ARTHROGENIC QUADRICEPS INHIBITION AND REHABILITATION OF PATIENTS WITH EXTENSIVE TRAUMATIC KNEE INJURIES

被引:152
作者
HURLEY, MV [1 ]
JONES, DW [1 ]
NEWHAM, DJ [1 ]
机构
[1] HEADLEY COURT, MED REHABIL UNIT, SURREY, ENGLAND
关键词
ARTHROGENIC MUSCLE INHIBITION; ARTICULAR AFFERENTS; FUNCTIONAL JOINT STABILITY; MUSCLE STRENGTH; REHABILITATION;
D O I
10.1042/cs0860305
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
1. The relationship between joint damage, quadriceps weakness and arthrogenic muscle inhibition was investigated in eight patients who had sustained extensive traumatic knee injury. Isometric and isokinetic quadriceps and hamstring voluntary strength, and quadriceps arthrogenic muscle inhibition during isometric contractions, were measured before and after 4 weeks (approximately 100 h) of intensive rehabilitation. 2. Compared with the uninjured leg, before rehabilitation the injured leg had larger amounts of quadriceps arthrogenic muscle inhibition (P < 0.025), quadriceps (P < 0.0001) and hamstring (P < 0.0001) weakness and severe functional joint instability. There was a negative correlation between the amount of arthrogenic muscle inhibition and quadriceps voluntary contraction force (P < 0.025). 3. After rehabilitation in the injured leg there were small hamstring strength increases (P < 0.05-0.025), but no overall significant quadricep strength increase. Arthrogenic muscle inhibition was statistically unchanged. Severe functional joint instability was still reported by all patients. 4. Previous studies have shown that minimal joint damage evokes relatively less arthrogenic muscle inhibition that does not impede rehabilitation. These data indicate that greater joint damage is associated with greater arthrogenic muscle inhibition, quadriceps weakness and joint instability. Furthermore, intensive rehabilitation had little affect on either quadriceps arthrogenic muscle inhibition or atrophy.
引用
收藏
页码:305 / 310
页数:6
相关论文
共 23 条
[1]  
BLACKBURN TA, 1985, ORTHOP CLIN N AM, V16, P241
[2]   THE CONSERVATIVE TREATMENT OF THE ANTERIOR CRUCIATE DEFICIENT KNEE [J].
BONAMO, JJ ;
FAY, C ;
FIRESTONE, T .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1990, 18 (06) :618-623
[3]  
CERVERO F, 1991, EXP BRAIN RES, V83, P675
[4]   ACUTE TEARS OF THE ANTERIOR CRUCIATE LIGAMENT - SURGICAL VERSUS CONSERVATIVE TREATMENT [J].
CLANCY, WG ;
RAY, JM ;
ZOLTAN, DJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (10) :1483-1488
[5]   JOINT DISTENSION AND REFLEX MUSCLE INHIBITION IN KNEE [J].
DEANDRADE, JR ;
GRANT, C ;
DIXON, SSJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1965, A 47 (02) :313-+
[6]   HUMAN SKELETAL-MUSCLE FUNCTION - DESCRIPTION OF TESTS AND NORMAL VALUES [J].
EDWARDS, RHT ;
YOUNG, A ;
HOSKING, GP ;
JONES, DA .
CLINICAL SCIENCE AND MOLECULAR MEDICINE, 1977, 52 (03) :283-290
[7]  
FRIDEN T, 1991, CLIN ORTHOP RELAT R, V263, P190
[8]   THE LOWER-EXTREMITY MUSCULATURE IN CHRONIC SYMPTOMATIC INSTABILITY OF THE ANTERIOR CRUCIATE LIGAMENT [J].
GERBER, C ;
HOPPELER, H ;
CLAASSEN, H ;
ROBOTTI, G ;
ZEHNDER, R ;
JAKOB, RP .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1985, 67A (07) :1034-1043
[9]  
HURLEY MV, 1993, BRIT J RHEUMATOL, V32, P127
[10]  
HURLEY MV, 1992, J ORTHOP RHEUMATOL, V5, P145