Abstract:
Despite significant advancements in surgical instruments and operation skills, short- and long-term outcomes following anterior cruciate ligament reconstruction (ACLR) remain unsatisfactory, as many patients fail to return to their pre-injury level of sports. Inadequate ACL rehabilitation is the primary cause of poor outcomes. Nurses have become a crucial element in the rehabilitation process. Although there is no consensus regarding the optimal post-operative rehabilitation protocols, restoring muscle strength and neuromuscular control are consistently the primary goals. This literature review presents nurse-assisted rehabilitation protocols aiming at improving muscle strength and neuromuscular control. The review discusses postoperative rehabilitation, including home-based and supervised rehabilitation, open and closed kinetic chain exercises, eccentric and concentric training, blood flow restriction training, and plyometric training. Each training protocol has its benefits and drawbacks, and should be used cautiously in specific stages of rehabilitation. Neuromuscular training, such as neuromuscular electrical stimulation, neuromuscular control exercises, and vibration therapy, is considered crucial in rehabilitation.
摘要:
尽管在手术器械和操作技能方面取得了显著进步,前交叉韧带重建术(ACLR)后的短期和长期结果仍不能令人满意,因为许多患者未能恢复到受伤前的运动水平。ACL康复不充分是不良结果的主要原因。护士已成为康复过程中的关键因素。尽管关于最佳的术后康复方案尚未达成共识,恢复肌肉力量和神经肌肉控制始终是主要目标。这篇文献综述提出了旨在改善肌肉力量和神经肌肉控制的护士辅助康复方案。这篇综述讨论了术后康复,包括以家庭为基础和有监督的康复,开放式和封闭式动力学链练习,偏心和同心训练,血流限制训练,和塑形训练。每个培训方案都有其优点和缺点,在康复的特定阶段应谨慎使用。神经肌肉训练,如神经肌肉电刺激,神经肌肉控制练习,和振动疗法,被认为是康复的关键。