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Title ACL再建術のリハビリテーション
Subtitle 誌上シンポジウム 北海道における膝前十字靱帯再建手術の現状と課題
Authors 井野拓実1,2, 寒川美奈3
Authors (kana)
Organization 1. 北海道科学大学保健医療学部理学療法学科, 2. 北海道大学大学院保健科学院, 3. 北海道大学大学院保健科学研究院
Journal 北海道整形災害外科学会雑誌
Volume 63
Number 1
Page 68-74
Year/Month 2021 / 8
Article 報告
Publisher 北海道整形災害外科学会
Abstract 「はじめに」近年, 膝前十字靱帯(anterior cruciate ligament : ACL)再建術により, 多くのACL損傷例においてスポーツ復帰が可能となった. 特に, 術式や再建材料等の進歩は大きく, リハビリテーションについてもShelbourneらの加速的リハビリテーションから, 生物学的治癒過程を重視したリハビリテーションが実施されるようになった. 一方で未だ課題も多く存在する. リハビリテーションの観点からは, 術前リハビリテーションの必要性, スポーツ復帰のためのアスレティック・リハビリテーション, 復帰基準, そして再受傷予防などについて, 未だ多くの課題が存在する. 以上を踏まえ, 本稿ではACL再建術に関するリハビリテーションの実際と今後の課題について述べる. 「術前リハビリテーション」術前リハビリテーションは「前十字靱帯(ACL)損傷診療ガイドライン2019」にてその実施が推奨されている. 一方, そのエビデンスは弱いとも指摘されている.
Practice 臨床医学：外科系
Keywords
  • 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。
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参考文献

  • 1. 日本整形外科学会診療ガイドライン委員会/前十字靱帯(ACL)損傷診療ガイドライン策定委員会(編).前十字靱帯(ACL)損傷診療ガイドライン2019 改訂第3版.南江堂,東京. 2019
  • 2. Mayr HO, Weig TG, Plitz W. Arthrofibrosis following ACL reconstruction--reasons and outcome. Arch Orthop Trauma Surg. 124(8): 518-522, 2004
    pubmed
  • 3. Cosgarea AJ, Sebastianelli WJ, DeHaven KE. Prevention of arthrofibrosis after anterior cruciate ligament reconstruction using the central third patellar tendon autograft. Am J Sports Med. 23(1): 87-92, 1995
    pubmed
  • 4. Eitzen I, Holm I, Risberg MA. Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstruction. Br J Sports Med. 43(5): 371-376, 2009
    pubmed
  • 5. de Jong SN, van Caspel DR, van Haeff MJ, et al. Functional assessment and muscle strength before and after reconstruction of chronic anterior cruciate ligament lesions. Arthroscopy. 23(1): 21-28, 28.e21-23, 2007
残りの37件を表示する
  • 6. Zdunski S, Rongies W, Zio kowski M, et al. Evaluation of the Effectiveness of Preoperative Physiotherapy Using the Lysholm-Gillquist Scale in Patients Qualified for Surgical Arthroscopic Anterior Cruciate Ligament Reconstruction-Pilot Study. Ortop Traumatol Rehabil. 17(3): 249-258, 2015
  • 7. Logerstedt D, Lynch A, Axe MJ, et al. Pre-operative quadriceps strength predicts IKDC 2000 scores 6 months after anterior cruciate ligament reconstruction. Knee. 20(3): 208-212, 2013
  • 8. Hartigan EH, Axe MJ, Snyder-Mackler L. Time line for noncopers to pass return-to-sports criteria after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 40(3): 141-154, 2010
    pubmed
  • 9. Jarvela T, Nyyssonen M, Kannus P, et al. Bone-patellar tendon-bone reconstruction of the anterior cruciate ligament. A long-term comparison of early and late repair. Int Orthop. 23(4): 227-231, 1999
    pubmed
  • 10. Granan LP, Bahr R, Lie SA, et al. Timing of anterior cruciate ligament reconstructive surgery and risk of cartilage lesions and meniscal tears: a cohort study based on the Norwegian National Knee Ligament Registry. Am J Sports Med. 37(5): 955-961, 2009
    pubmed
  • 11. Kennedy J, Jackson MP, O'Kelly P, et al. Timing of reconstruction of the anterior cruciate ligament in athletes and the incidence of secondary pathology within the knee. J Bone Joint Surg Br. 92(3): 362-366, 2010
    pubmed
  • 12. Bottoni CR, Liddell TR, Trainor TJ, et al. Postoperative range of motion following anterior cruciate ligament reconstruction using autograft hamstrings: a prospective, randomized clinical trial of early versus delayed reconstructions. Am J Sports Med. 36(4): 656-662, 2008
    pubmed
  • 13. Hunter RE, Mastrangelo J, Freeman JR, et al. The impact of surgical timing on postoperative motion and stability following anterior cruciate ligament reconstruction. Arthroscopy. 12(6): 667-674, 1996
    pubmed
  • 14. Shelbourne KD, Wilckens JH, Mollabashy A, et al. Arthrofibrosis in acute anterior cruciate ligament reconstruction. The effect of timing of reconstruction and rehabilitation. Am J Sports Med. 19(4): 332-336, 1991
  • 15. Wasilewski SA, Covall DJ, Cohen S. Effect of surgical timing on recovery and associated injuries after anterior cruciate ligament reconstruction. Am J Sports Med. 21(3): 338-342, 1993
    pubmed
  • 16. Rice DA, McNair PJ. Quadriceps arthrogenic muscle inhibition: neural mechanisms and treatment perspectives. Seminars in Arthritis and Rheumatism. 40(3): 250-266, 2010
    pubmed
  • 17. Ohkoshi Y, Yasuda K, Kaneda K, et al. Biomechanical analysis of rehabilitation in the standing position. The American journal of sports medicine. 19(6): 605-611, 1991
  • 18. Grindem H, Granan LP, Risberg MA, et al. How does a combined preoperative and postoperative rehabilitation programme influence the outcome of ACL reconstruction 2 years after surgery? A comparison between patients in the Delaware-Oslo ACL Cohort and the Norwegian National Knee Ligament Registry. Br J Sports Med. 49(6): 385-389, 2015
    pubmed
  • 19. Han F, Banerjee A, Shen L, et al. Increased Compliance With Supervised Rehabilitation Improves Functional Outcome and Return to Sport After Anterior Cruciate Ligament Reconstruction in Recreational Athletes. Orthop J Sports Med. 3(12): 2325967115620770, 2015
    pubmed
  • 20. Hart JM, Kuenze CM, Diduch DR, et al. Quadriceps muscle function after rehabilitation with cryotherapy in patients with anterior cruciate ligament reconstruction. J Athl Train. 49(6): 733-739, 2014
    pubmed
  • 21. Lee M, Sung DJ, Lee J, et al. Enhanced knee joint function due to accelerated rehabilitation exercise after anterior cruciate ligament reconstruction surgery in Korean male high school soccer players. J Exerc Rehabil. 12(1): 29-36, 2016
  • 22. Steadman JR, Dragoo JL, Hines SL, et al. Arthroscopic release for symptomatic scarring of the anterior interval of the knee. Am J Sports Med. 36(9): 1763-1769, 2008
    pubmed
  • 23. Kvist J. Rehabilitation following anterior cruciate ligament injury: current recommendations for sports participation. Sports Med. 34(4): 269-280, 2004
    pubmed
  • 24. Clancy WG, Jr., Narechania RG, Rosenberg TD, et al. Anterior and posterior cruciate ligament reconstruction in rhesus monkeys. J Bone Joint Surg Am. 63(8): 1270-1284, 1981
    pubmed
  • 25. Rodeo SA, Arnoczky SP, Torzilli PA, et al. Tendon-healing in a bone tunnel. A biomechanical and histological study in the dog. J Bone Joint Surg Am. 75(12): 1795-1803, 1993
  • 26. Goradia VK, Rochat MC, Kida M, et al. Natural history of a hamstring tendon autograft used for anterior cruciate ligament reconstruction in a sheep model. Am J Sports Med. 28(1): 40-46, 2000
  • 27. Tomita F, Yasuda K, Mikami S, et al. Comparisons of intraosseous graft healing between the doubled flexor tendon graft and the bone-patellar tendon-bone graft in anterior cruciate ligament reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 17(5): 461-476, 2001
    pubmed
  • 28. Nakase J, Kitaoka K, Toratani T, et al. Grafted tendon healing in femoral and tibial tunnels after anterior cruciate ligament reconstruction. J Orthop Surg (Hong Kong). 22(1): 65-69, 2014
    pubmed
  • 29. Burroughs P, Dahners LE. The effect of enforced exercise on the healing of ligament injuries. Am J Sports Med. 18(4): 376-378, 1990
    pubmed
  • 30. Hantes ME, Mastrokalos DS, Yu J, et al. The effect of early motion on tibial tunnel widening after anterior cruciate ligament replacement using hamstring tendon grafts. Arthroscopy. 20(6): 572-580, 2004
    pubmed
  • 31. van Melick N, van Cingel RE, Brooijmans F, et al. Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus. Br J Sports Med. 50(24): 1506-1515, 2016
    pubmed
  • 32. Magee DJ, Zachazewski JE, Quillen WS. Pathology and Intervention in Musculoskeletal Rehabilitation, 1 e: Saunders; 2008 2008/10/02/. 992p.
  • 33. Kruse LM, Gray B, Wright RW. Rehabilitation after anterior cruciate ligament reconstruction: a systematic review. J Bone Joint Surg Am. 94(19): 1737-1748, 2012
  • 34. Hasegawa T, Otani T, Takeda K, et al. Anterior Cruciate Ligament Reconstruction Does Not Fully Restore Normal 3D Knee Kinematics at 12 Months During Walking and Walk-Pivoting: A Longitudinal Gait Analysis Study. Journal of Applied Biomechanics. 31(5): 330-339, 2015
    pubmed
  • 35. Papannagari R, Gill TJ, Defrate LE, et al. In vivo kinematics of the knee after anterior cruciate ligament reconstruction: a clinical and functional evaluation. The American Journal of Sports Medicine. 34(12): 2006-2012, 2006
    pubmed
  • 36. Sanford BA, Zucker-Levin AR, Williams JL, et al. Principal component analysis of knee kinematics and kinetics after anterior cruciate ligament reconstruction. Gait & posture. 36(3): 609-613, 2012
    pubmed
  • 37. Webster KE, Feller JA, Wittwer JE. Longitudinal changes in knee joint biomechanics during level walking following anterior cruciate ligament reconstruction surgery. Gait & posture. 36(2): 167-171, 2012
    pubmed
  • 38. Zabala ME, Favre J, Scanlan SF, et al. Three-dimensional knee moments of ACL reconstructed and control subjects during gait, stair ascent, and stair descent. Journal of biomechanics. 46(3): 515-520, 2013
    pubmed
  • 39. Thomas PA, Mundermann A. The role of ambulatory mechanics in the initiation and progression of knee osteoarthritis. Curr Opin Rheumatol. 18(5): 514-518, 2006
  • 40. Bahr R, Krosshaug T. Understanding injury mechanisms: a key component of preventing injuries in sport. British Journal of Sports Medicine. 39(6): 324-329, 2005
    pubmed
  • 41. Hewett TE, Ford KR, Hoogenboom BJ, et al. Understanding and preventing acl injuries: current biomechanical and epidemiologic considerations-update 2010. N Am J Sports Phys Ther. 5(4): 234-251, 2010
    pubmed
  • 42. Grindem H, Snyder-Mackler L, Moksnes H, et al. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 50(13): 804-808, 2016
    pubmed
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