[Effectiveness of muscles' preoperative preparation for reconstruction of anterior cruciate ligament of knee].

Q4 Medicine

Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2025-01-01 DOI:10.17116/kurort202510201151

R R Akhmetyanov, E V Davydova

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引用次数: 0

Abstract

The most common knee injury in professional athletes is anterior cruciate ligament (ACL) trauma, requiring surgical intervention and subsequent long-term rehabilitation. Arthrogenic muscle inhibition, immediately following injury in some cases, leads to quadriceps muscle hypotrophy and weakness, that further embarrasses the athlete's good-quality rehabilitation.

Objective: To assess clinical and functional effectiveness of passive electrical myostimulation (EMS) as a muscle preoperative preparation to autotransplantation of knee anterior cruciate ligament.

Material and methods: The study involved 47 male athletes with ACL injury. Summarized surface electromyography (EMG) was performed in all participants at admission, as a result of which 28 patients with reduced EMG parameters were selected. Among them, 14 patients received a course of passive EMS of quadriceps on physiotherapeutic INTELECT Advanced (Chattanooga (DJO), USA) hardware. All patients got passive EMS for 2 weeks after surgery and started active muscle training since 3rd week. Clinical and functional effectiveness was evaluated in dynamics in 2 and 7 weeks after surgery.

Results: The 10-day preoperative course of EMS made it possible to significantly increase values of mean amplitude (MA) of muscle contraction before surgery and improve indicators of clinical and functional tests in 7 weeks after surgery up to level of healthy subjects and patients group with normal MA values at baseline compared to patients who did not have preoperative passive myostimulation.

Conclusion: The obtained data allow to recommend the inclusion of passive EMS method of quadriceps as a preoperative training of patients with ACL injury and reduced EMG.

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膝关节前交叉韧带重建术前肌肉准备的有效性。

职业运动员中最常见的膝关节损伤是前交叉韧带（ACL）损伤，需要手术干预和随后的长期康复。在某些情况下，关节源性肌肉抑制在受伤后立即导致股四头肌萎缩和无力，这进一步使运动员的高质量康复变得困难。目的：评价被动肌电刺激（EMS）作为自体膝关节前交叉韧带移植术前肌肉准备的临床和功能效果。材料与方法：研究对象为47名男性前交叉韧带损伤运动员。所有参与者在入院时都进行了表面肌电图（EMG）总结，因此选择了28例肌电图参数降低的患者。其中，14例患者在物理治疗智能先进（Chattanooga (DJO)， USA）硬件上接受一个疗程的股四头肌被动EMS。所有患者术后2周接受被动EMS，第3周开始进行主动肌肉训练。术后2周和7周动态评价临床和功能效果。结果：与术前未进行被动肌刺激的患者相比，EMS术前10天疗程可使术前肌肉收缩平均幅度（MA）值显著升高，术后7周临床和功能检查指标改善，达到健康受试者和基线MA值正常的患者组的水平。结论：所获得的数据允许推荐将股四头肌被动EMS方法纳入前交叉韧带损伤和肌电图减少患者的术前训练。

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

Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： The journal deals with the study of the mechanism of a physiological and therapeutic effect of physical and health resort factors, methods and results of their employment, as well as with theoretical and practical problems involved in the use of exercise therapy in combined treatment of different diseases. The results of research and experience of using physical and health resort methods in medical practice and organization of physiotherapeutic and sanatorial and health resort service, book reviews on physiotherapy, health resort science and exercise therapy are published. Scientific life of allied specialities, proceedings of congresses, conferences, symposia (including foreign), the activity of republican and local societies, etc., are covered.