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[1]李克軍,蔣擁軍,何夢凡.電子生物反饋技術(shù)結(jié)合漸進抗阻訓練在前交叉韌帶重建術(shù)后股內(nèi)側(cè)肌肌力訓練中的應用[J].中醫(yī)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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電子生物反饋技術(shù)結(jié)合漸進抗阻訓練在前交叉韌帶重建術(shù)后股內(nèi)側(cè)肌肌力訓練中的應用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年05期
頁碼:
13-15,19
欄目:
臨床研究
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:
李克軍; 蔣擁軍; 何夢凡
深圳平樂骨傷科醫(yī)院,廣東 深圳 518010
Author(s):
LI Kejun; JIANG Yongjun; He Mengfan
Shenzhen Pingle Orthopedic Hospital,Shenzhen 518010,Guangdong,China
關(guān)鍵詞:
前交叉韌帶重建;  生物反饋;  抗阻訓練;  肌力;  股內(nèi)側(cè)肌;  臨床試驗
Keywords:
anterior cruciate ligament reconstruction;  biofeedback;  resistance training;  muscle strength;  vastus medialis;  clinical trial
摘要:
目的:觀察電子生物反饋技術(shù)結(jié)合漸進抗阻訓練對前交叉韌帶(anterior cruciate ligament,ACL)重建術(shù)后股內(nèi)側(cè)肌肌力的影響。方法:選取60例因ACL損傷接受關(guān)節(jié)鏡下自體腘繩肌腱單骨道重建術(shù)治療的患者,隨機分為電子反饋組和抗阻訓練組,每組30例。術(shù)后2組患者均接受8周常規(guī)康復治療,然后開始進行漸進抗阻訓練。開始訓練前測定2組患者重復完成10次膝關(guān)節(jié)30°～0°伸屈動作所能承受的最大負荷量(repetition maximum,RM),即10RM,作為抗阻訓練的基數(shù)。抗阻訓練組單純進行漸進抗阻訓練,電子反饋組應用電子生物反饋技術(shù)進行漸進抗阻訓練,每次訓練3組,隔天1次,共訓練4周。測定2組患者肌力訓練前和訓練4周后患側(cè)股內(nèi)側(cè)肌10RM和股內(nèi)側(cè)肌靜態(tài)表面肌電活動波幅,并進行組間比較。結(jié)果:肌力訓練前2組患者的股內(nèi)側(cè)肌10RM和靜態(tài)表面肌電活動波幅比較,組間差異均無統(tǒng)計學意義(t=0.851,P=0.124; t=0.845,P=0.513)。訓練4周后2組患者的股內(nèi)側(cè)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組患者的股內(nèi)側(cè)肌10RM比較,差異無統(tǒng)計學意義(t=0.814,P=0.077)。訓練4周后2組患者的股內(nèi)側(cè)肌靜態(tài)表面肌電活動波幅均增大[(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],電子反饋組的股內(nèi)側(cè)肌靜態(tài)表面肌電活動波幅高于抗阻訓練組(t=0.530,P=0.012)。結(jié)論:與單純漸進抗阻訓練相比,在前交叉韌帶重建術(shù)后應用電子生物反饋技術(shù)結(jié)合漸進抗阻訓練,能更好地增強股內(nèi)側(cè)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.

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備注/Memo

備注/Memo:
通訊作者:蔣擁軍 E-mail:[email protected]
更新日期/Last Update: 2016-10-30