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前十字韌帶受傷後的運動

Exercises after ACL Tendon Injury

摘要


在膝關節傷害的研究報告中發現,前十字韌帶是最常發生傷害的韌帶之一(DeHaven, 1980; Noyes, 1980),原因大多在一快跑突然轉向反方向動作、腳固定做急切、突然加速或減速、膝部產生內翻、內轉動作時,或膝屈曲承受外力時突然從外側對膝蓋直接撞擊造成過度伸展,均會造成前十字韌帶傷害。嚴重傷害常造成鬆弛或撕裂,並伴隨著半月軟骨的破裂(Noyes, 1983),產生膝關節無力與肌力的不平衡(Harter, 1990),使關節活動角度受限,進而影響膝關節功能發揮(Irrgang, 1993),而當前十字韌帶損傷後的復健運動就格外重要。因此本文之目的在於讓我們瞭解正確的運動復健對於前十字韌帶受傷病人之影響,期望能從中找出一些有效的治療觀念,使受傷的病人能得到一個最好的治療效果。

關鍵字

前十字韌帶 生物力學 復健

並列摘要


Many knee injury reports indicated that the Anterior Cruciate Ligament (ACL) is the most frequently injured ligament. The typical mechanism of ACL injury is sudden deceleration or acceleration, twisting, pivoting, and a sudden change of direction or knee over extension. Severe knee injuries such as ACL injury often result in induce dynamic instability, unbalance and/or ACL undue stress of the knee joint muscle, in additional to limited range of knee motions. Therefore, a correct and efficient rehabilitation program for ACL injury patient is very important. The purpose of this study is to understand the effects of a correct rehabilitation program on an ACL injured patient and to build a better and healthier rehabilitation concept for the ACL injury patient based on the study. And in order to do so, the clinician and coach have to understand the safety should be the first priority.

並列關鍵字

ACL Biomechanics Rehabilitation

參考文獻


林永福、詹美華(1984)。膝部韌帶機能不全。物理治療學會雜誌。9,46-50。
陳世益、范振齊、許生文(1991)。前十字韌帶損傷。中國運動醫學雜誌。11,93-101。
陳昭瑩、詹美華、柴惠敏、賴金鑫(1994)。前十字韌帶重建手術後膝部等速肌力之物理治療效果。中華物理治療雜誌。19,46-51。
伊藤浩充、市橋則明、丸山孝樹(1992)。Weakness of thigh muscles in individuals sustaining anterior cruciate ligament injury。Kobe J Med Sci。38,93-107。
Baratta, R.,Solomonow, M.,Zhou, B. H.(1988).Muscular coactivation: The role of the antagonist musculature in maintaining Knee stability.Am J Sports Med.16(2),113-122.

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