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Comparison of the Isometric Myofunction on Anterior Cruciate Ligament Reconstruction Patients according to the Time of Participation in Exercise Program  

Bae, Chang-Hwan (Major in Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University)
Cho, Sung-Hyoun (Major in Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University)
HwangBo, Kak (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.6, no.4, 2011 , pp. 455-464 More about this Journal
Abstract
Purpose : This study is to investigate difference in the isometric muscular function of knee joints according to the time of participation in rehabilitation exercise in patients who had anterior cruciate ligament reconstruction. Methods : The subjects of this study were patients by sports injury or accident in the sports rehabilitation center of G hospital. The early exercise program group (n=7) started functional ability exercise from 2 weeks after the surgery and the late exercise program group (n=7) from 6 weeks after the surgery. Statistical analysis was used repeated measure ANOVA to test mean difference by using SPSS 18.0 for windows. Results : First, as to quadriceps femoris muscle according to the time of participation in exercise program, significant difference was observed according to interaction and time. Second, as to hamstring muscle according to the time of participation in exercise program, significant difference was observed in muscle strength according to time. Conclusion : This results suggest that if the effect of exercise program is similar between the early starting group and the late starting group, it is not necessary to have a long period of fixation as in the late exercise program group but is desirable to start functional ability exercise early in order to relieve pains in the knee joints.
Keywords
Exercise program; Anterior cruciate ligament; Isometric myofuction;
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1 Keays SL, Bullock-Saxton JE. Newcombe P et al. The relationship between knee strength and functional stability before and after anterior cruciate ligament reconstruction. J Orthop Res. 2003;21(2): 231-7.   DOI   ScienceOn
2 Kvist J. Rehabilitation following anterior cruciate ligament injury. Current recommendations for sports participation. Sports Med. 2004;34(4):269-80.   DOI   ScienceOn
3 Lehmkuhl LD, Smith LK. Brunnstrom's Clinical Kinesiology. 4th ed. Philadelphia. FA Davis. 1983.
4 Muellner T, Alacamlioglu Y, Nikolic A et al. No benefit of bracing on the early outcome after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 1998;6(2):88-92.   DOI   ScienceOn
5 Odenstein M, Lysholm J, Gillquist J. The course of partial anterior cruciate ligament ruptures. Am J Sports Med. 1985; 13(3):183-6.   DOI   ScienceOn
6 Risberg MA, Mork M, Jenssen HK et al. Design and implementation of a neuromuscular training program following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2001;31 (11):620-31.
7 Shelbourne KD, Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstrucion. Am J Sports Med, 1990;18(3):292-9.   DOI   ScienceOn
8 Shen W, Jorda S. Review article: Anatomic double bundle anterior cruciate ligament reconstruction. J Orthop Res. 2007;15(2): 216-21.
9 Spencer JD, Hayes KC, Alexander IJ. Knee joint effusion and quadriceps reflex inhi- bition in man. Arch Phys Med Rehabil. 1984;65(4):171-7.
10 Wilk KE, Andrews JR. The efforts of pad placement and angular velocity on tibial displacement during isokinetic exercise. J Orthop Sports Phys Ther. 1993;17(1):24-30.
11 Wojtys EM, Huston LJ. Neuromuscular performance in normal and anterior cruciate ligament deficient lower extremities. Am J Sports Med. 1994;22(1):89-104.   DOI   ScienceOn
12 Zavetsky AB, Beard DJ, O'Conner JJ. Cruciate ligament loading during isometric muscle contractions. Am J Sports Med. 1994;22(3):418-23.   DOI   ScienceOn
13 장용우, 권양기, 김유섭. 전방십자인대 상해 환자의 근 기능 개선을 위한 등속성운동의 효과. 대한스포츠의학회지. 1997;15(2):235-45.
14 정현. 전방십자인대 재건 술 후 초기재활운동프로그램이 슬관절 근 기능에 미치는 영향. 경기대학교 대학원 석사학위논문. 2006.
15 Bilko TE, Paulos LE, Feagin JA. Current trends in repair and rehabilitation of complete(acute) anterior cruciate ligament injures: Analysis of questionnaire compl- eted by ACL study group. Am J Sports Med. 1986;14(2):143-7.   DOI   ScienceOn
16 Duthon VB, Barea C, Adrassart S et al. Anatomy of the Anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2006;14(3):204-13.   DOI   ScienceOn
17 Blomstrand E, Radegran G, Saltin B. Maximum rate of oxygen uptake by human skeletal muscle in relation to maximum activities of enzymes in the Krebs cycle. J Physiol. 1997;501(2):455-60.   DOI   ScienceOn
18 Clancy WG, Ray JM, Zoltan DJ. Acute tears of the anterior cruciate ligament: Surgical versus conservative treatment. J Bone Joint Surg. 1988;70(10):1483-8.
19 Davies GJ. A Compendium of isokinetics in Clinical Usage and Rehabilitation Technique. 2nd ed. La Crosse, WI. S & S Publishing. 1985.
20 Henrikson M, Rockborn P, Good L. Range of motion training in brace vs plaster immobilization after anterior cruciate ligament reconstruction: a prospective randomized comparison with a 2-year follow-up. Scand J Med Sci Sports. 2002;12(2):73-80.   DOI   ScienceOn
21 Jenkins WL, Munns SW, Jayaraman G et al. A measurement of anterior tibial displacement in the closed and open kinetic chain. J Ortho Sports Phys Ther. 1997;25(1):49-56.
22 Jurist KA, Otis JC. Anteriorposterior tibio- femoral displacements during isometric extension efforts. The roles of external load and knee flexion angle. Am J Sports Med. 1985;13(4):254-8.   DOI   ScienceOn
23 이재식. 대한 축구선수의 슬 관절 굴신에 대한 등속성 근력분석. 한국체육학회지. 1994;33(3) 3368-74.
24 김려섭. 슬관절. 서울. 최신의학사. 2007.
25 김장규. 전방십자인대 재건술 후 재활운동프로그램 참여시기에 따른 슬관절 근기능의 비교. 국민대학교 대학원 석사학위 논문. 2009.
26 민기식. 전방십자인대 손상환자에 있어서 가정재활 운동의 효과. 서울대학교 대학원. 석사학위 논문. 2004.
27 염운석, 조우선, 황지효 등. 전방십자인대 재 건술후 근력의 회복. 한국체육학회지. 2007; 25(1):106-10.
28 조우신, 설의상, 김민영 등. 전방십자인대 재건술 후 스포츠 재활 운동의 효과. 대한스포츠의학회지. 2005;15(2):241-5.
29 조용진, 최충혁, 김종헌 등. 퇴행성 슬관절염 환자에서 전방십자인대 기능 보존 여부에 따른 내측 경골 고평부의 관절 연골 마모양상. 대한 정형외과학회. 2007;42(2):340-4.