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術(shù)前等速離心訓(xùn)練和補(bǔ)充分離乳清蛋白對前交叉韌帶斷裂患者股四頭肌肌力和膝關(guān)節(jié)功能的影響

發(fā)布時(shí)間:2019-06-20 08:52
【摘要】:目的通過觀察術(shù)前等速離心訓(xùn)練和補(bǔ)充乳清蛋白對前交叉韌帶(ACL)斷裂患者股四頭肌力量及其功能的影響,探討等速離心運(yùn)動對ACL斷裂患者下肢功能康復(fù)的作用。方法招募18~40歲男性ACL斷裂志愿者,共入組22例,采用區(qū)組化隨機(jī)數(shù)字表法分為等速離心訓(xùn)練(IE)組和等速離心訓(xùn)練+分離乳清蛋白補(bǔ)充(IE+WPI)組。IE組受試者術(shù)前在實(shí)驗(yàn)室等速生物力學(xué)測試訓(xùn)練儀上進(jìn)行患肢股四頭肌等速離心訓(xùn)練,每周2次,每次3~4組×8~10個重復(fù),訓(xùn)練間隔時(shí)間至少1 d;IE+WPI組在上述股四頭肌等速離心訓(xùn)練基礎(chǔ)上每天補(bǔ)充分離乳清蛋白22 g,早餐或運(yùn)動訓(xùn)練后30~60 min內(nèi)服用。干預(yù)時(shí)間6周。干預(yù)前后分別檢測雙側(cè)股四頭肌60°/s等速肌力、肌肉量、膝關(guān)節(jié)功能及松弛度、大腿圍度、骨骼肌指數(shù)等指標(biāo)。結(jié)果干預(yù)后,IE組和IE+WPI組受試者患側(cè)股四頭肌等速離心收縮峰力矩(PT)(41.0%,P=0.018;46.7%,P=0.008)和向心收縮峰力矩(PT)(29.6%,P=0.018;38.9%,P=0.038)均比干預(yù)前顯著增加。與干預(yù)前比較,IE+WPI組Lysholm膝關(guān)節(jié)評分顯著增加(P=0.018)。結(jié)論術(shù)前等速離心訓(xùn)練可以顯著增加ACL斷裂患者股四頭肌肌力,并在一定程度上改善膝關(guān)節(jié)功能,聯(lián)合補(bǔ)充乳清蛋白效果更佳。
[Abstract]:Objective to observe the effect of isokinetic centrifugation training and whey protein supplementation on the strength and function of quadriceps femoris in patients with (ACL) rupture of anterior cruciate ligament, and to explore the effect of isokinetic centrifugation on the rehabilitation of lower extremity function in patients with ACL rupture. Methods 22 male volunteers with ACL rupture were recruited and divided into (IE) group and (IE WPI) group by histochemical random digital table method. The subjects in IE group underwent isokinetic centrifugation training on the laboratory isokinetic biomechanical training instrument for isokinetic centrifugation of quadriceps femoris twice a week, 3 times a week, 4 groups 脳 8 times a week, and the training interval was at least 1 day. In IE WPI group, 22 g whey protein was separated every day on the basis of isokinetic centrifugation training of quadriceps femoris, and taken within 30 脳 60 min after breakfast or exercise training. The intervention time was 6 weeks. The isokinetic muscle strength, muscle mass, knee joint function and relaxation, thigh circumference and skeletal muscle index of bilateral quadriceps femoris were measured before and after intervention. Results after intervention, the peak torque of isokinetic centrifugation of quadriceps femoris in IE group and IE WPI group was 41.0%, P 鈮,

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