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神经肌肉电刺激对前交叉韧带重建术后患者股四头肌肌力和步行功能的效果

樊志娇 靳岚琦 黄志彬 李依格 姚思含 马玉宝

中国康复理论与实践2025,Vol.31Issue(2):242-248,7.
中国康复理论与实践2025,Vol.31Issue(2):242-248,7.DOI:10.3969/j.issn.1006-9771.2025.02.015

神经肌肉电刺激对前交叉韧带重建术后患者股四头肌肌力和步行功能的效果

Effect of neuromuscular electrical stimulation on quadriceps muscle strength and walking for patients after ante-rior cruciate ligament reconstruction

樊志娇 1靳岚琦 2黄志彬 2李依格 2姚思含 2马玉宝3

作者信息

  • 1. 首都医科大学附属北京康复医院,康复诊疗中心,北京市 100144
  • 2. 沈阳体育学院运动健康学院,辽宁 沈阳市 110102
  • 3. 首都医科大学附属北京康复医院,肌骨康复中心,北京市 100144
  • 折叠

摘要

Abstract

Objective To investigate the effect of neuromuscular electrical stimulation(NMES)on quadriceps muscle strength and walking for patients after anterior cruciate ligament reconstruction(ACLR). Methods Thirty-four patients after ACLR were selected at Beijing Rehabilitation Hospital of Capital Medical University from July,2022 to October,2023,and randomly divided into control group(n=17)and experimental group(n=17).Both groups received routine rehabilitation and functional training,and the experimental group received NMES during the functional training,while the control group received sham NMES,for eight weeks.Quadriceps peak torque-to-weight ratio,single-leg support phase and plantar impulses during walking were measured before and after intervention. Results Two cases in the control group and three in the experimental group dropped down.Quadriceps peak torque-to-weight ratio improved in both groups after intervention(|t|>17.578,P<0.001),and improved more in the exper-imental group than in the control group(t=4.714,P<0.001);while the affected single-leg support phase and the affected/unaffected single-leg support phase ratio improved in both groups(|t|>16.882,P<0.001),and im-proved more in the experimental group than in the control group(t>3.234,P<0.01);and plantar impulses of all zones optimized in both groups(t>9.221,P<0.001),and were better in the experimental group than in the con-trol group(|t|>2.852,P<0.01). Conclusion NMES may further improve quadriceps muscle strength,plantar pressure distribution during walking and single-leg support in patients after ACLR.

关键词

前交叉韧带重建术/神经肌肉电刺激/肌力/步行

Key words

anterior cruciate ligament reconstruction/neuromuscular electrical stimulation/muscle strength/walking

分类

医药卫生

引用本文复制引用

樊志娇,靳岚琦,黄志彬,李依格,姚思含,马玉宝..神经肌肉电刺激对前交叉韧带重建术后患者股四头肌肌力和步行功能的效果[J].中国康复理论与实践,2025,31(2):242-248,7.

中国康复理论与实践

OA北大核心

1006-9771

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