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題名 | 前十字韌帶重建術後膝部等速肌力之物理治療效果 |
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作者姓名(中文) | 陳昭瑩; 詹美華; 柴惠敏; 賴金鑫; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 19:1 1994.03[民83.03] |
頁次 | 頁46-52 |
分類號 | 418.92 |
關鍵詞 | 前十字韌帶重建術; 等速肌力; 物理治療; Anterior cruciate ligament reconstruction; Isokinetic strength; Physical therapy; |
語文 | 中文(Chinese) |
中文摘要 | 為了解前十字韌帶重建術後膝部肌力接受物理治療之效果,從民國72 年到79年間,在台大醫院復健科共收集17例接受以本身之髕骨肌腱重建前十字韌 帶手術方式(Anterior cruciate ligament reconstruction with patella tendon graft)之病 患,在手術後曾接受物理治療肌力訓練之前以Cybex II+等速肌力測試儀(isokinetic dynamometer)分別在60、120、180、240角速度下測試膝伸肌與膝屈肌肌力者做為 研究對象。這些病患在手術後均接受至少為期一個月之物理治療,包括水療或熱 敷、運動治療、等速肌力訓練、冰敷等;且訓練1至3個月後再做第二次肌力評估。 結果顯示前十字韌帶重建術後之患側肌力,在各個角達度下不論伸肌肌力或屈肌 肌力均明顯地比健側低(p<0.05)。而患側之屈肌與伸肌肌力比值 (Hamstring/Quadriceps,H/Q)與健側比有明額上升(p<0.05);顯示患側之伸肌肌力較屈 肌肌力之減退量大。不論病患在手術後三個月內,三個月後或甚至半年後才接受 第一次肌力評估,膝患側伸肌肌力比健側伸肌肌力少約50-60,左右,患側屈肌 肌力比健側屈肌肌力少約20-40。雖然病患於手術後不同時間內接受物理治療, 但在接受治療之初,患側相對於健側肌力之差異值並無不同;而訓練結果顯示病 患手術後三個月內即接受物理治療者的進步幅度比手術後超過三個月後才接受 物理治療者大。這證實如果物理治療能在手術後及早介入,可使病患獲得更有效 率之治療。(中華物療誌1994:19(1):46-52) |
英文摘要 | The purposes of this retrospective studywas to document peak torque of knee musclesand the ratio of hamstrings to quadriceps atinitial evaluation in the patients following anterior cruciate ligament (ACL) reconstruction; andto evaluate the improvement of isokineticstrength of knee muscles after rehabilitation.There were 17 subjects, aged 20-year-old to 37-year-old (mean, 23.9-year-old), who had undergone ACL reconstruction with patella tendongraft and received rehabilitation program including hot packing or hydrotherapy, ROM exerciseand strengthening exercise using isokineticdynamometer at National Taiwan UniverstyHospital. The muscle strength of bilateral quadriceps and hamstrings were assessed with Cybexll+ isokinetic dynamometer at the speed of60, 120, 180, 240 degrees/sec before and afterreceiving rehabilitation programs for 1-3months. The results revealed that, in the postoperative knees, there are significant differencefrom sound side in the deficiency of the peak torque (the extensor deficits were around 50-60, flexor deficits around 20-40) and theratio of hamstrings to quadriceps in the firstevaluation was higher than the sound side; butthe deficiency shows no significant difference inpatients grouped by the time of receiving firstassessment first evaluation taken in 3 monthspost-operation, in 3-6 months post-operationand after 6 months post-operation). However,the percentage of improvement of musclestrength in the group of patients who receivedrehabilitation program in postoperatively 3months were significantly greater than thosewho received rehabilitation program after 3months postoperatively. The study suggests thatthe muscle strength of quadriceps and hamstrings show significant weakness followingACL reconstruction, and early rehabilitationprogram is important for these patients to getmore efficiency in recovery of knee musclestrength. (JPTA ROC 1994;19(1):46-52) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。