전방십자인대 재건술 환자의 운동프로그램 참여 시기에 따른 등척성 근기능 비교 = Comparison of the Isometric Myofunction on Anterior Cruciate Ligament Reconstruction Patients according to the Time of Participation in Exercise Program

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 조용진, "퇴행성 슬관절염 환자에서 전방 십자 인대 기능 보존 여부에 따른 내측 경골 고평부의 관절 연골 마모 양상" 대한정형외과학회 42 (42): 340-344, 2007

2 김장규, "전방십자인대 재건술 후 재활운동프로그램 참여시기에 따른 슬관절 근기능의 비교" 국민대학교 대학원 2009

3 조우신, "전방십자인대 재건술 후 스포츠 재활 운동의 효과" 대한스포츠의학회 23 (23): 241-245, 2005

4 염윤석, "전방십자인대 재건술 후 근력의 회복" 대한스포츠의학회 25 (25): 106-110, 2007

5 정현, "전방십자인대 재건 술 후 초기재활운동프로그램이 슬관절 근 기능에 미치는 영향" 경기대학교 대학원 2006

6 민기식, "전방십자인대 손상환자에 있어서 가정재활 운동의 효과" 서울대학교 대학원 2004

7 장용우, "전방십자인대 상해 환자의 근 기능 개선을 위한 등속성운동의 효과" 15 (15): 235-245, 1997

8 김려섭, "슬관절" 최신의학사 2007

9 이재식, "대한 축구선수의 슬 관절 굴신에 대한 등속성 근력분석" 33 (33): 3368-3374, 1994

10 Keays SL, "The relationship between knee strength and functional stability before and after anterior cruciate ligament reconstruction" 21 (21): 231-237, 2003

11 Wilk KE, "The efforts of pad placement and angular velocity on tibial displacement during isokinetic exercise" 17 (17): 24-30, 1993

12 Odenstein M, "The course of partial anterior cruciate ligament ruptures" 13 (13): 183-186, 1985

13 Shen W, "Review article: Anatomic double bundle anterior cruciate ligament reconstruction" 15 (15): 216-221, 2007

14 Kvist J, "Rehabilitation following anterior cruciate ligament injury. Current recommendations for sports participation" 34 (34): 269-280, 2004

15 Henrikson M, "Range of motion training in brace vs plaster immobilization after anterior cruciate ligament reconstruction: a prospective randomized comparison with a 2-year follow-up" 12 (12): 73-80, 2002

16 Muellner T, "No benefit of bracing on the early outcome after anterior cruciate ligament reconstruction" 6 (6): 88-92, 1998

17 Wojtys EM, "Neuromuscular performance in normal and anterior cruciate ligament deficient lower extremities" 22 (22): 89-104, 1994

18 Blomstrand E, "Maximum rate of oxygen uptake by human skeletal muscle in relation to maximum activities of enzymes in the Krebs cycle" 501 (501): 455-460, 1997

19 Spencer JD, "Knee joint effusion and quadriceps reflex inhi- bition in man" 65 (65): 171-177, 1984

20 Risberg MA, "Design and implementation of a neuromuscular training program following anterior cruciate ligament reconstruction" 31 (31): 620-631, 2001

21 Bilko TE, "Current trends in repair and rehabilitation of complete(acute) anterior cruciate ligament injures: Analysis of questionnaire compl- eted by ACL study group" 14 (14): 143-147, 1986

22 Zavetsky AB, "Cruciate ligament loading during isometric muscle contractions" 22 (22): 418-423, 1994

23 Lehmkuhl LD, "Brunnstrom's Clinical Kinesiology. 4th ed" FA Davis 1983

24 Jurist KA, "Anteriorposterior tibio- femoral displacements during isometric extension efforts. The roles of external load and knee flexion angle" 13 (13): 254-258, 1985

25 Duthon VB, "Adrassart S et al. Anatomy of the Anterior cruciate ligament" 14 (14): 204-213, 2006

26 Clancy WG, "Acute tears of the anterior cruciate ligament: Surgical versus conservative treatment" 70 (70): 1483-1488, 1988

27 Shelbourne KD, "Accelerated rehabilitation after anterior cruciate ligament reconstrucion" 18 (18): 292-299, 1990

28 Jenkins WL, "A measurement of anterior tibial displacement in the closed and open kinetic chain" 25 (25): 49-56, 1997

29 Davies GJ, "A Compendium of isokinetics in Clinical Usage and Rehabilitation Technique. 2nd ed" WI. S & S Publishing 1985