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Comparing Changes in Knee Muscle Strength after Reconstruction of the Anterior and Posterior Cruciate Ligaments 원문보기

Journal of Korean Physical Therapy : JKPT = 대한물리치료학회지, v.31 no.6, 2019년, pp.339 - 345  

Hyun, SangWook (Department of Physical Therapy, Daegu Health College Hospital) ,  Kim, SoHee (Department of Physical Therapy, Daegu Dalgubeol General Welfare Center) ,  Kim, TaeHo (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)

Abstract AI-Helper 아이콘AI-Helper

Purpose: The purpose of this study was to identify changes in knee muscle strength after reconstruction of the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). Methods: Thirteen subjects (males) with anterior ligament injury and ten subjects (males) with posterior ligament...

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AI 본문요약
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제안 방법

  • Before the measurements were taken, the subjects practiced a submaximal exercise of the knee extensors and flexors four times (angular velocities of 60° and 180°/sec).
  • The measurements were taken before and after surgery. Each subject rode a stationary bicycle for 10 minutes as a warm-up exercise before the measurement and then stretched the quadriceps and the hamstring muscle for 5 minutes. For all subjects, motion ranged from 0° to 90° of knee flexion.
  • The experimental design of this study was two groups pre and post-test design. The experiment was divided into pre-operative (the day before surgery) and post-operative (after 12 weeks) measurements. The measurements were performed on the isokinetic dynamometer in a seated position with the back fully supported and the hip in 110° of flexion using Velcro straps to stabilize the trunk, waist and the thigh of the tested leg.
  • The experimental design of this study was two groups pre and post-test design. The experiment was divided into pre-operative (the day before surgery) and post-operative (after 12 weeks) measurements.
  • The measurements were performed on the isokinetic dynamometer in a seated position with the back fully supported and the hip in 110° of flexion using Velcro straps to stabilize the trunk, waist and the thigh of the tested leg.
  • The purpose of this study was to comparatively analyze changes in isokinetic muscle strength of the knee joint before and after surgery in 13 adults who had undergone reconstruction due to ACL injury and 10 adults who had undergone reconstruction due to PCL injury, and, thereby, to provide guidelines for post-operative rehabilitation.
  • This study aims to provide guidelines for post-operative rehabilitation by comparing and analyzing changes in muscle strength of the extensors and flexors of the knee joint before and after surgery in patients who have undergone reconstructive surgery due to an ACL or PCL rupture.
  • In addition, the subject’s personal activities were not controlled. This study focused on muscle strength changes and did not evaluate functional changes of the knee joint. It is believed that changes in the knee joint functional level will be necessary in the future.
  • Muscle strength was evaluated at angular velocities of 60°/sec and 180°/sec. Three items were measured: peak torque, total work, and hamstring to quadriceps peak torque ratio (H/Q peak torque ratio).

대상 데이터

  • Twenty-three adult males who underwent cruciate ligament reconstruction at K general hospital in Daegu, Republic of Korea due to a rupture of the cruciate ligament of the knee joint were enrolled in this study. Group 1 is composed of 13 patients with an ACL rupture and Group 2 is composed of 10 patients with a PCL rupture.

데이터처리

  • The Shapiro-Wilk test was used for a test of normality. The statistical significance of the data was determined by performing an independent ttest to compare the difference between the two groups, and a paired ttest to compare the within-group difference between before and after surgery. The significance level of the statistical tests was set at p < 0.

이론/모형

  • 0 for Windows was used to calculate the means and the standard deviations of all data. The Shapiro-Wilk test was used for a test of normality. The statistical significance of the data was determined by performing an independent ttest to compare the difference between the two groups, and a paired ttest to compare the within-group difference between before and after surgery.
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