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1.
本文旨在综述近年来关于前交叉韧带重建术后重返运动的相关报道成果,归纳与分析重要的相关因素。前交叉韧带重建术后重返运动是运动医学普遍关注和争议的问题,本文从重返运动时间、下肢肌力和功能恢复情况、手术相关因素、心理因素、不可调整的背景因素入手讨论影响前交叉韧带重建术后重返运动的具体因素,以期制定合理的前交叉韧带治疗策略,让患者能够更安全、更快速地重返目标水平的运动。  相似文献   

2.
在查阅近年来国内外许多有关膝关节前交叉韧带损伤修复的研究报告的基础上,对前交叉韧带损伤的流行病学资料、功能解剖、诊断及治疗和并发症等资料进行综述,以便全面了解ACL损伤的研究现状。  相似文献   

3.
前交叉韧带重建术后的康复训练   总被引:1,自引:0,他引:1  
对前交叉韧带重建术后康复训练的文献进行分析研究,了解该领域的发展趋势。应用计算机检索Medline和Cnki1989—2006年间关于前交叉韧带相关文献。研究表明:股四头肌和胭绳肌肌力训练对膝关节功能恢复具有重要的作用,闭合运动链训练适合于康复训练早期,开放运动链训练适合于康复训练晚期;前交叉韧带损伤后,其本体感觉也受到破坏,而术后本体感觉促进训练对膝关节功能的完善至关重要;康复训练方案变得越来越激进,但激进的康复训练也有不利的一面,采用胭绳肌腱和异体肌腱重建前交叉韧带的术后康复训练应更趋于保守。  相似文献   

4.
文章运用文献资料法、录像法、调查法、访谈法等对前交叉韧带的生理解剖、损伤发生的机制、MRI表现及防治等几方面对其进行分析,旨在为我国排球运动员膝关节前交叉韧带损伤的预防和治疗提供依据。  相似文献   

5.
前交叉韧带损伤是田径运动员常见的一种运动损伤,经常发生在田径运动中的跳跃性项目中。如果不及时处理或者处理不当,可能会造成膝盖中的缓冲软骨(半月板)的损害,从而引发其他的膝关节问题,会严重影响运动员的运动水平甚至运动生涯。本文通过查阅相关文献资料,对田径运动中前交叉韧带损伤的原因与预防及强化训练做了较为深入的研究。  相似文献   

6.
女子前交叉韧带损伤发病之高业已引起界内人士的极大关注:从女子前交叉韧带存在的解剖生理弱点出发,对其运动损伤因素进行分析,认为有效的运动防治方法能有效地减少女子运动员前交叉韧带损伤的发生率。  相似文献   

7.
杨涛 《体育科研》2020,(3):20-26
前交叉韧带重建术后重返运动时机是运动医学关注的焦点。目前观点认为前交叉韧带术后重返运动时机选择应基于功能测试结果,而非单纯由术后时间决定。功能测试算法(Functional Testing Algorithm,FTA)是一种基于康复结果来评估膝关节功能恢复的测试体系。本文通过对现有文献中相关功能测试指标的测试时间和数据进行梳理,旨在为患者系统使用FTA体系提供可借鉴的参考依据。  相似文献   

8.
膝关节前交叉韧带是膝关节内重要的韧带组织,对维持膝关节的稳定有重要的作用.膝关节前交叉韧带的损伤是运动中常见而严重的运动损伤,如果处理不当,将极大的影响患者以后的运动能力,并对患者的日常生活和工作产生影响.各国对于前交叉韧带损伤都很重视,随着现代技术在前交叉韧带损伤的诊断、治疗和康复中的应用,诊断率和治愈率已经大大提高...  相似文献   

9.
运用文献资料法,分析认为目前女运动员前交叉韧带的损伤率高于男运动员的原因是在生物化学、生理学、解剖学和膝松弛性等几个方面存在的性别差异。  相似文献   

10.
评价膝关节前交叉韧带损伤后屈伸肌肉力量变化和腘绳肌生理状态变化的特征,以指导前交叉韧带重建术前和术后的康复治疗与训练。结果表明,前交叉韧带损伤后膝关节肌肉功能状态水平下降,在一定程度上影响运动中膝关节的稳定性,韧带重建术前和术后应注重加强膝关节肌肉力量和屈膝肌反应速度的康复训练,以减少术后康复训练中对重建韧带的负荷。  相似文献   

11.
Abstract

Despite significant advances in the diagnostics and treatment of knee injuries over the last decade, several challenges related to the subject “return to sport” remain largely unknown. For example, how should “return to sport” be defined precisely? What is the optimal timing and progression to enable a return to sport? Which criteria should be used during this process? What type of training is indicated? Which measurements can support the decision-making process? How do we optimally prepare athletes for competition without risking re-injury?

This paper critically addresses these questions, and proposes a return to play model to prepare football players to compete after major knee surgery (anterior cruciate ligament reconstruction, cartilage repair). The goal is to re-integrate the player gradually into the game, taking into account his individual characteristics. Several evidence-based and empirical criteria are needed to plan and monitor the efficient return to competitive football. Injury-prevention education should be part of this process to maximise the chance of a durable career and decrease the risk of re-injury.

However, because of the paucity of research on “return to sport”, further research is more than warranted.  相似文献   

12.
膝关节是人体负重和运动的主要关节,前交叉韧带(ACL)损伤是膝关节最常见运动损伤之一,而健美操运动也是造成膝关节前交叉韧带损伤的项目之一,本文通过运用文献综述的方法,广泛收集有关膝关节ACL损伤的基本理论及防治知识,通过前交叉韧带的生理解剖结构,并结合健美操项目的运动特点来分析造成前交叉韧带一度损伤的原因及根据原因提出预防措施,针对前交叉韧带一度损伤的早、中、晚三期的病理演变特征提出康复方案,对以后前交叉韧带一度损伤保守治疗的快速康复提供理论基础,并对以后健美操训练中前交叉韧带损伤的预防和韧带重建术后康复训练有重要意义。  相似文献   

13.
Current nutrition and exercise focus during rehabilitation periods has been on reducing muscle atrophy associated with immobilisation. This case report outlines a best practice anterior cruciate ligament (ACL) rehabilitation programme undertaken by two professional rugby athletes, with the addition of an evidence-based supplementation (gelatine and vitamin C) and exercise protocol focused on collagenous tissue. Both players ruptured their left ACL and were repaired with a traditional hamstring graft. Players undertook a structured rehabilitation programme for 34 weeks before being clinically assessed ready to play. Players saw minimal changes in body composition in the early rehabilitation period (P1 – 0.8 kg; P2 – 0.4 kg). Leg lean mass reduced in both legs of Player 1 (Injured – 0.8 kg, Non-injured – 0.6 kg) at 17 weeks, with Player 2 only experiencing a loss of 0.3 kg of lean tissue in the injured leg. Both players returned to baseline body compositions after 24 weeks. Leg strength returned to a maximum at 24 and 15 weeks, respectively, with knee function returning to baseline by 30 weeks. This case report provides evidence that nutrition and rehabilitation programmes targeted at minimising the effects of disuse in both muscle and connective tissue may assist return to play after ACL injury.  相似文献   

14.
目的:比较前十字韧带重建术(ACLR)后重返运动率和重返运动时机在分别采用自体移植物和人工韧带(LARS)患者间的差异。方法:纳入2004年1月—2010年12月于复旦大学附属华山医院运动医学科接受ACLR手术的病例后,收集术后重返不同强度运动的情况和相应的重返运动时机信息,以及患者伤前、术前、术后第1年、第2年、第3年、第5年、第7年、第10年的运动水平。统计学分析两组间重返运动率和重返运动时机的差异。结果:LARS组中,24例术后重返运动,重返率为96%;重返竞技体育18例,重返率为72%;重返娱乐活动6例,重返率为24%。自体HT组中,45例术后重返运动,重返率为90%;重返竞技体育21例,重返率为42%;重返娱乐活动24例,重返率为48%。两组患者在重返竞技运动率(P=0.016)上具有显著统计学差异。LARS组中,重返轻体育活动时间为术后(2.0±1.0)月;重返涉及膝关节扭转、急停变向运动时间为术后(3.5±1.4)月;重返竞技运动时间为术后(5.2±1.7)月。自体HT组中,重返轻体育活动时间为术后(3.9±1.4)月;重返涉及膝关节扭转、急停变向运动时间为术后(5.9±1.3)月;重返竞技运动时间为术后(11.1±2.4)月。两组患者在重返运动时机(轻体育运动,P<0.001;涉及膝关节扭转、急停变向运动,P<0.001;重返比赛,P<0.001)均存在显著统计学差异。LARS组患者术后第1年、第2年Tegner运动评分均显著高于自体HT组。结论:术后远期随访结果显示采用LARS重建前十字韧带(ACL)的患者不仅重返不同水平运动时机显著早于采用自体HT患者,且在重返竞技运动率上拥有显著优势。  相似文献   

15.
Persistent biomechanical and jumping capacity alterations have been observed among female athletes who have sustained anterior cruciate ligament (ACL) injuries. The purpose of this study was to examine if biomechanical jumping differences persist among a cohort of elite female handball players with previous ACL reconstruction several years after return to top-level competition. In order to achieve this goal, a direct mechanics simplified analysis by using a single Inertial Sensor Unit (IU) was used. Twenty-one elite female (6 anterior cruciate ligament reconstructed and 15 uninjured control players) handball players were recruited and evaluated 6.0 ± 3.5 years after surgical anterior cruciate ligament reconstruction. Bilateral and unilateral vertical jumps were performed to evaluate the functional performance and a single inertial sensor unit was employed in order to collect 3D acceleration and 3D orientation data. Previously ACL-reconstructed analysed athletes demonstrated significant (p < 0.05) alterations in relation to the three-dimensional axis (XYZ) supported accelerations and differing jump phase durations, including jumping performance values, in both bilateral and unilateral jumping manoeuvres several years after ACL reconstruction. Identification of the encountered deficits through the use of an IU devise could provide clinicians with a new reliable tool for movement analysis in a clinical setting.  相似文献   

16.
运动员前交叉韧带损伤的流行病学研究   总被引:22,自引:0,他引:22  
1991年8月 ̄1993年9月对国家,省,市级等47个人共6810名运动员进行了运动创伤流行病学调查,其中ACL损伤32例,癖发病率为0.47%,损伤病因中技术失误伤首位,为59.4%,上外与损伤(15.6%),场地(3.1%)等因素有关,全部病例均有不同程度的膝关节症状。尽管有31%的人可参加正常训练,但53.6%的同受到不同程度的影响,有些不得以停训或手术治疗。本文对ACL损伤的致伤因素,诊断  相似文献   

17.
Limb dominance theory suggests that females tend to be more one-leg dominant and exhibit greater kinematic and kinetic leg asymmetries than their male counterparts, contributing to the increased risk of anterior cruciate ligament injury among female athletes. Thus, the purpose of this study was to examine the influences of sex and limb dominance on lower extremity joint mechanics during unilateral land-and-cut manoeuvres. Twenty-one women and 21 men completed land-and-cut manoeuvres on their dominant limb as well as their nondominant limb. Three-dimensional kinematics and kinetics were calculated bilaterally for the entire stance phase of the manoeuvre. Women performed land-and-cut manoeuvres with altered hip motions and loads as well as greater knee abduction at touchdown compared to men. Dominant limb land-and-cut manoeuvres where characterised by decreased hip flexion at touchdown as well as decreased hip flexion and adduction range of motion compared to nondominant land-and-cuts regardless of sex. The observed sex differences are consistent with previous research regarding mechanisms underlying the sex disparity in anterior cruciate ligament injury rates. However, observed differences regarding limb dominances appear somewhat arbitrary and did not suggest that the dominant or nondominant limb would be at increased risk of anterior cruciate ligament injury.  相似文献   

18.
Soccer     
Female athletes are at least twice as likely to sustain an anterior cruciate ligament injury than male athletes. The underlying cause of ACL injury is multifactorial. However, several researchers have identified knee joint laxity as a possible contributing factor. The purpose of this study was to provide a comparison of knee joint laxity between male and female collegiate soccer players and male and female non‐athletes. Thirty‐nine (19 male, 20 female) apparently healthy, collegiate athletes from the University of Texas at El Paso's 2001‐2002 women's intercollegiate soccer team and men's club soccer team, and forty (20 male, 20 female) non‐athletic students volunteered to participate. All participants were tested bilaterally using the KT‐1000 MEDmetric knee joint ligament arthrometer. Three tests were used to determine anterior laxity: passive displacement, active displacement, and the Lachman test. The mean passive displacement, mean active displacement, and Lachman (only for the left leg) were significantly lower for the athletic group than for the non‐athletic group. There were no significant differences found between males and females for the passive and active drawer tests. However, females had significantly more laxity than males in the Lachman test. These findings suggest that strength and conditioning may play a more significant role in knee joint laxity than the sex of the individual.  相似文献   

19.
Female athletes are at least twice as likely to sustain an anterior cruciate ligament injury than male athletes. The underlying cause of ACL injury is multifactorial. However, several researchers have identified knee joint laxity as a possible contributing factor. The purpose of this study was to provide a comparison of knee joint laxity between male and female collegiate soccer players and male and female non-athletes. Thirty-nine (19 male, 20 female) apparently healthy, collegiate athletes from the University of Texas at El Paso's 2001-2002 women's intercollegiate soccer team and men's club soccer team, and forty (20 male, 20 female) non-athletic students volunteered to participate. All participants were tested bilaterally using the KT-1000 MEDmetric knee joint ligament arthrometer. Three tests were used to determine anterior laxity: passive displacement, active displacement, and the Lachman test. The mean passive displacement, mean active displacement, and Lachman (only for the left leg) were significantly lower for the athletic group than for the non-athletic group. There were no significant differences found between males and females for the passive and active drawer tests. However, females had significantly more laxity than males in the Lachman test. These findings suggest that strength and conditioning may play a more significant role in knee joint laxity than the sex of the individual.  相似文献   

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