Effectiveness of single leg standing up exercise for recovery of knee muscle strength and lower extremity motion function following anterior cruciate ligament reconstruction

Koichi Kamiike , Takahisa Mori , Shinichi Yoshiya , Kotaro Kawaguchi , Shigeo Fukunishi
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Abstract

Purpose

We investigated the effectiveness of single-leg standing exercise (SLSE) as a home-based self-exercise for the recovery of knee joint muscle strength and lower limb motor function after anterior cruciate ligament (ACL) reconstruction.

Methods

In addition to postoperative rehabilitation, 55 patients who underwent ACL repair were asked to begin SLSE as a home-based self-exercise 50 times per day using a platform elevated at 40 ​cm for 2 months, 30 ​cm at 3 months, 20 ​cm at 4 months, and 10 ​cm at 5 months (intervention group). Sixty-four patients who underwent ACL reconstruction and followed the existing rehabilitation protocol were included in the control group. Isokinetic knee extension and flexion at 60° angular velocity at 3, 8, and 10 months after surgery and lower limb motor function performance at 8 and 10 months after surgery were compared within and between the two groups.

Results

Knee extension and flexion muscle strength and lower-extremity motor function recovered over time in both groups. There were no significant differences in knee extension and flexion muscle strength between the two groups at 3 months after surgery. However, knee extension strength, flexion strength, and triple hop test (THT) results were significantly higher in the intervention group (p ​< ​0.01) 8 months after surgery. In addition, knee flexion strength and THT were significantly higher in the intervention group (p ​< ​0.01) 10 months after surgery.

Conclusions

The results of this study suggest that SLSE can be an effective exercise for recovering knee joint muscle strength and lower limb motor function.

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单腿站立运动对前交叉韧带重建后膝关节肌力和下肢运动功能恢复的效果
目的研究单腿站立运动(SLSE)作为一种基于家庭的自我锻炼对前交叉韧带(ACL)重建后膝关节肌力和下肢运动功能恢复的有效性。方法除了术后康复外,55名接受ACL修复的患者被要求开始SLSE,这是一种基于家庭的自我锻炼,每天50次,使用40​cm,持续2个月,30​3个月时为cm,20​4个月时为cm,10​cm(干预组)。64名接受ACL重建并遵循现有康复方案的患者被纳入对照组。比较两组患者术后3个月、8个月和10个月以60°角速度进行等速膝关节伸展和屈曲,以及术后8个月、10个月的下肢运动功能表现。结果两组患者膝关节屈伸肌力和下肢运动功能均随时间恢复。术后3个月,两组的膝关节伸展和屈曲肌力没有显著差异。然而,干预组的伸膝力量、屈曲力量和三跳测试(THT)结果显著高于对照组(p​<;​0.01)术后8个月。此外,干预组的膝关节屈曲强度和THT显著高于对照组(p​<;​0.01)术后10个月。结论SLSE是恢复膝关节肌力和下肢运动功能的有效运动。
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