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首页> 外文期刊>Journal of athletic training >Quadriceps activation following knee injuries: a systematic review.
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Quadriceps activation following knee injuries: a systematic review.

机译:膝关节伤害后Quaddriceps激活:系统审查。

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CONTEXT: Arthrogenic muscle inhibition is an important underlying factor in persistent quadriceps muscle weakness after knee injury or surgery. OBJECTIVE: To determine the magnitude and prevalence of volitional quadriceps activation deficits after knee injury. DATA SOURCES: Web of Science database. STUDY SELECTION: Eligible studies involved human participants and measured quadriceps activation using either twitch interpolation or burst superimposition on patients with knee injuries or surgeries such as anterior cruciate ligament deficiency (ACLd), anterior cruciate ligament reconstruction (ACLr), and anterior knee pain (AKP). DATA EXTRACTION: Means, measures of variability, and prevalence of quadriceps activation (QA) failure (<95%) were recorded for experiments involving ACLd (10), ACLr (5), and AKP (3). DATA SYNTHESIS: A total of 21 data sets from 18 studies were initially identified. Data from 3 studies (1 paper reporting data for both ACLd and ACLr, 1 on AKP, and the postarthroscopy paper) were excluded from the primary analyses because only graphical data were reported. Of the remaining 17 data sets (from 15 studies), weighted mean QA in 352 ACLd patients was 87.3% on the involved side, 89.1% on the uninvolved side, and 91% in control participants. The QA failure prevalence ranged from 0% to 100%. Weighted mean QA in 99 total ACLr patients was 89.2% on the involved side, 84% on the uninvolved side, and 98.5% for the control group, with prevalence ranging from 0% to 71%. Thirty-eight patients with AKP averaged 78.6% on the involved side and 77.7% on the contralateral side. Bilateral QA failure was commonly reported in patients. CONCLUSIONS: Quadriceps activation failure is common in patients with ACLd, ACLr, and AKP and is often observed bilaterally.
机译:背景:关节性肌肉抑制是膝关节损伤或手术后持续的Quadriceps肌肉无力的重要潜在因素。目的:确定膝关节损伤后的激活Quadriceps激活缺陷的幅度和患病率。数据源:科学数据库网站。学习选择:符合条件的研究涉及人类参与者,并使用膝盖损伤或手术患者的患者患者进行Quaddriceps激活,例如前十字架韧带缺乏(ACLD),前令韧带重建(ACLR)和前膝疼痛(AKP )。数据提取:用于记录涉及ACLD(10),ACLR(5)和AKP(3)的实验记录Quadriceps激活(QA)失败(95%)的Quadriceps激活(QA)失败(<95%)的尺寸和患病率。数据合成:最初识别了来自18项研究的总共21个数据集。来自3研究的数据(1个ACLD和ACLR,AKP的纸张报告数据以及Postrithoscopy纸)被排除在主要分析之外,因为仅报告了图形数据。其余17种数据集(从15个研究开始),352名ACLD患者的加权平均QA在涉及的侧为87.3%,在未凝固的侧面上为89.1%,控制参与者的91%。 QA失败流行量为0%至100%。 99中加权平均QA总ACLR患者在涉及的侧为89.2%,未凝固侧84%,对照组的98.5%,流行量为0%至71%。三十八名患者AKP患者在涉及的一侧平均为78.6%,对侧侧为77.7%。患者通常报道双侧QA失败。结论:Quadriceps活化失败是ACLD,ACLR和AKP患者常见的,并且通常观察到双侧。

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