前十字韧带重建患者与健康人行走时地面反作用力的垂直和水平分量比较

Mostafa Payandeh, Hassan Daneshmandi
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摘要

导言本研究旨在比较前交叉韧带重建后与健康人行走时地面反作用力的垂直、内侧-外侧和前侧-后侧分量。研究方法这是一项横断面分析研究。研究对象包括 46 名足球和排球运动员,他们被分为前交叉韧带重建(ACLR)后和健康人两组。数据采用独立 t 检验和 SPSS 16 版软件进行统计分析。结果与地面反作用力垂直分量有关的结果显示,与健康人相比,前交叉韧带重建的参与者在脚跟着地和脚尖离开时对地面施加了更大的力,尽管两组之间的差异并不显著(P=0.09 和 P=0.35),但在脚跟着地时这种差异更大。同样,与地面反作用力的水平分量有关的结果显示,前交叉韧带重建的参与者在地面反作用力的所有水平分量上都对地面施加了更大的力,但两组之间最大的差异出现在站立阶段的前20%,以及后方(p<0.007)和侧方(p<0.02)。两组之间的差异显著。结论研究结果表明,两组之间最重要的差异出现在站立阶段的前 20%。虽然在测量的 6 个分量中,只有后侧(p < 0.007)和内侧(p < 0.02)的地力分量具有显著性。
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Comparison of the Vertical and Horizontal Components of the Ground Reaction Force of Patients with Anterior Cruciate Ligament Reconstruction and Healthy Individuals during Walking
Introduction: The aim of this research was to compare the vertical, medial-lateral and anterior-posterior components of ground reaction force after anterior cruciate ligament reconstruction with the healthy individuals during walking. Methods: This was an analytic cross sectional research. The participants of this research included 46 football and volleyball athletes, who were divided into two groups of individuals with anterior cruciate ligament reconstruction (ACLR) and healthy individuals. A force plate was employed to evaluate the components of the ground reaction force while walking.The data were statistically analysed using independent t test and SPSS version 16 software. Results: The results related to the vertical component of ground reaction force showed that the participants with anterior cruciate ligament reconstruction applied more force to the ground during heel strike and toe-off compared to healthy individuals, although the difference between the two groups was not significant (p=0.09 and p=0.35), but this difference was greater during heel strike. Likewise, the results related to the horizontal components of the ground reaction force showed that participants with anterior cruciate ligament reconstruction applied more force to the ground in all horizontal components of the ground reaction force, but the biggest difference between the two groups was in the first 20% of the stance phase and in the posterior (p<0.007) and lateral (p<0.02) directions. This difference between the two groups was significant. Conclusion: The results of the research showed that the most important difference between the two groups occurred in the first 20% of the stance phase. Although among the 6 measured components, only the posterior (p < 0.007) and medial (p < 0.02) ground force components were significant.
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