不同强度神经肌肉功能训练对前交叉韧带重建术后患者肌力和膝关节功能的影响

doi:10.3969/j.issn.1006-9771.2025.09.012

Abstract

Abstract:

Objective To compare the effect of different intensity of neuromuscular training (NMT) on muscle strength and knee joint function of patients after anterior cruciate ligament reconstruction (ACLR).

Methods From January, 2023 to January, 2024, 60 ACLR patients in Changhai Hospital were selected, and they received the same intensity of NMT from one to eight weeks after surgery. Eight weeks after surgery, they were randomly divided into low intensity group (n = 30) and high intensity group (n = 30), and then they received different intensities of NMT from nine to 16 weeks after surgery, each training session lasted one hour, with three sessions per week, totaly 48 sessions. The Lysholm score, knee flexor and extensor muscle strength and muscle endurancewere compared at eight weeks and 16 weeks after surgery.

Results After group training, the Lysholm score significantly increased in both groups (|t| > 13.739, P <0.001), and was higher in the high intensity group than in the low intensity group (t = -2.574, P < 0.05); in the high intensity group, the relative peak torque and endurance of the extensor and flexor muscles improved at angular velocities of 60°/s, 120°/s and 180 °/s (|t| > 2.320, P <0.05); in the low intensity group, the flexor peak torque improved at all the three angular velocities (t > 2.177, P< 0.05), the extensor peak torque improved at angular velocities of 60°/s and 180°/s (|t| > 1.715, P <0.05), and the extensor endurance improved at angular velocity of 60°/s (t = -2.293, P < 0.05). However, there was no significant difference in the relative peak torque and endurance of the extensor and flexor muscles at all the three angular velocities (P > 0.05).

Conclusion Both high and low intensity NMT could improve the muscle strength, muscle endurance and knee joint function. Maybe, high intensity is superior to low intensity. Further verification is still needed.

Key words: anterior cruciate ligament, neuromuscular training, muscle strength, muscle endurance, function

CLC Number:

R686.5

WANG Juan, ZHANG Qing, ZHOU Changlin, CHEN Changyun, DAI Feng, SUN Xianghong, ZOU Ting, WANG Jian, GAO Junkai, XU Weidong. Effect of different intensity neuromuscular training on muscle strength and knee joint function of patients after anterior cruciate ligament reconstruction[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(9): 1083-1091.

Figures/Tables 5

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References 46

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组别	n	性别(男/女)/n	年龄/岁	身高/m	体质量/kg	BMI/(kg⋅m^-2)	患病部位(左/右)/n
低强度组	30	18/12	31.03±6.33	1.76±0.16	71.30±13.03	23.58±5.53	13/17
高强度组	30	17/13	31.43±6.54	1.75±0.08	71.88±12.34	23.49±3.19	14/16
χ²/t值		0.069	-0.241	0.278	-0.176	0.073	0.067
P值		0.793	0.811	0.782	0.861	0.942	0.795

组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
低强度组	30	前测	64.73±9.25	-13.739	< 0.001
		后测	89.33±4.08
高强度组	30	前测	65.30±8.26	-14.929	< 0.001
		后测	92.20±4.54
分组训练前两组均值差			0.57±13.74	-0.250	0.803
分组训练后两组均值差			2.87±6.05	-2.574	0.013

变量	组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
伸肌相对峰力矩/(N⋅m⋅kg^-1)	低强度组	30	前测	0.74±0.35	-3.408	0.002
			后测	0.90±0.29
	高强度组	30	前测	0.79±0.28	-3.814	0.001
			后测	1.00±0.23
	分组训练前两组均值差			0.05±0.46	-0.613	0.543
	分组训练后两组均值差			0.10±0.41	-1.532	0.131
屈肌相对峰力矩/(N⋅m⋅kg^-1)	低强度组	30	前测	-0.56±0.22	-2.194	0.036
			后测	-0.66±0.31
	高强度组	30	前测	-0.50±0.16	4.379	< 0.001
			后测	-0.57±0.14
	分组训练前两组均值差			0.06±0.29	-1.184	0.242
	分组训练后两组均值差			0.09±0.38	-1.443	0.157
伸肌耐力	低强度组	30	前测	0.89±0.28	-2.293	0.029
			后测	0.93±0.23
	高强度组	30	前测	0.94±0.22	-3.075	0.005
			后测	0.98±0.24
	分组训练前两组均值差			0.05±0.33	-0.776	0.441
	分组训练后两组均值差			0.05±0.29	-0.860	0.393
屈肌耐力	低强度组	30	前测	0.96±0.27	-1.952	0.061
			后测	0.99±0.27
	高强度组	30	前测	1.03±0.12	-3.197	0.003
			后测	1.07±0.13
	分组训练前两组均值差			0.07±0.33	-1.203	0.236
	分组训练后两组均值差			0.08±0.33	-1.402	0.168

变量	组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
伸肌相对峰力矩/(N⋅m⋅kg^-1)	低强度组	30	前测	0.66±0.35	-1.715	0.097
			后测	0.78±0.31
	高强度组	30	前测	0.61±0.27	-3.398	0.002
			后测	0.77±0.16
	分组训练前两组均值差			-0.05±0.43	0.609	0.545
	分组训练后两组均值差			-0.01±0.37	0.130	0.897
屈肌相对峰力矩/(N⋅m⋅kg^-1)	低强度组	30	前测	-0.50±0.22	3.030	0.005
			后测	-0.60±0.24
	高强度组	30	前测	-0.49±0.22	4.100	< 0.001
			后测	-0.55±0.24
	分组训练前两组均值差			0.02±0.28	-0.287	0.775
	分组训练后两组均值差			0.05±0.31	-0.722	0.473
伸肌耐力	低强度组	30	前测	0.99±0.14	-0.530	0.600
			后测	1.01±0.27
	高强度组	30	前测	1.03±0.27	-3.420	0.002
			后测	1.07±0.23
	分组训练前两组均值差			0.04±0.27	-0.736	0.465
	分组训练后两组均值差			0.06±0.29	-0.896	0.374
屈肌耐力	低强度组	30	前测	1.02±0.17	-1.518	0.140
			后测	1.06±0.25
	高强度组	30	前测	1.07±0.20	-3.797	0.001
			后测	1.13±0.26
	分组训练前两组均值差			0.05±0.27	-1.110	0.272
	分组训练后两组均值差			0.06±0.38	-0.968	0.337

变量	组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
伸肌相对峰力矩/(Nm⋅kg^-1)	低强度组	30	前测	0.73±0.32	-2.541	0.017
			后测	0.81±0.30
	高强度组	30	前测	0.63±0.23	-2.503	0.018
			后测	0.75±0.36
	分组训练前两组均值差			-0.10±0.33	1.366	0.178
	分组训练后两组均值差			-0.07±0.49	0.762	0.449
屈肌相对峰力矩/(Nm⋅kg^-1)	低强度组	30	前测	-0.44±0.22	2.177	0.038
			后测	-0.52±0.26
	高强度组	30	前测	-0.43±0.23	5.863	< 0.001
			后测	-0.49±0.25
	分组训练前两组均值差			0.01±0.29	-0.192	0.848
	分组训练后两组均值差			0.03±0.32	-0.531	0.597
伸肌耐力	低强度组	30	前测	0.86±0.24	-0.714	0.481
			后测	0.87±0.24
	高强度组	30	前测	0.89±0.18	-2.320	0.028
			后测	0.91±0.21
	分组训练前两组均值差			0.03±0.30	-0.585	0.561
	分组训练后两组均值差			0.04±0.33	-0.724	0.472
屈肌耐力	低强度组	30	前测	0.88±0.24	-1.485	0.148
			后测	0.91±0.20
	高强度组	30	前测	0.92±0.15	-3.288	0.003
			后测	0.96±0.16
	分组训练前两组均值差			0.04±0.28	-0.839	0.405
	分组训练后两组均值差			0.05±0.23	-1.146	0.257

Effect of different intensity neuromuscular training on muscle strength and knee joint function of patients after anterior cruciate ligament reconstruction

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