Home or supervised rehabilitation following anterior cruciate ligament reconstruction: A randomized controlled trial
Home or supervised rehabilitation following anterior cruciate ligament reconstruction: A randomized controlled trial
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DOI：
10.2519/jospt.1998.27.2.134
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发表时间：
1998-02-01
影响因子：
6.1
通讯作者：
Dodd, CAF
中科院分区：
文献类型：
--
作者：
Beard, DJ;Dodd, CAF
前交叉韧带（ACL）重建后的康复情况各不相同。患者通常被规定一个独立的家庭锻炼计划，虽然有些患者可能会参加额外的监督锻炼的物理治疗，它是不知道是否额外的监督锻炼提供任何进一步的好处。本研究的目的是比较两种类型的康复后ACI重建的效果。31例ACL重建患者的随机对照试验用于验证家庭计划加监督康复（S组）比单独家庭计划（H组）更有效的假设。在术前和术后3个月和6个月测量功能、活动水平、胫骨前平移和肌力。两组的功能、活动水平、肌肉力量和胫骨前平移的改善都很明显，但即使样本量足以检测到小的治疗效果，也没有发现组间的显著差异。得出的结论是，除了家庭计划外，监督锻炼对接受ACI重建的患者的额外益处最小。
Rehabilitation following anterior cruciate ligament (ACL) reconstruction is varied. Patients are usually prescribed an independent home exercise program, although some patients may attend physical therapy for additional supervised exercise, it is not known whether additional supervised exercise provides any further benefit. The purpose of this study was to compare efficacy for two types of rehabilitation following ACI reconstruction. A randomized controlled trial of 31 ACL-reconstructed patients was used to test the hypothesis that a home program plus supervised rehabilitation (Group S) is more effective than a home program (Group H) alone. Function, activity level, anterior tibial translation, and muscle strength were measured preoperatively and at 3 and 6 months postoperatively. Improvement of function, activity level, muscle strength, and anterior tibial translation was evident in both groups, but no significant differences were found between groups even though the sample size was sufficient to detect small treatment effects. It was concluded that supervised exercise, in addition to a home program, has minimal extra benefit for patients who have undergone ACI reconstruction.