Metrika članka

  • citati u SCindeksu: 0
  • citati u CrossRef-u:0
  • citati u Google Scholaru:[=>]
  • posete u poslednjih 30 dana:6
  • preuzimanja u poslednjih 30 dana:4
članak: 4 od 5  
Back povratak na rezultate
Vojnosanitetski pregled
2016, vol. 73, br. 7, str. 631-635
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 15/07/2016
doi: 10.2298/VSP141128067D
Creative Commons License 4.0
Izokinetički profil osoba sa rupturom prednjeg ukrštenog ligamenta
aUniverzitet u Novom Sadu, Medicinski fakultet
bKlinički centar Vojvodine, Klinika za ortopedsku hirurgiju i traumatologiju, Novi Sad
cUniverzitet u Novom Sadu, Fakultet sporta i fizičkog vaspitanja

Sažetak

Uvod/Cilj. Promene u zglobu kolena koje nastupaju nakon lezije prednjeg ukrštenog ligamenta (ligamentum cruciatum anterius - LCA) dovode do poteškoća u hodanju, trčanju i skakanju, pogotovo prilikom nagle promene pravca kretanja. Ovakva pojava u značajnoj meri umanjuje kvalitet života kod takve osobe i dovodi do umanjenja nivoa fizičke aktivnosti. Povrede kolenog zgloba čine 5% ukupnog broja najtežih akutnih sportskih povreda. Cilj ovog istraživanja bio je da se utvrdi snaga mišića natkolenice kod osoba sa jednostranom rupturom LCA, kao i razlika snage mišića između zdrave i povređene noge. Metode. U istraživanje je bilo uključeno 114 muškaraca, aktivnih sportista, različitih sportskih disciplina, sa kliničkom dijagnozom rupture LCA. Kod svakog ispitanika postojala je ruptura LCA na jednom kolenu, tako da je zdrava noga predstavljala kontrolnu grupu u ovom istraživanju. Pomoću izokinetičkog aparata merili smo snagu mišića natkolenice i to za dve test brzine, 600/s and 1800/s. Rezultati. Utvrđena je statistički značajna razlika (p < 0,01) između zdrave i povređene noge i to za merene parametre: maksimalni obrtni moment za bedrene ekstenzore (Ptrq_E), maksimalni iznos ugla ekstenzije (Ang_E), snaga ekstenzije (Pow_E) i rad tokom ekstenzije (Work_E). Za odnos mišići zadnje lože/kvadriceps (H/Q) utvrdili smo da postoji izražen disbalans u mišićnoj snazi kod povređene noge. Zaključak. Postoji visok stepen vrednosti izokinetičke dinamometrije kao metode za određivanje snage mišića natkolenice. Ovu oblast potrebno je dodatno istraživati u cilju unapređenja kako dijagnostike, tako i rehabilitacionih programa kod osoba sa insuficijencijom LCA.

Ključne reči

Reference

Aagard, P., Simonsen, E.B., Magnusson, S.P., Larsson, B., Dyhre-Poulsen, P. (1998) A new concept for isokinetic hamstring: Quadriceps muscle strength ratio. Am J Sports Med, 2, str. 231-7
Akima, H., Takahashi, H., Kuno, S., Katsuta, S. (2004) Coactivation pattern in human quadriceps during isokinetic knee-extension by muscle functional MRI. European Journal of Applied Physiology, 91(1): 7-14
Almosnino, S., Brandon, S.C.E., Day, A.G., Stevenson, J.M., Dvir, Z., Bardana, D.D. (2014) Principal component modeling of isokinetic moment curves for discriminating between the injured and healthy knees of unilateral ACL deficient patients. Journal of Electromyography and Kinesiology, 24(1): 134-143
Almosnino, S., Stevenson, J.M., Day, A.G., Bardana, D.D., Diaconescu, E.D., Dvir, Z. (2011) Differentiating between types and levels of isokinetic knee musculature efforts. Journal of Electromyography and Kinesiology, 21(6): 974-981
Andersen, L.L., Magnusson, S., Nielsen, M., Haleem, J., Poulsen, K., Aagaard, P. (2006) Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: implications for rehabilitation. Physical therapy, 86(5): 683-97
Andrade, M.S., Cohen, M., Piçarro, I.C., Silva, A.C. (2002) Knee performance after anterior cruciate ligament reconstruction. Isokinet Exerc Sci, 10(2); 81-6
Bahr, R., Mæhlum, S. (2004) Clinical Guide to Sport Injuries. Champaign, IL: Human Kinetics
Bellabarba, C., Bush-Joseph, C.A., Bach, B.R. (1997) Patterns of meniscal injury in the anterior cruciate-deficient knee: A review of the literature. Am J Orthop, 26(1): 18-23
Beynnon, B.D., Johnson, R.J., Abate, J.A., Fleming, B.C., Nichols, C.E. (2005) Treatment of anterior cruciate ligament injuries, part I. American journal of sports medicine, 33(10): 1579-602
Bonamo, J.J., Fay, C., Firestone, T. (1990) The conservative treatment of the anterior cruciate deficient knee. American Journal of Sports Medicine, 18(6): 618-623
Brady, E.C., o'regan M., Mccormak, B. (1993) Isokinetic assessment of uninjured soccer players. u: Reilly T., Clarys J., Stibbe A. [ur.] StibbeScience and football, London: Spon
Burkett, L.N., Alvar, B., Irvin, J. (2001) Determining the optimal knee angle for testing maximal isometric hamstring peak torque on an isokinetic dynamometer. Int Sports J, 6: 171-5
Caine, D.J., Caine, C.G., Lindner, K.J. (1996) Epidemiology of sport injuries. Champaign, IL: Human Kinetics
Calmels, P., van den Borne, I., Nellen, M., Domenach, M., Minaire, P., Drost, M. (1995) A pilot study of knee isokinetic strength in young, highly trained, female gymnasts. Isokinet Exerc Sci, 5(1); 69-74
Capranica, L., Cama, G., Fanton, F., Tessitore, A., Figura, F. (1992) Force and power of preferred and non-preferred leg in young soccer players. Journal of sports medicine and physical fitness, 32(4): 358-63
Cardone, C., Menegassi, Z., Emygdio, R. (2004) Isokinetic assessment of muscle strength following anterior cruciate ligament reconstruction. Isokinet Exerc Sci, 12(3); 173-7
de Jong, S.N., van Caspel, D.R., van Haeff, M.J., Saris, D.B.F. (2007) Functional Assessment and Muscle Strength Before and After Reconstruction of Chronic Anterior Cruciate Ligament Lesions. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 23(1): 21.e1-21.e11
Dvir, Z., Eger, G., Halperin, N., Shklar, A. (1989) Thigh muscle activity and anterior cruciate ligament insufficiency. Clinical Biomechanics, 4(2): 87-91
Dvir, Z. (2004) Isokinetics. Muscle testing, Interpretations and Clinical applications. Edinburgh: Churchill Livingstone, 2nd ed
Falchook, F.S., Tigges, S., Carpenter, W.A., Branch, T.P., Stiles, R.G. (1996) Accuracy of direct signs of tears of the anterior cruciate ligament. Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes, 47(2): 114-20
Grace, T.G., Sweetser, E.R., Nelson, M.A., Ydens, L.R., Skipper, B.J. (1984) Isokinetic muscle imbalance and knee-joint injuries. A prospective blind study. Journal of bone and joint surgery. American volume, 66(5): 734-40
Heitkamp, H.C., Fleck, M., Mayer, F., Horstmann, T., Dickhuth, H.H. (2002) Balance training in male and female judokas: Gain in strength. Isokinet Exerc Sci, 10(1); 64-73
Hendrich, V. (1989) Diagnosis of fresh combined injuries of the knee ligaments (clinical and technical diagnosis). Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir., 415-9 (German)
Ikeda, H., Kurosawa, H., Kim, S. (2002) Quadriceps torque curve pattern in patients with anterior cruciate ligament injury. International Orthopaedics, 26(6): 374-376
Imamura, R.T., Hreljac, A., Escamilla, R.F., Edwards, W.B. (2006) A three-dimensional analysis of the center of mass for three different judo throwing techniques. J Sports Sci Med, 122-31; 5
Johnson, D. (1982) Controlling Anterior Shear During Isokinetic Knee Extension Exercise. Journal of Orthopaedic & Sports Physical Therapy, 4(1): 23-31
Lund, H., Sondergaard, K., Zachariassen, T., Christensen, R., Bulow, P., Henriksen, M., Bartels, E.M., Danneskiold-Samsoe, B., Bliddal, H. (2005) Learning effect of isokinetic measurements in healthy subjects, and reliability and comparability of Biodex and Lido dynamometers. Clinical Physiology and Functional Imaging, 25(2): 75-82
Noesberger, B. (1992) Diagnosis of Acute Tears of the Anterior Cruciate Ligament, and the Clinical Features of Chronic Anterior Instability. u: Jacob RP, Staubli H [ur.] The Knee and the Cruciate Ligaments, London: Springer, str. 143-156
Olmo, J., Castilla, N. (2005) Explosive strength - related isokinetic parameters in high - level sprinters and long - distance runners: The relative power index. Isokinet Exerc Sci, 13(4); 243-9
Porter, G.K., Kaminski, T.W. (2004) Knee angle does not affect ankle eversion to inversion peak torque ratios derived from an isokinetic dynamometer. Isokinet Exerc Sci, 12(2): 99−104
Sanchis-Alfonso, V., Martinez-Sanjuan, V., Gastaldi-Orquin, E. (1993) The value of MRI in the evaluation of the ACL deficient knee and in the post-operative evaluation after ACL reconstruction. European Journal of Radiology, 16(2): 126-130
Sbriccoli, P. (2005) Neuromuscular Response to Cyclic Loading of the Anterior Cruciate Ligament. American Journal of Sports Medicine, 33(4): 543-551
Scoville, C.R., Arciero, R.A., Taylor, D.C., Stoneman, P.D. (1997) End Range Eccentric Antagonist/Concentric Agonist Strength Ratios: A New Perspective in Shoulder Strength Assessment. Journal of Orthopaedic & Sports Physical Therapy, 25(3): 203-207
Serpas, F., Yanagawa, T., Pandy, M. (2002) Forward-dynamics Simulation of Anterior Cruciate Ligament Forces Developed During Isokinetic Dynamometry. Computer Methods in Biomechanics and Biomedical Engineering, 5(1): 33-43
Strauss, G.R., Bozikovic, A.J., Jones, G.L., Neale, G.C., Spittles, M.R., Boyle, J.J. (1998) Knee extensor strength 12 and 18 weeks post anterior cruciate ligament reconstruction. Isokinet Exerc Sci, 7(1); 19-26
Sykaras, E., Mylonas, A., Malliaropoulos, N., Zakas, A., Papacostas, E. (2003) Manual massage effect in knee extensors peak torque during short - term intense continuous concentric - eccentric isokinetic exercise in female elite athletes. Isokinet Exerc Sci, 11(3); 153-7
Tsuda, E., Okamura, Y., Otsuka, H., Komatsu, T., Tokuya, S. (2001) Direct evidence of the anterior cruciate ligament-hamstring reflex arc in humans. Am J Sports Med, 29(1); 83-7
Zemach, L., Almoznino, S., Barak, Y., Dvir, Z. (2009) Quadriceps insufficiency in patients with knee compromise: How many velocities should an isokinetic test protocol consist of?. Isokinet Exerc Sci, 17(2); 129-33