Beard D J, Dodd C A
School of Physiotherapy, Faculty of Health Sciences, University of Sydney, NSW, Australia.
J Orthop Sports Phys Ther. 1998 Feb;27(2):134-43. doi: 10.2519/jospt.1998.27.2.134.
Rehabilitation following anterior cruciate ligament (ACL) reconstruction is varied. Patients are usually prescribed an independent home exercise program, although some patients may attend physical therapy for additional supervised exercise. It is not known whether additional supervised exercise provides any further benefit. The purpose of this study was to compare efficacy for two types of rehabilitation following ACL reconstruction. A randomized controlled trial of 31 ACL-reconstructed patients was used to test the hypothesis that a home program plus supervised rehabilitation (Group S) is more effective than a home program (Group H) alone. Function, activity level, anterior tibial translation, and muscle strength were measured preoperatively and at 3 and 6 months postoperatively. Improvement of function, activity level, muscle strength, and anterior tibial translation was evident in both groups, but no significant differences were found between groups even though the sample size was sufficient to detect small treatment effects. It was concluded that supervised exercise, in addition to a home program, has minimal extra benefit for patients who have undergone ACL reconstruction.
前交叉韧带（ACL）重建后的康复方案多种多样。患者通常会被安排一个独立的家庭锻炼计划，不过有些患者可能会去接受物理治疗以获得更多有监督的锻炼。目前尚不清楚额外的有监督锻炼是否能带来更多益处。本研究的目的是比较ACL重建后两种康复方式的效果。一项针对31例ACL重建患者的随机对照试验被用于检验以下假设：家庭锻炼计划加有监督的康复训练（S组）比单纯的家庭锻炼计划（H组）更有效。在术前以及术后3个月和6个月测量了功能、活动水平、胫骨前移和肌肉力量。两组患者在功能、活动水平、肌肉力量和胫骨前移方面均有明显改善，但即便样本量足以检测到微小的治疗效果，两组之间也未发现显著差异。研究得出结论，对于接受了ACL重建的患者而言，除家庭锻炼计划外，有监督的锻炼带来的额外益处微乎其微。
