Open versus Closed Kinetic Chain Exercises following an Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis.

Pub Date : 2017-01-01 Epub Date: 2017-08-17 DOI:10.1155/2017/4721548

Daniel Jewiss, Cecilia Ostman, Neil Smart

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引用次数: 29

Abstract

Background: There is no consensus on whether closed kinetic chain (CKC) or open kinetic chain (OKC) exercises should be the intervention of choice following an anterior cruciate ligament (ACL) injury or reconstruction.

Methods: A systematic search identified randomized controlled trials of OKC versus CKC exercise training in people who had undergone ACL reconstructive surgery. All published studies in this systematic review were comparisons between OKC and CKC groups.

Results: Seven studies were included. Lysholm knee scoring scale was not significantly different between OKC and CKC exercise patients: MD: -1.03%; CI: -13.02, 10.95; p value = 0.87 (Chi² = 0.18, df = 1, and p value = 0.67). Hughston clinic questionnaire scores were not significantly different between OKC and CKC exercise patients: MD: -1.29% (-12.02, 9.43); p value = 0.81 (Chi² = 0.01, df = 1, and p value = 0.93).

Conclusions: While OKC and CKC may be beneficial during ACL surgical rehabilitation, there is insufficient evidence to suggest that either one is superior to the other.

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前交叉韧带重建后开放与封闭运动链训练:系统回顾和荟萃分析。

背景:对于前交叉韧带(ACL)损伤或重建后是否应选择闭合动力链(CKC)或开放动力链(OKC)训练，目前尚无共识。方法:一项系统搜索确定了在接受ACL重建手术的患者中进行OKC与CKC运动训练的随机对照试验。本系统综述中所有发表的研究都是OKC组和CKC组之间的比较。结果:纳入7项研究。Lysholm膝关节评分量表在OKC和CKC运动患者之间无显著差异:MD: -1.03%;Ci: -13.02, 10.95;p值= 0.87 (Chi2 = 0.18, df = 1, p值= 0.67)。休斯顿临床问卷得分在OKC和CKC运动患者之间无显著差异:MD: -1.29% (-12.02, 9.43);p值= 0.81 (Chi2 = 0.01, df = 1, p值= 0.93)。结论:虽然OKC和CKC在ACL手术康复中可能是有益的，但没有足够的证据表明其中任何一个优于另一个。

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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