Knee extensors kinetic chain training in anterior cruciate ligament deficiency
Knee extensors kinetic chain training in anterior cruciate ligament deficiency
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DOI：
10.1007/s00167-004-0603-8
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发表时间：
2005-11-01
影响因子：
3.8
通讯作者：
King, JB
中科院分区：
文献类型：
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作者：
Perry, MC;Morrissey, MC;King, JB
开放式动力链（OKC）膝关节伸肌阻力训练在膝关节ACLD患者的康复中已经失去了青睐，因为人们担心这种训练对ACL的剩余部分及其次级稳定器有害，并且在改善功能方面效果较差。在这项随机、单盲临床试验中，比较了闭式和OKC膝关节伸肌训练对ACLD患者膝关节松弛和功能的影响。64例诊断为膝关节ACLD的患者（49 M, 15 F，平均年龄=30岁）使用韧带关节计测量膝关节松弛度，并使用Hughston Clinic膝关节自我评估问卷和最大努力单腿跳测试测量功能。在上述测试和6周后进行的相同测试之间，受试者使用膝关节和髋关节伸肌的开放式或封闭式动力链阻力进行训练，作为正式物理治疗的一部分，每周3次，持续6周。两组间差异无统计学意义(p
Open kinetic chain (OKC) knee extensor resistance training has lost favour in rehabilitation of patients with knee ACLD due to concerns that this exercise is harmful to the remaining portion of the ACL and its secondary stabilizers, and will be less effective in improving function. In this randomized, single-blind clinical trial, closed and OKC knee extensor training were compared for their effects on knee laxity and function in patients with ACLD knees. Sixty-four patients with a diagnosis of knee ACLD (49 M, 15 F; mean age=30 years) were measured for knee laxity, using a ligament arthrometer, and function with the Hughston Clinic knee self-assessment questionnaire and maximal effort single leg jump testing. Between the above tests and identical tests carried out 6 weeks later, subjects trained using either open or closed kinetic chain resistance of their knee and hip extensors as part of formal physical therapy sessions three times per week for 6 weeks. The groups exhibited no statistically significant differences (p