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Rehabilitation Practice and Science

Translated Title

膝部前十字韌帶重建術後之復健

Abstract

The technique of diagnosis and concepts in management of anterior cruciate ligament injury patient have been improving tremendously in the past few years. The postoperative care for the patients who have received ACL reconstruction has been a great concern to physicians, therapists and patients themselves. The purpose of this paper is to present a suggested rehabilitation protocol which is safe and effective and also to report the prognosis of our patients following this protocol. Among the 182 patients who had been operated at our hospital during 1984 to 1987. we collected 73 patients who had completed our rehabilitation program and had been regularly evaluated in 2,3 and 6 months after reconstruction. Some patients had been followed up for more than two years. This proctol is based upon many research informations and our clinical experience. The patients were sorted into three groups by different implant materials: group P (Patellar tendon medial one third), Group D (Dacron artificial ligament) and group G (Gortex artificial ligament). In evaluation of the knee function, we use the Lysholm score scale (Total 100) for functional rating and CYBEX II + system for testing the strength, endurance and torque acceleration energy of the muscle.After rehabilitation training, we found that the Lysholm score increased greatest and fastest in group G with significiant difference ( p＜ 0.01) from that of group D in male patients. However, group D was still better than group P. The improvement of peak torque value to body weight ratio at velocity 60°/sec in 2 months to 6 months after reconstruction were as following: Quadriceps: in male patients average increased from 55.22% to 69.1%. in female patients from 48.14% to 54.89%; Hamstrings: in male average from 39.0% to 54.5%. in female from 19.71% to 38.22%. The torque acceleration energy also increased after our training. The increase of Lysholm score is proportional to the improvement of muscle strength. The functional recovery of those patients who received Gortex artificial ligament and completed the whole protocol were excellent. Most of them could get normal ROM in 2 months. Many cases could begin the running program on 3 months and return to activities with good performance in 6 months. We hope this protocol can be proven through the test of time and adapted by more patients with ACL injury.

Language

Traditional Chinese

First Page

81

Last Page

91

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