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前交叉韧带重建术后患者使用手持测力计监测腘绳肌和股四头肌力量:一项前瞻性纵向研究。

Monitoring hamstring and quadriceps strength using handheld dynamometry in patients after ACL reconstruction: A prospective longitudinal study.

作者信息

Welling Wouter, Paalman Jan, Speerstra Ralph, Van Houten Albert, Hoogeslag Roy

机构信息

Pro-F Fysiotherapie, Enschede, the Netherlands.

University of Groningen, University Medical Center Groningen, Center for Human Movement Science, Groningen, the Netherlands.

出版信息

J Orthop. 2024 Nov 7;59:128-136. doi: 10.1016/j.jor.2024.11.005. eCollection 2025 Jan.

DOI:10.1016/j.jor.2024.11.005
PMID:39619253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11605292/
Abstract

UNLABELLED

Strength data can help in guiding the return to sports (RTS) process in patients after an anterior cruciate ligament reconstruction (ACLR). There is need for a fast, cheap, and portable method to monitor muscle strength in patients after ACLR in an ambulatory stetting. Therefore, the purpose of the current study was to assess the use of a hand-held dynamometer (HHD) to monitor hamstring and quadriceps strength after ACLR and to assess the changes over time in patients tested at 3, 6 and 9 months after ACLR. It was hypothesized that patients show greater muscle strength at 6 months after ACLR compared to 3 months, and at 9 months after ACLR compared to 6 months. Forty-four amateur athletes (n = 44) after ACLR participated. Isometric hamstring and quadriceps strength were measured with a HHD at three time points during rehabilitation. Absolute isometric hamstring strength significantly progressed over time. Similar, absolute isometric quadriceps strength significantly progressed over time. This study showed that using handheld dynamometry can be a simple method to monitor the development of absolute isometric hamstring and quadriceps strength in patients after ACLR.

LEVEL OF EVIDENCE

III, prospective case series.

摘要

未标注

力量数据有助于指导前交叉韧带重建(ACLR)术后患者的恢复运动(RTS)过程。需要一种快速、廉价且便携的方法,在门诊环境中监测ACLR术后患者的肌肉力量。因此,本研究的目的是评估使用手持测力计(HHD)监测ACLR术后患者的腘绳肌和股四头肌力量,并评估在ACLR术后3个月、6个月和9个月接受测试的患者随时间的变化。研究假设是,与ACLR术后3个月相比,患者在术后6个月时肌肉力量更大,与术后6个月相比,在术后9个月时肌肉力量更大。44名ACLR术后的业余运动员参与了研究。在康复过程中的三个时间点,使用HHD测量等长腘绳肌和股四头肌力量。绝对等长腘绳肌力量随时间显著改善。同样,绝对等长股四头肌力量也随时间显著改善。本研究表明,使用手持测力计可以作为一种简单的方法,来监测ACLR术后患者绝对等长腘绳肌和股四头肌力量的发展。

证据级别

III,前瞻性病例系列。

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Meeting movement quantity or quality return to sport criteria is associated with reduced second ACL injury rate.达到运动数量或质量的重返运动标准与降低第二次前交叉韧带损伤率相关。
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Is There Value and Validity for the Use of Return to Sport Test Batteries After Anterior Cruciate Ligament Injury and Reconstruction?前交叉韧带损伤与重建后,使用重返运动测试组合是否有价值和有效性?
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Passing return to sports tests after ACL reconstruction is associated with greater likelihood for return to sport but fail to identify second injury risk.前交叉韧带重建术后通过重返运动测试与更高的重返运动可能性相关,但未能识别二次受伤风险。
Knee. 2020 Jun;27(3):949-957. doi: 10.1016/j.knee.2020.03.007. Epub 2020 Apr 1.
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Progressive strength training restores quadriceps and hamstring muscle strength within 7 months after ACL reconstruction in amateur male soccer players.渐进式力量训练可在业余男性足球运动员前交叉韧带重建术后7个月内恢复股四头肌和腘绳肌力量。
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Optimising the Late-Stage Rehabilitation and Return-to-Sport Training and Testing Process After ACL Reconstruction.优化 ACL 重建后晚期康复和重返运动的训练和测试过程。
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