中国康复理论与实践2025，Vol.31Issue(9)：1083-1091,9.DOI:10.3969/j.issn.1006-9771.2025.09.012
不同强度神经肌肉功能训练对前交叉韧带重建术后患者肌力和膝关节功能的影响
Effect of different intensity neuromuscular training on muscle strength and knee joint function of patients after anterior cruciate ligament reconstruction
摘要
Abstract
Objective To compare the effect of different intensity of neuromuscular training(NMT)on muscle strength and knee joint function of patients after anterior cruciate ligament reconstruction(ACLR). Methods From January,2023 to January,2024,60 ACLR patients in Changhai Hospital were selected,and they received the same intensity of NMT from one to eight weeks after surgery.Eight weeks after surgery,they were randomly divided into low intensity group(n=30)and high intensity group(n=30),and then they received different inten-sities of NMT from nine to 16 weeks after surgery,each training session lasted one hour,with three sessions per week,totaly 48 sessions.The Lysholm score,knee flexor and extensor muscle strength and muscle endurance-were compared at eight weeks and 16 weeks after surgery. Results After group training,the Lysholm score significantly increased in both groups(|t|>13.739,P<0.001),and was higher in the high intensity group than in the low intensity group(t=-2.574,P<0.05);in the high intensity group,the relative peak torque and endurance of the extensor and flexor muscles improved at angular velocities of 60°/s,120°/s and 180 °/s(|t|>2.320,P<0.05);in the low intensity group,the flexor peak torque improved at all the three angular velocities(t>2.177,P<0.05),the extensor peak torque improved at angular velocities of 60°/s and 180°/s(|t|>1.715,P<0.05),and the extensor endurance improved at angular velocity of 60°/s(t=-2.293,P<0.05).However,there was no significant difference in the relative peak torque and endurance of the extensor and flexor muscles at all the three angular velocities(P>0.05). Conclusion Both high and low intensity NMT could improve the muscle strength,muscle endurance and knee joint func-tion.Maybe,high intensity is superior to low intensity.Further verification is still needed.关键词
前交叉韧带/神经肌肉功能训练/肌力/肌耐力/功能Key words
anterior cruciate ligament/neuromuscular training/muscle strength/muscle endurance/function分类
医药卫生引用本文复制引用
汪娟,徐卫东,张庆,周长林,陈长运,戴峰,孙像鸿,邹婷,王健,高骏凯..不同强度神经肌肉功能训练对前交叉韧带重建术后患者肌力和膝关节功能的影响[J].中国康复理论与实践,2025,31(9):1083-1091,9.基金项目
1.常州市卫健委重大科技项目(No.ZD202228) （No.ZD202228）
2.常州市卫生健康青苗人才培养资助项目(No.CZQM2023024) （No.CZQM2023024）
3.常州市"龙城医星"卫生青年科技人才托举工程项目(No.lcyx202309) Supported by Major Science and Technology Project of Changzhou Health Commission(No.ZD202228),Young Talent Development Plan of Changzhou Health Commission(No.CZQM2023024)and Changzhou"Longcheng Medical Star"Health Young Science and Technology Talent Lifting Project(No.lcyx202309) （No.lcyx202309）
