基于个性化运动处方改善极限飞盘运动员膝关节运动损伤治疗的应用研究：随机对照试验

IF 3 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Frontiers in Public Health Pub Date : 2024-09-18 DOI:10.3389/fpubh.2024.1441790

Shangmin Chen, Lin Du, Yongshan Gao, Haorui Li, Yanxun Zheng, Lei Xie, Zhigang Zhong

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The intervention group received standard treatment plus a personalized exercise regimen based on FITT-VP (frequency, intensity, time, type, volume, and progression) principles, incorporating strength training, aerobic exercise, flexibility training, neuromuscular training, and aquatic exercise. This program was monitored and adjusted over a six-month period through both online and offline methods. The primary outcomes were joint range of motion (ROM), thigh circumference atrophy index (TCAI), Lysholm Rating Scale (LRS) scores, and visual analog scores (VAS). The secondary outcome was the International Knee Documentation Committee (IKDC) score. Data were collected before the intervention, and at 1 month and 6 months after the intervention. Statistical analysis was conducted using SPSS 24.0 and GraphPad 10.0, with a significance level set at α = 0.05.ResultsAfter 1 month, the intervention group showed significantly better results in ROM (116.67 ± 9.063), LRS score (86.316 ± 3.750), and IKDC score (80.473 ± 5.421) compared to the control group (111.784 ± 4.778, 82.579 ± 3.818, and 77.684 ± 4.430, respectively) (p &lt; 0.05). The TCAI (3.219 ± 1.889) and VAS score (1.921 ± 0.673) in the intervention group were significantly lower than those in the control group (5.228 ± 2.131 and 2.710 ± 1.112, respectively) (p &lt; 0.01). After 6 months, the differences in LRS and VAS scores between the groups were not significant. 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引用次数: 0

摘要

目的极限飞盘运动可导致严重的运动损伤，尤其是下肢关节损伤，如膝关节半月板损伤。本研究探讨了个性化运动疗法对中国岭南地区终极飞盘运动员膝关节半月板损伤的影响。方法76名确诊为半月板损伤的患者参与研究，分为干预组（38 人）和对照组（38 人）。对照组接受标准治疗，包括药物治疗和物理治疗。干预组在接受标准治疗的同时，还根据 FITT-VP（频率、强度、时间、类型、运动量和渐进性）原则进行个性化锻炼，包括力量训练、有氧运动、柔韧性训练、神经肌肉训练和水中运动。在为期六个月的时间里，通过在线和离线方法对该计划进行监测和调整。主要结果是关节活动范围（ROM）、大腿周径萎缩指数（TCAI）、莱斯霍尔姆评分量表（LRS）得分和视觉模拟评分（VAS）。次要结果是国际膝关节文献委员会（IKDC）评分。数据收集于干预前、干预后 1 个月和 6 个月。使用 SPSS 24.0 和 GraphPad 10.0 进行统计分析，显著性水平设定为 α = 0.05。67±9.063）、LRS 评分（86.316±3.750）和 IKDC 评分（80.473±5.421）与对照组（分别为 111.784±4.778、82.579±3.818 和 77.684±4.430）相比有明显改善（p &p;lt;0.05）。干预组的 TCAI（3.219 ± 1.889）和 VAS 评分（1.921 ± 0.673）明显低于对照组（分别为 5.228 ± 2.131 和 2.710 ± 1.112）（p &;lt;0.01）。6 个月后，两组的 LRS 和 VAS 评分差异不显著。然而，与对照组（125.395 ± 18.554、4.574 ± 1.结论个性化运动处方为膝关节半月板损伤的极限飞盘运动员提供了显著的治疗和康复益处。这种方法有助于在运动相关损伤后减轻症状、缓解疼痛并改善关节功能、肌肉力量和运动表现。

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The applied study to improve the treatment of knee sports injuries in ultimate frisbee players based on personalized exercise prescription: a randomized controlled trial

ObjectiveUltimate frisbee can lead to severe sports injuries, especially joint injuries in the lower limbs, such as knee meniscus injuries. This study examines the impact of personalized exercise therapy on knee meniscus injuries in ultimate frisbee players in the Lingnan region of China.MethodsSeventy-six patients with confirmed meniscal injuries participated in the study, divided into an intervention group (n = 38) and a control group (n = 38). The control group received standard treatment, including drug therapy and physical therapy. The intervention group received standard treatment plus a personalized exercise regimen based on FITT-VP (frequency, intensity, time, type, volume, and progression) principles, incorporating strength training, aerobic exercise, flexibility training, neuromuscular training, and aquatic exercise. This program was monitored and adjusted over a six-month period through both online and offline methods. The primary outcomes were joint range of motion (ROM), thigh circumference atrophy index (TCAI), Lysholm Rating Scale (LRS) scores, and visual analog scores (VAS). The secondary outcome was the International Knee Documentation Committee (IKDC) score. Data were collected before the intervention, and at 1 month and 6 months after the intervention. Statistical analysis was conducted using SPSS 24.0 and GraphPad 10.0, with a significance level set at α = 0.05.ResultsAfter 1 month, the intervention group showed significantly better results in ROM (116.67 ± 9.063), LRS score (86.316 ± 3.750), and IKDC score (80.473 ± 5.421) compared to the control group (111.784 ± 4.778, 82.579 ± 3.818, and 77.684 ± 4.430, respectively) (p < 0.05). The TCAI (3.219 ± 1.889) and VAS score (1.921 ± 0.673) in the intervention group were significantly lower than those in the control group (5.228 ± 2.131 and 2.710 ± 1.112, respectively) (p < 0.01). After 6 months, the differences in LRS and VAS scores between the groups were not significant. However, the intervention group continued to show significant improvements in ROM (134.934 ± 3.011), TCAI (1.107 ± 1.158), and IKDC score (93.315 ± 1.847) compared to the control group (125.395 ± 18.554, 4.574 ± 1.109, and 87.789 ± 4.437, respectively) (p < 0.05).ConclusionPersonalized exercise prescriptions offer significant therapeutic and rehabilitative benefits for ultimate frisbee players with knee meniscus injuries. This approach helps to reduce symptoms, alleviate pain, and improve joint function, muscle strength, and athletic performance after sports-related injuries.

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来源期刊

Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

7.70%

发文量

4469

审稿时长

14 weeks

期刊介绍： Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.