《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (8): 917-922.doi: 10.3969/j.issn.1006-9771.2020.08.009
收稿日期:
2019-12-23
修回日期:
2020-02-19
出版日期:
2020-08-25
发布日期:
2020-08-31
通讯作者:
王兴
E-mail:597310817@qq.com
作者简介:
季程程(1993-),女,汉族,山东威海市人,硕士研究生,主要研究方向:运动损伤、运动与健康促进。
基金资助:
JI Cheng-cheng1,YANG Peng-fei2,ZHANG Xin-bo1,WANG Xing1()
Received:
2019-12-23
Revised:
2020-02-19
Published:
2020-08-25
Online:
2020-08-31
Contact:
WANG Xing
E-mail:597310817@qq.com
Supported by:
摘要:
神经肌肉训练是前交叉韧带重建术后重要的康复训练方法,包括肌肉力量训练、平衡训练、灵敏性训练、近端控制训练和本体感觉训练。神经肌肉训练可改善前交叉韧带重建术后膝关节神经肌肉控制能力,增强膝关节稳定性,促进运动能力的恢复。康复训练效果受性别、年龄和训练内容的影响,还需针对不同患者和训练内容进一步探索,使术后康复训练达到最佳效果。
中图分类号:
季程程,杨鹏飞,张信波,王兴. 神经肌肉训练在前交叉韧带重建术后康复中的应用进展[J]. 《中国康复理论与实践》, 2020, 26(8): 917-922.
JI Cheng-cheng,YANG Peng-fei,ZHANG Xin-bo,WANG Xing. Advance in Neuromuscular Training for Rehabilitation after Anterior Cruciate Ligament Reconstruction (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(8): 917-922.
[1] |
Renstrom P A. Eight clinical conundrums relating to anterior cruciate ligament (ACL) injury in sport: recent evidence and a personal reflection[J]. Br J Sports Med, 2013, 47(6):367-372.
doi: 10.1136/bjsports-2012-091623 |
[2] |
Sanders T L, Maradit K H, Bryan A J, et al. Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study[J]. Am J Sports Med, 2016, 44(6):1502-1507.
doi: 10.1177/0363546516629944 pmid: 26920430 |
[3] |
Gokeler A, Neuhaus D, Benjaminse A, et al. Principles of motor learning to support neuroplasticity after ACL injury: implications for optimizing performance and reducing risk of second ACL injury[J]. Sports Med, 2019, 49(6):853-865.
doi: 10.1007/s40279-019-01058-0 pmid: 30719683 |
[4] | 李玳, 于宏, 梁子轩, 等. 前交叉韧带断裂三维不对称度步态分析初探[J]. 中国康复理论与实践, 2018, 24(8):956-962. |
Li D, Yu H, Liang Z X, et al. Initiatory application of three-dimensional asymmetry on anterior-cruciate-ligament rupture gait analysis[J]. Chin J Rehabil Theory Pract, 2018, 24(8):956-962. | |
[5] | 章闻捷, 叶祥明, 张大威, 等. 腘绳肌等速离心训练对前交叉韧带重建术后膝关节功能的影响[J]. 中国运动医学杂志, 2017, 36(9):805-809. |
Zhang W J, Ye X M, Zhang D W, et al. Effect of isokinetic eccentric training of hamstring on knee joint function after anterior cruciate ligament reconstruction[J]. Chin J Sports Med, 2017, 36(9):805-809. | |
[6] |
Shim J K, Choi H S, Shin J H. Effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction[J]. J Phys Ther Sci, 2015, 27(12):3613-3617.
doi: 10.1589/jpts.27.3613 |
[7] | 周长敬, 刘卉, 李翰君, 等. 前交叉韧带损伤预防手段研究进展[J]. 中国运动医学杂志, 2015, 34(1):82-90. |
Zhou C J, Liu H, Li H J, et al. Research progress in prevention of anterior cruciate ligament injury[J]. Chin J Sports Med, 2015, 34(1):82-90. | |
[8] | 刘晓磊, 章耀华, 郭恒冰, 等. 本体觉促进训练对前交叉韧带重建术后患者膝关节功能和姿势控制的效果[J]. 中国康复理论与实践, 2019, 25(4):106-110. |
Liu X L, Zhang Y H, Guo H B, et al. Effects of proprioceptive trainning on knee function and postural control for patients after anterior cruciate ligament reconstruction[J]. Chin J Rehabil Theory Pract, 2019, 25(4):106-110. | |
[9] | 雷正方, 张瑛秋. 整合性神经肌肉训练对听障乒乓球运动员下肢功能性不对称与平衡能力的影响[J]. 体育科学, 2018, 38(11):30-40, 99. |
Lei Z F, Zhang Y Q. Effect of integrative neuromuscular training on lower limb functional asymmetry and balance ability of deaf table tennis players[J]. China Sport Science, 2018, 38(11):30-40, 99. | |
[10] |
Biercevicz A M, Akelman M R, Fadale P D, et al. MRI volume and signal intensity of ACL graft predict clinical, functional, and patient-oriented outcome measures after ACL reconstruction[J]. Am J Sports Med, 2015, 43(3):693-699.
doi: 10.1177/0363546514561435 pmid: 25540298 |
[11] |
van Melick N, van Cingel R E, Brooijmans F, et al. Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus[J]. Br J Sports Med, 2016, 50(24):1506-1515.
doi: 10.1136/bjsports-2015-095898 |
[12] |
Hopper A, Haff E, Joyce C, et al. Neuromuscular training improves lower extremity biomechanics associated with knee injury during landing in 11-13 year old female netball athletes[J]. Front Physiol, 2017, 8:883.
doi: 10.3389/fphys.2017.00883 |
[13] |
Schmitt L C, Paterno M V, Hewett T E. The impact of quadriceps femoris strength asymmetry on functional performance at return to sport following anterior cruciate ligament reconstruction[J]. J Orthop Sport Phys Ther, 2012, 42(9):750-759.
doi: 10.2519/jospt.2012.4194 |
[14] |
Czaplicki A, Jarocka M, Walawski J. Isokinetic identification of knee joint torques before and after anterior cruciate ligament reconstruction[J]. PLoS One, 2015, 10(12):e0144283.
doi: 10.1371/journal.pone.0144283 |
[15] |
Lepley L K, Wojtys E M, Palmieri-Smith R M. Combination of eccentric exercise and neuromuscular electrical stimulation to improve quadriceps function post-ACL reconstruction[J]. Knee, 2015, 22(3):270-277.
doi: 10.1016/j.knee.2014.11.013 |
[16] |
Gulcan H, Burak U, Ibrahim Y T, et al. Cross-education improves quadriceps strength recovery after ACL reconstruction: a randomized controlled trial[J]. Knee Surg Sports Traumatol Arthrosc, 2018, 27(1):68-75.
doi: 10.1007/s00167-018-5040-1 |
[17] |
Hiemstra L A, Webber S, Macdonald P B, et al. Hamstring and quadriceps strength balance in normal and hamstring anterior cruciate ligament reconstructed subjects[J]. Clin J Sport Med, 2004, 14(5):274-280.
pmid: 15377966 |
[18] | Vikne H, Refsnes P E, Ekmark M, et al. Muscular performance after concentric and eccentric exercise in trained men[J]. Med Sci Sports Exerc, 2006, 38(10):1770-1781. |
[19] | Chu D A. 快速伸缩复合训练[M]. 阮棉芳,尹军,梁林,译. 北京: 北京体育大学出版社, 2011: 2. |
Chu D A. Jumping into plyometrics [M]. 2nd ed. Ruan M F, Yin J, Liang L, trans. Beijing: Beijing Sport University Press, 2011: 2. | |
[20] |
Baldon R M, Moreira L D F, Yoshimatsu A P, et al. Effect of plyometric training on lower limb biomechanics in females[J]. Clin J Sport Med, 2014, 24(1):44-50.
doi: 10.1097/01.jsm.0000432852.00391.de |
[21] |
Weltin E, Gollhofer A, Mornieux G. Effects of perturbation or plyometric training on core control and knee joint loading in women during lateral movements[J]. Scand J Med Sci Sports, 2017, 27(3):299-308.
doi: 10.1111/sms.2017.27.issue-3 |
[22] |
Stojanovic E, Ristic V, Mcmaster D T, et al. Effect of plyometric training on vertical jump performance in female athletes: a systematic review and meta-analysis[J]. Sports Med, 2017, 47(5):975-986.
doi: 10.1007/s40279-016-0634-6 |
[23] | Zamani J, Rahnama N, Khayambashi K, et al. The effects of 8 weeks plyometric training on knee proprioception[J]. Br J Sports Med, 2010, 44(1):i12-i13. |
[24] | Arazi H, Asadi A, Roohi S. Enhancing muscular performance in women: compound versus complex, traditional resistance and plyometric training alone[J]. J Musculoskeletal Res, 2014, 17(2):1-10. |
[25] | Ebben W P, Watts P B. A review of combined weight training and plyometric training modes: complex training[J]. Strength Cond J, 1998, 20(5):18-27. |
[26] | 祁奇, 陈文华, 余波, 等. 肌内效贴对女性大学生膝关节肌力的影响[J]. 中国康复理论与实践, 2015, 21(7):849-853. |
Qi Q, Chen W H, Yu B, et al. Effects of Kinesio taping on muscle strength of knees in female students[J]. Chin J Rehabil Theory Pract, 2015, 21(7):849-853. | |
[27] | 吴博, 张雷, 庞文君, 等. 全身振动训练对前交叉韧带损伤重建术后患者下肢运动控制的影响[J]. 中国康复医学杂志, 2016, 31(4):421-425. |
Wu B, Zhang L, Pang W J, et al. Effects of whole-body vibration training on the motor control of lower limb after anterior cruciate ligament reconstruction surgery[J]. Chin J Rehabil Med, 2016, 31(4):421-425. | |
[28] |
Zebis M K, Andersen L L, Brandt M, et al. Effects of evidence-based prevention training on neuromuscular and biomechanical risk factors for ACL injury in adolescent female athletes: a randomised controlled trial[J]. Br J Sports Med, 2016, 50(9):552-557.
doi: 10.1136/bjsports-2015-094776 |
[29] |
Myer G D, Ford K R, Mclean S G, et al. The effects of plyometric vs dynamic stabilization and balance training on lower extremity biomechanics[J]. Am J Sports Med, 2006, 34(3):445-455.
doi: 10.1177/0363546505281241 |
[30] | Akbari A, Ghiasi F, Mir M, et al. The effects of balance training on static and dynamic postural stability indices after acute ACL reconstruction[J]. Global J Health Sci, 2015, 8(4):68-81. |
[31] | 蒋拥军, 李克军, 王雪冰, 等. 平衡促进训练对膝关节前交叉韧带损伤重建术后患膝本体感觉的影响[J]. 中国康复医学杂志, 2011, 26(3):251-253. |
Jiang Y J, Li K J, Wang X B, et al. Effect of balance promotion training on knee proprioception after reconstruction of knee anterior cruciate ligament injury[J]. Chin J Rehabil Med, 2011, 26(3):251-253. | |
[32] |
Ordahan B, Küçükşen S, Tuncay I. The effect of proprioception exercises on functional status in patients with anterior cruciate ligament reconstruction[J]. J Back Musculoskelet Rehabil, 2015, 28(3):531-537.
doi: 10.3233/BMR-140553 |
[33] |
Whyte E F, Richter C, O'Connor S, et al. Effects of a dynamic core stability program on the biomechanics of cutting maneuvers: a randomized controlled trial[J]. Scand J Med Sci Sports, 2017, 28(2):452-462.
doi: 10.1111/sms.2018.28.issue-2 |
[34] | 杨涛, 周敬滨, 李国平. 膝前十字韧带重建术后重返运动的研究进展[J]. 体育科学, 2016, 36(10):74-79. |
Yang T, Zhou J B, Li G P. The research progress for return to play after anterior cruciate ligament reconstruction[J]. Chin Sport Sci, 2016, 36(10):74-79. | |
[35] |
Heidt R S, Sweeterman L M, Carlonas R L, et al. Avoidance of soccer injuries with preseason conditioning[J]. Am J Sports Med, 2000, 28(5):659-662.
doi: 10.1177/03635465000280050601 |
[36] |
Wilderman D R, Ross S E, Padua D A. Thigh muscle activity, knee motion, and impact force during side-step pivoting in agility-trained female basketball players[J]. J Athl Train, 2009, 44(1):14-25.
doi: 10.4085/1062-6050-44.1.14 |
[37] | 张晓辉, 廖八根, 陈速, 等. 神经肌肉康复训练对运动员前交叉韧带重建术后运动功能的影响[J]. 中华物理医学与康复杂志, 2015, 37(6):456-459. |
Zhang X H, Liao B G, Chen S, et al. Effect of neuromuscular rehabilitation training on motor function of athletes after anterior cruciate ligament reconstruction[J]. Chin J Phys Med Rehabil, 2015, 37(6):456-459. | |
[38] |
Sugimoto D, Myer G D, Micheli L J, et al. ABCs of evidence-based anterior cruciate ligament injury prevention strategies in female athletes[J]. Curr Phys Med Rehabil Rep, 2015, 3(1):43-49.
doi: 10.1007/s40141-014-0076-8 |
[39] |
Kiani A, Hellquist E, Ahlqvist K, et al. Prevention of soccer-related knee injuries in teenaged girls[J]. Arch Intern Med, 2010, 170(1):43.
doi: 10.1001/archinternmed.2009.289 |
[40] |
Walden M, Atroshi I, Magnusson H, et al. Prevention of acute knee injuries in adolescent female football players: cluster randomised controlled trial[J]. BMJ, 2012, 344:e3042.
doi: 10.1136/bmj.e3042 |
[41] | 李靖龙, 王予彬. 前交叉韧带损伤与重建术后核心稳定特征研究进展[J]. 中国康复医学杂志, 2013, 28(1):83-86. |
Li J L, Wang Y B. Research progress on core stability after anterior cruciate ligament injury and reconstruction[J]. Chin J Rehabil Med, 2013, 28(1):83-86. | |
[42] | 李丹, 刘军军, 刘亚琼, 等. 核心稳定性训练对脑性瘫痪患儿功能恢复的效果[J]. 中国康复理论与实践, 2015, 21(5):583-585. |
Li D, Liu J J, Liu Y Q, et al. Effect of core stabilities training on cerebral palsy[J]. Chin J Rehabil Theory Pract, 2015, 21(5):583-585. | |
[43] |
Donnelly C J, Lloyd D G, Elliott B C, et al. Optimizing whole-body kinematics to minimize valgus knee loading during sidestepping: implications for ACL injury risk[J]. J Biomech, 2012, 45(8):1491-1497.
doi: 10.1016/j.jbiomech.2012.02.010 pmid: 22387123 |
[44] |
Fithian D C, Powers C M, Khan N. Rehabilitation of the knee after medial patellofemoral ligament reconstruction[J]. Clin Sports Med, 2010, 29(2):283-290.
doi: 10.1016/j.csm.2009.12.008 |
[45] |
Sheppard J M, Young W B. Agility literature review: classifications, training and testing[J]. J Sports Sci, 2006, 24(9):919-932.
doi: 10.1080/02640410500457109 |
[46] | 李小金, 韩秀兰, 田潇飞, 等. 脑卒中后偏瘫患者早期膝关节本体感觉干预对平衡功能及心理状态的影响[J]. 中华物理医学与康复杂志, 2016, 38(11):845-847. |
Li X J, Han X L, Tian X F, et al. Effect of early knee joint proprioceptive intervention on balance function and mental state of hemiplegic patients after stroke[J]. Chin J Phys Med Rehabil, 2016, 38(11):845-847. | |
[47] |
Dominguez N F, Igual C C, Antonio S M, et al. Effects of balance and proprioceptive training on total hip and knee replacement rehabilitation: a systematic review and meta-analysis[J]. Gait Posture, 2018, 62:68-74.
doi: 10.1016/j.gaitpost.2018.03.003 |
[48] |
Dargo L, Robinson K J, Games K E. Prevention of knee and anterior cruciate ligament injuries through the use of neuromuscular and proprioceptive training: an evidence-based review[J]. J Athl Train, 2017, 52(12):1171-1172.
doi: 10.4085/1062-6050-52.12.21 |
[49] | 吴华, 杨翼, 顾旭东, 等. 本体感觉强化训练对前交叉韧带重建后功能恢复的影响[J]. 中华物理医学与康复杂志, 2014, 36(4):291-294. |
Wu H, Yang Y, Gu X D, et al. Effect of proprioceptive intensive training on functional recovery after anterior cruciate ligament reconstruction[J]. Chin J Phys Med Rehabil, 2014, 36(4):291-294. | |
[50] |
Moezy A, Olyaei G, Hadian M, et al. A comparative study of whole body vibration training and conventional training on knee proprioception and postural stability after anterior cruciate ligament reconstruction[J]. Br J Sports Med, 2008, 42(5):373-385.
doi: 10.1136/bjsm.2007.038554 |
[51] | 李玉周, 王蕊, 胡英琪, 等. 8周不同处方训练对半月板术后患者膝关节本体感觉和等张功率的影响[J]. 北京体育大学学报, 2014, 37(5):77-81. |
Li Y Z, Wang R, Hu Y Q, et al. Effects of eight weeks different training prescription on knee joint proprioception and isotonic power of meniscectomy patients[J]. J Beijing Sport Univ, 2014, 37(5):77-81. | |
[52] | Jan M H, Tang P F, Lin J J, et al. Efficacy of a target-matching foot-stepping exercise on proprioception and function in patients with knee osteoarthritis[J]. J Orthop Sports Phys Ther, 2008, 38(1):19-25. |
[53] |
Voskanian N. ACL injury prevention in female athletes: review of the literature and practical considerations in implementing an ACL prevention program[J]. Curr Rev Musculoskelet Med, 2013, 6(2):158-163.
doi: 10.1007/s12178-013-9158-y pmid: 23413024 |
[54] |
Stasi S L D, Snyder-Mackler L. The effects of neuromuscular training on the gait patterns of ACL-deficient men and women[J]. Clin Biomech, 2012, 27(4):360-365.
doi: 10.1016/j.clinbiomech.2011.10.008 |
[55] |
Murray J J, Renier C M, Ahern J J, et al. Neuromuscular training availability and efficacy in preventing anterior cruciate ligament injury in high school sports: a retrospective cohort study[J]. Clin J Sport Med, 2017, 27(6):524-529.
doi: 10.1097/JSM.0000000000000398 pmid: 27755010 |
[56] |
Blaker C L, Little C B, Clarke E C. Joint loads resulting in ACL rupture: effects of age, sex and body mass on injury load and mode of failure in a mouse model[J]. J Orthop Res, 2017, 35(8):1754-1763.
doi: 10.1002/jor.v35.8 |
[57] |
Myer G D, Faigenbaum A D, Ford K R, et al. When to initiate integrative neuromuscular training to reduce sports-related injuries and enhance health in youth?[J]. Curr Sports Med Rep, 2011, 10(3):155-166.
doi: 10.1249/JSR.0b013e31821b1442 |
[58] |
Myer G D, Sugimoto D, Thomas S, et al. The influence of age on the effectiveness of neuromuscular training to reduce anterior cruciate ligament injury in female athletes: a meta-analysis[J]. Am J Sports Med, 2013, 41(1):203-215.
doi: 10.1177/0363546512460637 |
[59] |
Sadoghi P, Keudell A V, Vavken P. Effectiveness of anterior cruciate ligament injury prevention training programs[J]. J Bone Joint Surg Am, 2012, 94(9):769-776.
doi: 10.2106/JBJS.K.00467 |
[60] |
Sugimoto D, Myer G D, Barber Foss K D, et al. Specific exercise effects of preventive neuromuscular training intervention on anterior cruciate ligament injury risk reduction in young females: meta-analysis and subgroup analysis[J]. Br J Sports Med, 2015, 49(5):282-289.
doi: 10.1136/bjsports-2014-093461 |
[61] | 赵响, 詹建国, 许滨. 整合性神经肌肉训练预防青少年女性运动性膝关节损伤[J]. 中国组织工程研究, 2017, 21(32):5108-5114. |
Zhao X, Zhan J G, Xu B. Integrative neuromuscular training protects juvenile female athletes from knee injury[J]. J Clin Rehabil Tis Eng Res, 2017, 21(32):5108-5114. |
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