不同运动干预对前交叉韧带重建术后膝关节功能恢复的影响：一项基于网络荟萃分析的系统评价
简介
该网络荟萃分析纳入29项随机对照试验，比较了血流限制训练（BFRT）、全身振动训练（WBVT）、等速训练（IT）、功能性抗阻训练（FRT）和水下训练（WBT）等9种运动干预对ACL重建术后膝关节功能恢复的影响。主要结局指标包括Lysholm评分、IKDC评分、股四头肌肌力和肢体对称指数（LSI）。关键发现：FRT和WBT在改善Lysholm评分方面效果最佳；…
英文摘要
OBJECTIVE: To evaluate the effects of different exercise interventions, including blood flow restriction training (BFRT), whole-body vibration training (WBVT), and isokinetic training (IT), on knee function recovery post-ACL reconstruction using network meta-analysis. DESIGN: A comprehensive search of PubMed, Cochrane Library, Web of Science, and Embase identified randomized controlled trials (RCTs) published from database inception, with the earliest eligible RCT published in 2013, until April 25, 2024. Primary outcomes included Lysholm score, International Knee Documentation Committee (IKDC) score, quadriceps strength, and limb symmetry index (LSI). Network meta-analysis was performed with Stata 17.0 and RevMan 5.4. RESULTS: A total of 29 studies with nine interventions were included. Functional resistance training (FRT) and water-based training (WBT) showed the best improvements in Lysholm scores. WBVT and BFRT excelled in quadriceps strength, while WBVT and IT were superior in LSI. CONCLUSION: WBVT and IT improve quadriceps strength and LSI, while FRT and WBT are effective in early rehabilitation. BFRT enhances strength but has limited effect on LSI.