早期交替性全身振动训练对ACL重建术后神经肌肉控制与功能的影响：一项随机对照试验
简介
该随机对照试验纳入34例ACL重建术后男性患者，在常规康复基础上增加早期交替侧向全身振动训练（SAV-WBVT），持续8周。结果显示，振动组在膝伸屈肌峰力矩、关节位置觉（90°-60°、90°-30°）、静态平衡及Lysholm评分上均显著优于单纯常规康复组，但关节运动觉改善无组间差异。提示术后5周开始加入SAV-WBVT可有效提升肌力、本体感觉与主观功能，…
英文摘要
OBJECTIVE: This study aims to evaluate the rehabilitation efficacy of side-alternating whole-body vibration training (SAV-WBVT) combined with conventional rehabilitation training for male patients undergoing anterior cruciate ligament reconstruction (ACLR). METHODS: Between January 2024 and March 2025, thirty-four male patients (0-4 weeks post-ACLR) were initially recruited and randomly allocated to a control group (n = 17) or a whole-body vibration training (WBVT) group (n = 17). During the 8-week trial, 6 patients dropped out, leaving 14 patients per group for the final analysis. Both groups received conventional rehabilitation training, while the WBVT group concurrently received SAV-WBVT. Intra- and inter-group comparisons were evaluated pre-intervention and post-8-week intervention using two-way repeated measures ANOVA. RESULTS: All indicators significantly improved over time in both groups. Specifically, compared to the control group, the WBVT group demonstrated significantly superior outcomes at the post-8-week intervention assessment in knee extensor and flexor peak torque, joint position sense (90°-60°, 90°-30°), static balance (eyes open and closed), and Lysholm Knee Scores. However, there was no significant between-group difference in joint kinesthesia improvement. CONCLUSIONS: Early rehabilitation after ACLR has a significant time effect, and the 8-week SAV-WBVT combined with conventional rehabilitation program starting at 5 weeks after surgery is superior to conventional rehabilitation training alone in improving muscle strength, joint position sense, static balance, and patients' subjective functional perception. It is recommended to include it in the early rehabilitation program after ACLR. CLINICAL TRIAL REGISTRATION: https://www.chictr.org.cn/showproj.html?proj=215786, ChiCTR2400079359.