接受髌腱或腘绳肌移植的国际男子足球运动员在前交叉韧带重建后膝关节屈伸力量的比较。

IF 4.2 2区 医学 Q1 SPORT SCIENCES Biology of Sport Pub Date : 2024-01-01 Epub Date: 2023-07-19 DOI:10.5114/biolsport.2024.129471
Andreja Milutinović, Vladimir Jakovljević, Milinko Dabović, Aaron T Scanlan, Dragan Radovanović, Aleksandra Orlova, Emilija Stojanović
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引用次数: 0

摘要

本研究的目的是比较国际男子足球运动员在前十字韧带(ACL)重建术后膝关节伸屈力量的恢复情况,比较采用骨-髌腱-骨(BPTB)和腘绳肌腱(HT)两种移植方式的恢复情况,并进行为期 6 个月的康复训练。17 名球员接受了自体 BPTB 或 HT 前交叉韧带重建术。在手术后 3 个月和 6 个月,使用等动测力计测量了受伤腿和对侧腿的膝关节伸屈峰值扭矩。3个月时,不同移植物类型的双腿之间的膝关节伸肌峰值扭矩存在中度-高度不对称(BPTB:p = 0.002,g = -0.94;HT:p = 0.02,g = -0.55),而6个月时,这种不对称已减少到微不足道的程度。在 6 个月时,不同移植物之间的肢体对称性指数(LSI)差异不显著(p = 0.62,g = -0.24),而在 3 个月时,不同移植物之间的肢体不对称程度降至微不足道(BPTB:p = 0.30,g = -0.19;HT:p = 0.40,g = -0.16)。同样,在 3 个月时,不同移植物类型之间的膝关节屈肌峰值扭矩存在中度-高度不对称(BPTB:p = 0.13,g = -0.50;HT:p = 0.01,g = -0.97),但在 6 个月时,这种不对称已减少到微不足道的程度。然而,与 HT 移植物相比,BPTB 移植物在 6 个月时的 LSI 明显优于 HT 移植物(p = 0.007,g = 1.43,大)。前交叉韧带重建后接受 HT 移植的足球运动员在进行康复训练时,力量和调理专业人员应充分重视提供合适的腘绳肌练习,以确保最佳的力量恢复。
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A comparison in knee flexor and extensor strength following ACL reconstruction in international, male soccer players receiving patellar tendon or hamstrings grafts.

The aim of this study was to compare knee extensor and flexor strength recovery following anterior cruciate ligament (ACL) reconstruction between bone-patellar tendon-bone (BPTB) and hamstring tendon (HT) grafts in international male soccer players undergoing comparable 6-month rehabilitation programmes. Seventeen players underwent ACL reconstruction with either an autogenous BPTB graft or HT graft. Knee extensor and flexor peak torques were measured at 3 months and 6 months in the injured and contralateral legs following surgery using isokinetic dynamometry. The moderate-large asymmetries in knee extensor peak torque between legs at 3 months across graft types (BPTB: p = 0.002, g = -0.94; HT: p = 0.02, g = -0.55) were reduced to trivial asymmetries at 6 months (BPTB: p = 0.30, g = -0.19; HT: p = 0.40, g = -0.16), with a non-significant difference in limb symmetry index (LSI) between grafts at 6 months (p = 0.62, g = -0.24). Similarly, moderate-large asymmetries in knee flexor peak torque between legs at 3 months across graft types (BPTB: p = 0.13, g = -0.50; HT: p = 0.01, g = -0.97) were reduced to trivial-small asymmetries at 6 months (BPTB: p = 0.25, g = 0.18; HT: p = 0.01, g = -0.47); however, a superior LSI was evident with BPTB compared to HT grafts at 6 months (p = 0.007, g = 1.43, large). Strength and conditioning professionals working with soccer players who are rehabilitating from ACL reconstruction after receiving a HT graft should give adequate attention to delivering suitable hamstring exercises that ensure optimal strength restoration.

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来源期刊
Biology of Sport
Biology of Sport 生物-运动科学
CiteScore
8.20
自引率
12.50%
发文量
113
审稿时长
>12 weeks
期刊介绍: Biology of Sport is the official journal of the Institute of Sport in Warsaw, Poland, published since 1984. Biology of Sport is an international scientific peer-reviewed journal, published quarterly in both paper and electronic format. The journal publishes articles concerning basic and applied sciences in sport: sports and exercise physiology, sports immunology and medicine, sports genetics, training and testing, pharmacology, as well as in other biological aspects related to sport. Priority is given to inter-disciplinary papers.
期刊最新文献
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