[1]李克军,蒋拥军,何梦凡.电子生物反馈技术结合渐进抗阻训练在前交叉韧带重建术后股内侧肌肌力训练中的应用[J].中医正骨,2016,28(05):13-15,19.
　LI Kejun,JIANG Yongjun,He Mengfan.Application of electronic biofeedback technique and progressive resistance training to vastus medialis muscle strength training after surgery of anterior cruciate ligament reconstruction[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(05):13-15,19.
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电子生物反馈技术结合渐进抗阻训练在前交叉韧带重建术后股内侧肌肌力训练中的应用()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年05期
页码:
13-15,19
栏目:
临床研究
出版日期:
2016-05-20

文章信息/Info

Title:
Application of electronic biofeedback technique and progressive resistance training to vastus medialis muscle strength training after surgery of anterior cruciate ligament reconstruction
作者:
李克军; 蒋拥军; 何梦凡
深圳平乐骨伤科医院,广东 深圳 518010
Author(s):
LI Kejun; JIANG Yongjun; He Mengfan
Shenzhen Pingle Orthopedic Hospital,Shenzhen 518010,Guangdong,China
关键词:
前交叉韧带重建;  生物反馈;  抗阻训练;  肌力;  股内侧肌;  临床试验
Keywords:
anterior cruciate ligament reconstruction;  biofeedback;  resistance training;  muscle strength;  vastus medialis;  clinical trial
摘要:
目的:观察电子生物反馈技术结合渐进抗阻训练对前交叉韧带(anterior cruciate ligament,ACL)重建术后股内侧肌肌力的影响。方法:选取60例因ACL损伤接受关节镜下自体腘绳肌腱单骨道重建术治疗的患者,随机分为电子反馈组和抗阻训练组,每组30例。术后2组患者均接受8周常规康复治疗,然后开始进行渐进抗阻训练。开始训练前测定2组患者重复完成10次膝关节30°～0°伸屈动作所能承受的最大负荷量(repetition maximum,RM),即10RM,作为抗阻训练的基数。抗阻训练组单纯进行渐进抗阻训练,电子反馈组应用电子生物反馈技术进行渐进抗阻训练,每次训练3组,隔天1次,共训练4周。测定2组患者肌力训练前和训练4周后患侧股内侧肌10RM和股内侧肌静态表面肌电活动波幅,并进行组间比较。结果:肌力训练前2组患者的股内侧肌10RM和静态表面肌电活动波幅比较,组间差异均无统计学意义(t=0.851,P=0.124; t=0.845,P=0.513)。训练4周后2组患者的股内侧肌10RM均增大[(15.26±3.75)kg,(26.68±4.13)kg,t=2.695,P=0.024;(14.75±4.67)kg,(27.26±3.54)kg,t=2.564,P=0.032],2组患者的股内侧肌10RM比较,差异无统计学意义(t=0.814,P=0.077)。训练4周后2组患者的股内侧肌静态表面肌电活动波幅均增大[(1.46±0.42)μV,(4.91±2.17)μV,t=2.813,P=0.011;(1.39±0.57)μV,(2.15±1.47)μV,t=2.143,P=0.042],电子反馈组的股内侧肌静态表面肌电活动波幅高于抗阻训练组(t=0.530,P=0.012)。结论:与单纯渐进抗阻训练相比,在前交叉韧带重建术后应用电子生物反馈技术结合渐进抗阻训练,能更好地增强股内侧肌肌力。
Abstract:
Objective:To observe the effect of electronic biofeedback technique combined with progressive resistance training on vastus medialis muscle strength after surgery of anterior cruciate ligament(ACL)reconstruction.Methods:Sixty patients who received arthroscopic ACL reconstruction with autogenous hamstring tendon through single bone tunnel were selected and randomly divided into electronic biofeedback group and resistance training group,30 cases in each group.After the surgery,the patients in both of the 2 groups were treated with 8-week routine rehabilitation and subsequent progressive resistance training.The maximal workload were measured when repeated flexion-extension(30° to 0°)of knee were performed for 10 times,and was used as basic data of resistance training.The progressive resistance training were performed in patients in resistance training group while progressive resistance training were performed under the guidance of electronic biofeedback technique in patients in electronic biofeedback group on alternate days for totally 4 weeks.The repetition maximum(10RM)and wave amplitude of static superficial myoelectrical activity of vastus medialis muscle(VMO)in the affected side were measured and compared between the 2 groups before the muscle strength training and after 4-week muscle strength training respectively.Results:There was no statistical difference in 10RM and wave amplitude of static superficial myoelectrical activity of VMO between the 2 groups before the muscle strength training(t=0.851,P=0.124; t=0.845,P=0.513).The 10RM of VMO increased in both of the 2 groups after 4-week muscle training(15.26+/-3.75 vs 26.68+/-4.13 kg,t=2.695,P=0.024; 14.75+/-4.67 vs 27.26+/-3.54 kg,t=2.564,P=0.032).There was no statistical difference in the 10RM of VMO between the 2 groups(t=0.814,P=0.077).The wave amplitude of static superficial myoelectrical activity of VMO increased in both of the 2 groups after 4-week muscle strength training(1.46+/-0.42 vs 4.91+/-2.17 μV,t=2.813,P=0.011; 1.39+/-0.57 vs 2.15+/-1.47 μV,t=2.143,P=0.042).The wave amplitude of static superficial myoelectrical activity of VMO were higher in electronic biofeedback group compared to resistance training group(t=0.530,P= 0.012).Conclusion:Progressive resistance training under the guidance of electronic biofeedback technique can better enhance the muscle strength of VMO after ACL reconstruction.

参考文献/References:

[1] 敖英芳,于长隆,田得祥.关节镜观察前十字韧带断裂继发膝关节软骨损伤的临床研究[J].中华骨科杂志,2001,21(5):290-293.
[2] Benjaminse A,Otten E.ACL injury prevention,more effective with a different way of motor learning?[J].Knee Surg Sports Traumatol Arthrosc,2011,19(4):622-627.
[3] 葛杰,周谋望,敖英芳,等.关节镜下膝前交叉韧带重建术后的康复[J].中国康复医学杂志,2003,18(12):743-746.
[4] 赵双利,王世轩,李洪涛.前交叉韧带重建术中股骨隧道定位方法的发展趋势[J].中医正骨,2015,27(1):63-65.
[5] De Luca CJ.Physiology and mathematics of myoelectric signals[J].IEEE Trans Biomed Eng,1979,26(6):313-325.
[6] 中华中医药学会.膝关节交叉韧带损伤[J].风湿病与关节炎,2013,2(5):78-80.
[7] Snyder-Mackler L,De Luca PF,Williams PR,et al.Reflex inhibition of the quadriceps femoris muscle after injury or reconstruction of the anterior cruciate ligament[J].J Bone Joint Surg Am,1994,76(4):555-560.
[8] 冼祖新,杨延砚,周谋望.关节镜下前交叉韧带重建术后股四头肌肌力训练方式的选择——开链还是闭链?[J].中国康复医学杂志,2012,27(12):1174-1177.
[9] 蒋拥军,李克军,王雪冰.平衡促进训练对膝关节前交叉韧带损伤重建术后患膝本体感觉的影响[J].中国康复医学杂志,2011,26(3):251-253.
[10] 刘丽娟,敖丽娟.前交叉韧带重建术后的生物力学研究现状[J].中国康复医学杂志,2015,30(6):619-622.
[11] Tsai LC,Mclean S,Colletti PM,et al.Greater muscle co-contraction results in increased tibiofemoral compressive forces in females who have undergone anterior cruciate ligament reconstruction[J].J Orthop Res,2012,30(12):2007-2014.
[12] 童小锋.终末伸膝锻炼与膝关节的早期康复[J].临床医学,2003,23(6):63-64.
[13] 许纲.心力衰竭患者的骨骼肌肌病与抗阻运动锻炼[J].中国康复医学杂志,2010,25(7):716-720.
[14] 李爽,阿拉木斯,王蕾,等.渐进抗阻练习对大学生肌肉力量的影响[J].吉林体育学院学报,2012,28(4):13-15.
[15] 陈香仙.Thera-Band训练系统对运动员慢性腰背痛的康复效果[J].中国康复理论与实践,2008,14(6):574-576.
[16] 蔡广,胡翔.渐进抗阻训练对偏瘫后肌力恢复的有效性[J].中国临床康复,2004,8(1):16-17.

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备注/Memo

备注/Memo:
通讯作者:蒋拥军 E-mail:2450687893@qq.com
更新日期/Last Update: 2016-10-30