有或没有前交叉韧带重建的个体在康复运动中的膝关节生物力学：系统回顾

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2025-05-10 DOI:10.1016/j.clinbiomech.2025.106559

Zhané N. Murrell-Smith , Meernah Mohammed Alabdullah , Fengtao Zhang , Louise M. Jennings , Sarah L. Astill , Aiqin Liu

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引用次数: 0

摘要

背景：创伤后骨关节炎发生率在前交叉韧带损伤接受手术重建和选择非手术治疗的个体中相似，这表明手术后膝关节生物力学的持续变化。对于重建后的患者，没有金标准的康复策略，然而，在康复训练中研究膝关节的生物力学将推动更有效的康复模式的发展。本系统综述旨在综合健康参与者和前交叉韧带重建参与者在康复训练期间的生物力学数据，以提供损伤和手术引起的膝关节生物力学变化的见解。方法系统检索Web of Science、MEDLINE、EMBASE、PubMed、CINAHL、Scopus等文献，检索前交叉韧带重建、下肢康复训练、膝关节生物力学等相关关键词。通过摘要和全文筛选筛选出34篇符合纳入标准的文章。纳入的研究报告了607名健康参与者和175名前交叉韧带重建参与者的数据，他们进行了五种不同的锻炼。峰值膝关节屈曲角度是报道最多的变量，而胫骨前平移和内收生物力学的报道很少，尽管它们与韧带损伤状态相关。除了膝关节屈曲角度外，膝关节康复运动的生物力学数据有限。此外，不同研究的数据收集和报告方法的差异导致系统分析结果的困难，并表明文章之间的运动学结果不一致。

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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Knee biomechanics during rehabilitation exercise in individuals with and without anterior cruciate ligament reconstruction: A systematic review

Background

Post-traumatic osteoarthritis rates are similar in individuals with anterior cruciate ligament injury who receive surgical reconstruction and those who opt for non-surgical management, indicating continuing changes in knee biomechanics post-surgery. There is no gold standard rehabilitation strategy for the post-reconstruction patient, however investigating the biomechanics of the knee during rehabilitation exercises will drive the development of more efficacious rehabilitation paradigms. This systematic review aimed to synthesise biomechanical data from healthy participants and participants with anterior cruciate ligament reconstruction during rehabilitation exercises to provide insights into knee biomechanical changes induced by injury and surgery.

Methods

A systematic literature search was conducted in Web of Science, MEDLINE, EMBASE, PubMed, CINAHL and Scopus, using key terms relating to anterior cruciate ligament reconstruction, lower limb rehabilitation exercises, and knee biomechanics. 34 articles matching the inclusion criteria were identified following abstract and full text screening.

Findings

The included studies reported data on 607 healthy participants and 175 participants with an anterior cruciate ligament reconstruction across five different exercises. Peak knee flexion angle was the most reported variable, whereas tibial anterior translation and adduction biomechanics were reported infrequently, despite their relevance to the ligament injury status.

Interpretation

There is limited biomechanical data of rehabilitation exercise in the knee, with the exception of knee flexion angles. Furthermore, variations in data collection and reporting methods across studies cause difficulties in systematic analysis of results and demonstrate inconsistent kinematic results between articles.

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来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.