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首页> 外文期刊>American Journal of Sports Science and Medicine >Evaluation of Joint Position Sense after ACL Reconstruction with Hamstring Tendon Auto Graft
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Evaluation of Joint Position Sense after ACL Reconstruction with Hamstring Tendon Auto Graft

机译：Ham绳肌腱自体移植重建ACL后关节位置感觉的评估

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Background: Use of STG (Semitendinosus and gracilis) graft is one of the standard techniques for anterior cruciate ligament (ACL) reconstruction. The purpose of this study was the comparison of joint position sense (JPS) in involved and uninvolved knees of ACL reconstructed athletes and control group. Methods: Fifteen elite athletes (7 handballs, 8 soccer players) with a unilateral ACL rupture who had received a hamstring tendon auto grafts ACL reconstruction, matched by motor dominance and sport to fifteen healthy elite athletes, were subjects of our study. The injured group experienced an average of 19.9 months from surgery to participation in the research.The Biodex System III Isokinetic dynamometer and Active Angle Reproduction test with angle of 30° knee flexion were used for evaluation of knee JPS. Results: No significant difference was found between involved and uninvolved knees of ACL reconstructed group and between involved knee of ACL reconstructed and control group (p<0/05). Conclusion: The present study revealed that athletes with ACL reconstructed knee may have not experience JPS malfunction. This fact suggests that proprioceptive acuity has multimodal characteristics and is not always primarily dependent on the sensory information of ligament mechanoreceptors. There is the possibility of offsetting this deficit by regeneration of sensory neurons in the reconstructed ligament or by rehabilitation program.
机译：背景：使用STG（Semitendinosus and gracilis）移植物是前十字韧带（ACL）重建的标准技术之一。本研究的目的是比较ACL重建运动员和对照组的受累和未受累膝盖的关节位置感觉（JPS）。方法：本研究对象为15名单侧ACL断裂的精英运动员（7个手球，8个足球运动员），他们接受了绳肌腱自体ACL重建，并通过运动优势和运动与15名健康的精英运动员进行了匹配。受伤组从手术到参加研究平均经历了19.9个月的时间.Biodex System III等速测功机和屈膝角度为30°的主动角度再现测试用于评估膝关节JPS。结果：ACL重建组的受累膝盖与未受累膝盖之间以及ACL重建组的受累膝盖与对照组之间无显着差异（p <0/05）。结论：本研究表明，ACL重建膝盖的运动员可能未经历过JPS故障。这一事实表明，本体感觉敏锐度具有多峰特征，并不总是主要取决于韧带机械感受器的感觉信息。有可能通过重建韧带中的感觉神经元再生或通过康复计划来弥补这一缺陷。

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