神经肌肉电刺激对前交叉韧带重建术后患者股四头肌肌力和步行功能的效果

doi:10.3969/j.issn.1006-9771.2025.02.015

Abstract

Abstract:

Objective To investigate the effect of neuromuscular electrical stimulation (NMES) on quadriceps muscle strength and walking for patients after anterior cruciate ligament reconstruction (ACLR).

Methods Thirty-four patients after ACLR were selected at Beijing Rehabilitation Hospital of Capital Medical University from July, 2022 to October, 2023, and randomly divided into control group (n = 17) and experimental group (n = 17). Both groups received routine rehabilitation and functional training, and the experimental group received NMES during the functional training, while the control group received sham NMES, for eight weeks. Quadriceps peak torque-to-weight ratio, single-leg support phase and plantar impulses during walking were measured before and after intervention.

Results Two cases in the control group and three in the experimental group dropped down. Quadriceps peak torque-to-weight ratio improved in both groups after intervention (|t| > 17.578, P< 0.001), and improved more in the experimental group than in the control group (t= 4.714, P< 0.001); while the affected single-leg support phase and the affected/unaffected single-leg support phase ratio improved in both groups (|t| > 16.882, P< 0.001), and improved more in the experimental group than in the control group (t> 3.234, P< 0.01); and plantar impulses of all zones optimized in both groups (t> 9.221, P< 0.001), and were better in the experimental group than in the control group(|t| > 2.852, P< 0.01).

Conclusion NMES may further improve quadriceps muscle strength, plantar pressure distribution during walking and single-leg support in patients after ACLR.

Key words: anterior cruciate ligament reconstruction, neuromuscular electrical stimulation, muscle strength, walking

CLC Number:

R622

FAN Zhijiao, JIN Lanqi, HUANG Zhibin, LI Yige, YAO Sihan, MA Yubao. Effect of neuromuscular electrical stimulation on quadriceps muscle strength and walking for patients after anterior cruciate ligament reconstruction[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(2): 242-248.

Figures/Tables 4

Table 1

Table 2

组别	n	测试	$x - ± s$	t值	P值
对照组	15	前测	70.80±4.60	-50.636	< 0.001
		后测	104.27±5.60
试验组	14	前测	71.29±6.34	-17.578	< 0.001
		后测	115.43±7.11
治疗前两组均值差			0.48±6.17	0.237	0.814
治疗后两组均值差			11.16±7.08	4.714	< 0.001

Table 2

Table 3

项目	组别	n	测试	$x - ± s$	t值	P值
患侧单足支撑相	对照组	15	前测	32.22±1.23	-125.149	< 0.001
			后测	35.79±1.27
	试验组	14	前测	32.36±1.58	-53.391	< 0.001
			后测	37.53±1.60
	治疗前两组均值差			0.14±1.44	0.258	0.799
	治疗后两组均值差			1.74±1.59	3.243	0.003
患侧/健侧单足支撑相比	对照组	15	前测	74.00±1.68	-16.882	< 0.001
			后测	86.74±1.04
	试验组	14	前测	73.98±1.18	-37.683	< 0.001
			后测	94.58±2.40
	治疗前两组均值差			-0.02±1.62	-0.058	0.954
	治疗后两组均值差			7.84±2.20	11.254	< 0.001

Table 3

Table 4

项目	组别	n	测试	$x - ± s$	t值	P值
前足区	对照组	15	前测	57.62±1.67	36.568	< 0.001
			后测	54.30±1.42
	试验组	14	前测	57.39±2.47	21.214	< 0.001
			后测	51.30±2.52
	治疗前两组均值差			-0.23±2.18	-0.294	0.771
	治疗后两组均值差			-0.29±2.35	-3.996	< 0.001
中足区	对照组	15	前测	13.58±1.43	27.624	< 0.001
			后测	11.56±1.45
	试验组	14	前测	13.33±0.9	17.009	< 0.001
			后测	10.19±1.10
	治疗前两组均值差			-0.25±1.35	-0.541	0.593
	治疗后两组均值差			-1.37±1.43	-2.852	0.008
足跟区	对照组	15	前测	28.80±1.70	24.123	< 0.001
			后测	34.13±2.07
	试验组	14	前测	29.29±2.60	9.221	< 0.001
			后测	38.51±2.78
	治疗前两组均值差			0.49±2.47	0.588	0.562
	治疗后两组均值差			4.38±2.72	4.834	< 0.001

Table 4

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组别	n	性别 (男/女)/n	年龄/岁	身高/cm	体质量/kg	BMI/(kg·m^-2)	患侧 (左/右)/n	病程/周
对照组	15	8/7	30.70±1.74	170.87±7.70	65.13±8.94	22.19±1.25	10/5	7.1±0.11
试验组	14	6/8	31.16±1.63	169.50±8.20	62.79±8.91	21.73±1.44	8/6	7.0±0.16
t值			0.192	-0.463	-0.708	-0.924		-0.378
P值		0.720^a	0.848	0.647	0.485	0.364	0.710^a	0.709

Effect of neuromuscular electrical stimulation on quadriceps muscle strength and walking for patients after anterior cruciate ligament reconstruction

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