吴 博,张 雷,庞文君,张鸣生.全身振动训练对前交叉韧带损伤重建术后患者下肢运动控制的影响[J].中国康复医学杂志,2016,(4):421~425 |
全身振动训练对前交叉韧带损伤重建术后患者下肢运动控制的影响 点此下载全文 |
吴 博 张 雷 庞文君 张鸣生 |
广东省人民医院(广东省医学科学院) ,510080 |
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摘要
目的:研究全身振动训练对膝关节前交叉韧带损伤(ACL)重建术后患者下肢肌力和运动控制的影响。
方法:选取符合纳入标准的40例前交叉韧带损伤重建术后患者为研究对象,所有患者术后12周进行常规康复训练。第13周开始将患者用数字法随机分为对照组和试验组,每组20例。对照组继续给予常规康复训练,试验组在对照组的基础上,加入每天1次,每次10min,每周5次,持续4周的全身振动训练。两组患者第12周和第16周,均进行等速肌力测试训练系统膝关节屈伸肌群的峰力矩、拮抗肌比值检测和动态平衡仪中本体感觉评估。
结果:①两组患者膝关节屈伸峰力矩,治疗前后和治疗后组间对比均有显著性差异(P<0.05);②两组患者动态平衡测试的平均轨迹误差值,治疗前后和治疗后组间对比有显著性差异(P<0.05)。
结论:全身振动训练能够促进ACL重建术后患者的下肢肌力和运动控制的恢复。 |
关键词:前交叉韧带损伤 全身振动训练 运动控制 等速测试 |
Effects of whole-body vibration training on the motor control of lower limb after anterior cruciate ligament reconstruction surgery Download Fulltext |
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Department of Rehabilitation Medicine, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080 |
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Abstract: |
Abstract
Objective: To compare the effects of whole-body vibration training (WBVT) with conventional training (CT) program on strength and motor control of lower limb after anterior cruciate ligament (ACL) reconstruction.
Method: Forty patients with ACL reconstruction were randomly divided into WBVT group or CT group. The two groups were treated with the conventional training immediately after ACL-reconstruction for 12 weeks, since the 13th week after ACL reconstruction, the patients in WBVT group were treated with CT program added WBVT 10min per day for 4 weeks. The motor control function was measured with balance system; the peak torque of knee flexion and extension and the antagonistic muscle ratio were measured by ISOMED2000 pre-intervention and post-intervention at the 12th and 16th week.
Result: ① The pre-intervention and post-intervention peak torque of knee flexion and extension had significant difference, the peak torque between the two groups after treating also had significant difference (P<0.05). ② The pre-intervention and post-intervention average trace error(ATE) in dynamic balance test had significant difference, the ATE between the two groups after treating also had significant difference (P<0.05).
Conclusion: WBVT can improve the strength of knee and the lower limb motor control function of patients with ACL reconstruction. |
Keywords:anterior cruciate ligament whole-body vibration training motor control isokinetic test |
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