Effect of Acupuncture Exercise Therapy On Isokinetic Muscle Strength and Exercise Ability of Patients after Anterior Cruciate Ligament Reconstruction

Objective:To observe the effect of acupuncture and exercise therapy on isokinetic muscle strength and exercise ability of patients after arthroscopic reconstruction of anterior cruciate ligament (ACL).Methods:A total of fifty patients with complete ACL rupture of knee joint treated in the fifth Peop...

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Main Authors: Wen YAN, Jiaying MURONG, Shuyi CUI, Wanwen HE, Xun ZHUANG
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2020-08-01
Series:康复学报
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Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2020.04006
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author Wen YAN
Jiaying MURONG
Shuyi CUI
Wanwen HE
Xun ZHUANG
author_facet Wen YAN
Jiaying MURONG
Shuyi CUI
Wanwen HE
Xun ZHUANG
author_sort Wen YAN
collection DOAJ
description Objective:To observe the effect of acupuncture and exercise therapy on isokinetic muscle strength and exercise ability of patients after arthroscopic reconstruction of anterior cruciate ligament (ACL).Methods:A total of fifty patients with complete ACL rupture of knee joint treated in the fifth People's hospital of Foshan from January to December 2019. The patients were randomly divided into the control group and the observation group according to the method of random number table, with 25 cases in each group. Both groups received arthroscopic reconstruction of ACL. The control group was given traditional exercise therapy after operation, including active knee flexion training, isometric contraction training, closed-chain squatting training; each item rest one minute after training, and rest two minutes after training for three items, each training for three cycles. After operation, the observation group was given acupuncture exercise therapy, acupuncture at the knee pain points on the healthy side of the patients, and then the acupuncture was performed with the method of twirling, smoothing, toning and catharsis (the frequency was 120 times a minute, with the tolerance of the patients as the degree, one minute a time). After getting Qi (bring about the desired sensation), the patients were given active knee flexion training, isometric contraction training and closed-chain squat training, and the training method was the same as that of the control group. After acupuncture, the next training was carried out. After the training for three items, the patients took a rest for two minutes, and each training was done for three cycles. After the completion of the last cycle training, the needle was pulled out from the skin. The two groups were trained 30 minutes a time, once a day,7 days a week and 7 days per course, continuous training for four courses. Before and after four courses of treatment, the range of motion of knee active joint was measured by protractor, the knee function was evaluated by Lysholm knee joint score and IKDC subjective knee score, and the peak torque (PT), average power (AP) and total work (TW) of quadriceps femoris during knee extension were collected by isokinetic muscle strength test system.Results:Before treatment, there was no significant difference in maximum flexion, Lysholm score, IKDC score, PT, AP and TW of quadriceps femoris between the two groups (<italic>P</italic>&gt;0.05). Compared with those before treatment, the maximum flexion, Lysholm score, IKDC score, PT, AP and TW of quadriceps femoris in the two groups were significantly improved after four courses of treatment, and the difference was statistically significant (<italic>P</italic>&lt;0.05). Compared with the control group, the maximum flexion of knee joint, Lysholm score, IKDC score, PT, AP and TW of quadriceps femoris in the observation group were significantly higher than those in the control group, and the difference was statistically significant (<italic>P</italic>&lt;0.05).Conclusion:Acupuncture exercise therapy can effectively improve the range of motion of knee joint, the motion function of knee joint and the muscle strength of quadriceps femoris after ACL reconstruction, and prevent muscle atrophy, which is worthy of clinical promotion.
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spelling doaj-art-efd6cd83bb3c448e9106c42d165999572025-01-14T10:03:44ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282020-08-013027527923132252Effect of Acupuncture Exercise Therapy On Isokinetic Muscle Strength and Exercise Ability of Patients after Anterior Cruciate Ligament ReconstructionWen YANJiaying MURONGShuyi CUIWanwen HEXun ZHUANGObjective:To observe the effect of acupuncture and exercise therapy on isokinetic muscle strength and exercise ability of patients after arthroscopic reconstruction of anterior cruciate ligament (ACL).Methods:A total of fifty patients with complete ACL rupture of knee joint treated in the fifth People's hospital of Foshan from January to December 2019. The patients were randomly divided into the control group and the observation group according to the method of random number table, with 25 cases in each group. Both groups received arthroscopic reconstruction of ACL. The control group was given traditional exercise therapy after operation, including active knee flexion training, isometric contraction training, closed-chain squatting training; each item rest one minute after training, and rest two minutes after training for three items, each training for three cycles. After operation, the observation group was given acupuncture exercise therapy, acupuncture at the knee pain points on the healthy side of the patients, and then the acupuncture was performed with the method of twirling, smoothing, toning and catharsis (the frequency was 120 times a minute, with the tolerance of the patients as the degree, one minute a time). After getting Qi (bring about the desired sensation), the patients were given active knee flexion training, isometric contraction training and closed-chain squat training, and the training method was the same as that of the control group. After acupuncture, the next training was carried out. After the training for three items, the patients took a rest for two minutes, and each training was done for three cycles. After the completion of the last cycle training, the needle was pulled out from the skin. The two groups were trained 30 minutes a time, once a day,7 days a week and 7 days per course, continuous training for four courses. Before and after four courses of treatment, the range of motion of knee active joint was measured by protractor, the knee function was evaluated by Lysholm knee joint score and IKDC subjective knee score, and the peak torque (PT), average power (AP) and total work (TW) of quadriceps femoris during knee extension were collected by isokinetic muscle strength test system.Results:Before treatment, there was no significant difference in maximum flexion, Lysholm score, IKDC score, PT, AP and TW of quadriceps femoris between the two groups (<italic>P</italic>&gt;0.05). Compared with those before treatment, the maximum flexion, Lysholm score, IKDC score, PT, AP and TW of quadriceps femoris in the two groups were significantly improved after four courses of treatment, and the difference was statistically significant (<italic>P</italic>&lt;0.05). Compared with the control group, the maximum flexion of knee joint, Lysholm score, IKDC score, PT, AP and TW of quadriceps femoris in the observation group were significantly higher than those in the control group, and the difference was statistically significant (<italic>P</italic>&lt;0.05).Conclusion:Acupuncture exercise therapy can effectively improve the range of motion of knee joint, the motion function of knee joint and the muscle strength of quadriceps femoris after ACL reconstruction, and prevent muscle atrophy, which is worthy of clinical promotion.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2020.04006anterior cruciate ligamentreconstructive surgeryknee jointacupuncture exercise therapyisokinetic muscle strengthexercise ability
spellingShingle Wen YAN
Jiaying MURONG
Shuyi CUI
Wanwen HE
Xun ZHUANG
Effect of Acupuncture Exercise Therapy On Isokinetic Muscle Strength and Exercise Ability of Patients after Anterior Cruciate Ligament Reconstruction
康复学报
anterior cruciate ligament
reconstructive surgery
knee joint
acupuncture exercise therapy
isokinetic muscle strength
exercise ability
title Effect of Acupuncture Exercise Therapy On Isokinetic Muscle Strength and Exercise Ability of Patients after Anterior Cruciate Ligament Reconstruction
title_full Effect of Acupuncture Exercise Therapy On Isokinetic Muscle Strength and Exercise Ability of Patients after Anterior Cruciate Ligament Reconstruction
title_fullStr Effect of Acupuncture Exercise Therapy On Isokinetic Muscle Strength and Exercise Ability of Patients after Anterior Cruciate Ligament Reconstruction
title_full_unstemmed Effect of Acupuncture Exercise Therapy On Isokinetic Muscle Strength and Exercise Ability of Patients after Anterior Cruciate Ligament Reconstruction
title_short Effect of Acupuncture Exercise Therapy On Isokinetic Muscle Strength and Exercise Ability of Patients after Anterior Cruciate Ligament Reconstruction
title_sort effect of acupuncture exercise therapy on isokinetic muscle strength and exercise ability of patients after anterior cruciate ligament reconstruction
topic anterior cruciate ligament
reconstructive surgery
knee joint
acupuncture exercise therapy
isokinetic muscle strength
exercise ability
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2020.04006
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