Research Progress of Isokinetic Muscle Strength Training Combined with Electromagnetic Field on Rapid Rehabilitation of Anterior Cruciate Ligament Reconstruction after Military Training Injury

Abstract

Abstract: The injury of anterior cruciate ligament of knee is one of the most common military training injurie types, and the injured anterior cruciate ligaments are normally treated by reconstructive surgery. But postoperative complications such as joint pain, swelling, and limited range of motion often occur. It often takes a long time to restore normal knee function after surgery, which significant reduces the effectiveness of troops. This paper summarizes the research progress of rehabilitation after anterior cruciate ligament reconstruction from the perspective of isokinetic muscle strength training and electromagnetic field therapy. We suggest that it is effective to prevent military training injury by routine muscle parameter isokinetic testing and formulation of individualized rehabilitation program based on the testing results. In addition, the accurate rehabilitation program with combination of isokinetic muscle force and electromagnetic field with specific parameters is an important measure to accelerate the recovery time of officers and soldiers after anterior cruciate ligament reconstruction in the future.

Key words: anterior cruciate ligament injury, military training injury, isokinetic muscle strength, electromagnetic fields, precision rehabilitation

CLC Number:

R687.4

SHANG Hui-juan, ZHANG jia-yi, WU Xiang-bo, SUN Ya-chao, ZENG Jia-hao, XIE Xiao-wen, ZHANG Xiao-chen, WANG Hao, ZHANG Qian, FEI Ying-jun, GAO Jun-feng, ZHANG Bin. Research Progress of Isokinetic Muscle Strength Training Combined with Electromagnetic Field on Rapid Rehabilitation of Anterior Cruciate Ligament Reconstruction after Military Training Injury[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(20): 54-57.

References

[1] 杨森,夏磊,马珍珍,等.某部队近5年军事训练伤调查分析[J].解放军医学院学报,2021,42(10):1030-1034.
[2] Ishibashi Y, Adachi N, Koga H, et al.Japanese Orthopaedic Association (JOA) clinical practice guidelines on the management of anterior cruciate ligament injury - Secondary publication[J]. J Orthop Sci, 2020, 25(1):6-45.
[3] 孙凯,陈蕾,麦瑶,等.加速康复外科在前交叉韧带重建围术期的应用[J].中国组织工程研究,2021,25(11):1647-1651.
[4] 张雪梅,彭城,杜进兵,等.2013与2014年住院军事训练伤分析[J].解放军预防医学杂志,2017,35(192):51-53,57.
[5] 刘金京,张春秋,石恒源,等.2013-2018年武警某部军事训练伤发生情况调查[J].人民军医,2020,63(2):30-32.
[6] Agarwalla A, Puzzitiello RN, Liu JN, et al.Timeline for maximal subjective outcome improvement after anterior cruciate ligament reconstruction[J]. Am J Sports Med, 2019, 47(10):2501-2509.
[7] 唐继仁,吕帧贤.关节镜下前交叉韧带重建术研究进展[J].现代医学与健康研究电子杂志,2018,2(10):33-34.
[8] 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.
[9] Sogut B, Ozsoy H, Baloglu R, et al.Effects of Whole-Body Vibration Training on Knee Muscle Strength After Anterior Cruciate Ligament Reconstruction: A Critically Appraised Topic[J]. J Sport Rehabil,2022,31(3):356-361.
[10] Jack R A 2nd, Lambert B S, Hedt C A, et al. Blood Flow Restriction Therapy Preserves Lower Extremity Bone and Muscle Mass after ACL Reconstruction[J]. Sports Health, 2022, Jun 27, Epub ahead of print.
[11] Wilk K E, Arrigo C A.Rehabilitation Principles of the Anterior Cruciate Ligament Reconstructed Knee: Twelve Steps for Successful Progression and Return to Play[J]. Clinics in Sports Medicine, 2017,36(1): 189-232.
[12] Hislop H J, Perrine J J.The isokinetic concept of exercise[J]. Physical Therapy, 1967,47(2):114-117.
[13] 刘晓鹏,安华,于长隆.应用等速肌力测试评价膝前交叉韧带断裂重建术后康复的效果[J].中国运动医学杂志,2008,27(3):286-289.
[14] 何建忠. 等速肌力训练在膝关节康复治疗的应用[J].继续医学教育,2015,29(4):116-117.
[15] 王垚,张序,郁冰,等.等速肌力训练对前交叉韧带重建术后功能恢复的影响[J].中国煤炭工业医学杂志,2015,18(9):1452-1456.
[16] 柳海峰,陆伟,梁达强,等.大腿肌群等速训练对前交叉韧带重建术后移植物塑形的影响[J].中国修复重建外科杂志,2019,33(9):1088-1094.
[17] 刘爽. 前交叉韧带重建术后患者等速肌力训练的应用效果[J].医学信息,2020,33(23):116-118.
[18] 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.
[19] Coury H J, Brasileiro J S, Salvini T F, et al.Change in knee kinematics during gait after eccentric isokinetic training for quadriceps in subjects submitted to anterior cruciate ligament reconstruction[J]. Gait Posture,2006,24(3):370-374.
[20] Cioppa-Mosca, Je Me.Handbook of postsurgical rehabilitation guidelines for the orthopedic clinician[M]. Mosby, 2008:270-280.
[21] Sekir U, Gur H, Akova B, et al.Early versus late start of isokinetic hamstring-strengthening exercise after anterior cruciate ligament reconstruction with patellar tendon graft.[J]. American Journal of Sports Medicine, 2010, 38(3): 492-500.
[22] Van Der Horst N, Denderen R V. Isokinetic hamstring and quadriceps strength interpretation guideline for football (soccer) players with ACL reconstruction: a Delphi consensus study in the Netherlands[J].Sci Med Footb,2022,11:1-12.
[23] 邴建华,姜品,苏本平.等速肌力训练对前交叉韧带重建术后患者的疗效分析[J].反射疗法与康复医学,2022,3(6):43-45,54.
[24] Li S, Yu B, Zhou D, et al. Electromagnetic fields for treating osteoarthritis (Review)[J]. Cochrane Libr,2013,12:CD003523.
[25] Bassett C A, Mitchell S N, Gaston S R.Pulsing Electromagnetic Field Treatment in Ununited Fractures and Failed Arthrodeses[J]. JAMA J Am Med Assoc,1982,247(5):623-628.
[26] Huegel J, Choi D S, Nuss C A, et al.Effects of pulsed electromagnetic field therapy at different frequencies and durations on rotator cuff tendon-to-bone healing in a rat model[J]. J Shoulder Elb Surg,2018,27(3):553-560.
[27] Dolkart O, Kazum E, Rosenthal Y, et al.Effects of focused continuous pulsed electromagnetic field therapy on early tendon-to-bone healing[J]. Bone Joint Res,2021,10(5):298-306.
[28] Marmotti A, Mattia S, Mangiavini L, et al.Hamstring grafts are tenogenic constructs for ACL reconstruction and Pulsed Electromagnetic Fields improve tendon specific markers expression. An in-vitro study[J]. J Biol Regul Homeost Agents,2020,34(4):363-376.
[29] Zhang B, Xie Y, Ni Z, et al.Effects and Mechanisms of Exogenous Electromagnetic Field on Bone Cells:A Review[J]. Bioelectromagnetics,2020,41(4):263-278.
[30] Agcp A, Bepp B, Guermazi C A, et al.Accelerated Return to Sport After Anterior Cruciate Ligament Reconstruction and Early Knee Osteoarthritis Features at 1 Year: An Exploratory Study-ScienceDirect[J]. PM&R, 2018,10(4):349-356.
[31] Benazzo F, Zanon G, Pederzini L, et al.Effects of biophysical stimulation in patients undergoing arthroscopic reconstruction of anterior cruciate ligament: prospective, randomized and double blind study[J]. Knee Surg Sports Traumatol Arthrosc,2008,16(6):595-601.
[32] Ouyang J, Zhang B, Kuang L, et al.Pulsed Electromagnetic Field Inhibits Synovitis via Enhancing the Efferocytosis of Macrophages[J].BioMed Research International, 2020, 6:1-13.
[33] Ardern C L, Webster K E, Taylor N F, et al.Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruction surgery: two-thirds of patients have not returned by 12 months after surgery[J]. Am J Sport Med,2011,39(3):538-543.
[34] 谢地,亓建洪,陈卉芳,等.从肌力的视角看前交叉韧带损伤的预防机制[J].山东体育科技,2016,38(3):52-55.
[35] 古翠翠,王岸新.优秀运动员前交叉韧带重建术后康复治疗的研究[J].四川体育科学,2019,38(6):31-33.
[36] Nambi G, Abdelbasset W K, Alrawail S M, et al.Effects of isokinetic knee muscle training on bone morphogenetic proteins and inflammatory biomarkers in post-traumatic osteoarthritis after anterior cruciate ligament injury: A randomized trial[J]. J Rehabil Med,2020,52(9):1-9.