下方式进行监测和调整。主要结局指标为关节活动范围（ROM）、大腿围度萎缩指数（TCAI）、Lysholm评分量表（LRS）得分和视觉模拟评分（VAS）。次要结局指标为国际膝关节文献委员会（IKDC）评分。在干预前、干预后1个月和6个月收集数据。使用SPSS 24.0和GraphPad 10.0进行统计分析，显著性水平设定为α = 0.05。
干预1个月后，与对照组相比，干预组在ROM（116.67 ± 9.063）、LRS得分（86.316 ± 3.750）和IKDC评分（80.473 ± 5.421）方面的结果显著更好（对照组分别为111.784 ± 4.778、82.579 ± 3.818和77.684 ± 4.430）（P < 0.05）。干预组的TCAI（3.219 ± 1.889）和VAS得分（1.921 ± 0.673）显著低于对照组（分别为5.228 ± 2.131和2.710 ± 1.112）（P < 0.01）。干预6个月后，两组间LRS和VAS得分的差异不显著。然而，与对照组相比，干预组在ROM（134.934 ± 3.011）、TCAI（1.107 ± 1.158）和IKDC评分（93.315 ± 1.847）方面仍有显著改善（对照组分别为125.395 ± 18.554、4.574 ± 1.109和87.789 ± 4.437）（P < 0.05）。
个性化运动处方对膝关节半月板损伤的极限飞盘运动员具有显著的治疗和康复益处。这种方法有助于减轻症状、缓解疼痛，并改善运动相关损伤后的关节功能、肌肉力量和运动表现。
