Intrinsic graft laxity variation with open kinetic chain exercise after anterior cruciate ligament reconstruction: A non-randomized controlled study

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2024-02-06 DOI:10.1016/j.ptsp.2024.01.009

Florian Forelli , Jean Mazeas , Yannis Zeghoudi , Amaury Vandebrouck , Pascal Duffiet , Louis Ratte , Georgios Kakavas , Timothy E. Hewett , Vasileios Korakakis , Alexandre J.M. Rambaud

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引用次数: 0

Abstract

Objectives

To determine whether quadriceps and hamstring strengthening in a rehabilitation program involving early open kinetic chain (OKC) and/or closed kinetic chain (CKC) knee joint exercises had an influence on graft laxity at 1, 3, and 6 months after anterior cruciate ligament reconstruction (ACLR).

Design

Retrospective study.

Methods

Two groups (n = 53) of ACLR patients (combination of OKC and CKC exercises group compared to a CKC exercise group) were recruited. OKC protocol was introduced at 2 weeks post-operatively without external resistance and progressed at 4 weeks with load. Comparative ACL graft laxity measurement and isokinetic strength testing were prospectively performed up to 6 months in both groups.

Results

No significant differences were observed in the knee laxity at 1 (p = 0.263), 3 (p = 0.263), and 6 months (p = 0.256) follow up between the groups.

Similarly, no significant results were observed in within-group knee laxity between 1 and 6 months after ACLR in the intervention (p = 0.155) and control group (p = 0.690).

Conclusion

The early initiation of OKC along with CKC exercises doesn't seem to increase the ACLR graft laxity as compared to a rehabilitation program with only CKC exercises.

查看原文本刊更多论文

前十字韧带重建术后开放式运动链运动的内在移植物松弛变化：一项非随机对照研究。

目的确定在涉及早期开放动能链（OKC）和/或闭合动能链（CKC）膝关节锻炼的康复计划中加强股四头肌和腿肌是否会影响前交叉韧带重建术（ACLR）后1、3和6个月的移植物松弛：设计：回顾性研究：方法：招募两组（n = 53）前交叉韧带重建患者（OKC 和 CKC 联合锻炼组与 CKC 锻炼组）。在术后 2 周开始无外部阻力的 OKC 方案，并在 4 周后开始有负荷的 OKC 方案。两组均进行了前交叉韧带移植物松弛度测量和等动力量测试，结果显示，两组的前交叉韧带移植物松弛度测量和等动力量测试结果均无显著差异：结果：两组的膝关节松弛度在随访 1 个月（P = 0.263）、3 个月（P = 0.263）和 6 个月（P = 0.256）时无明显差异。同样，干预组（p = 0.155）和对照组（p = 0.690）在前交叉韧带置换术后 1 至 6 个月的组内膝关节松弛度方面也未观察到明显结果：结论：与仅进行 CKC 锻炼的康复计划相比，尽早开始 OKC 和 CKC 锻炼似乎不会增加 ACLR 移植膝关节的松弛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.