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Abstract

Medicine

前交叉韧带重建后早期负重康复方案

Published: March 1st, 2024

DOI:

10.3791/65993

1Rehabilitation center, Shanghai Second Rehabilitation Hospital, 2Department of Rehabilitation Medicine, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, 3Rehabilitation center, The Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, 4Rehabilitation center, Shanghai Lanhai Rehabilitation Hospital, 5Department of Sports Medicine, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
* These authors contributed equally

前交叉韧带 (ACL) 损伤是常见的运动损伤之一。前交叉韧带重建(ACLR)是前交叉韧带损伤的主流治疗方法,旨在恢复膝关节的正常解剖结构和稳定性,促进患者恢复运动。在术后加速恢复理念的指导下,早期负重康复(EWB)是影响患者功能和生活质量的重要因素。然而,对于前交叉韧带手术后是否可以进行 EWB 康复,目前尚未达成共识。

本研究旨在探讨前交叉韧带手术后 EWB 的安全性和可行性。该研究在实验组中实施了循序渐进的 EWB 康复计划,包括对受影响的下肢进行重量转移训练、平衡训练和步态训练,并评估了伤口愈合和膝关节的稳定性。研究发现,ACLR后的EWB是安全可行的。EWB康复不仅不会对患者的膝关节疼痛、肿胀、伤口愈合和稳定性产生负面影响,而且有助于更快更好地改善膝关节主动屈曲和生活质量。本研究中的EWB方案简单、安全、有效,为ACLR术后加速康复提供了有力的理论指导和实践示范。

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