前交叉术后纵跳+骨盆角度动态测试及康复训练病例介绍

Clinical Cases

临床案例

Author: Doctor Paolo Pirozzi

作者：Paolo Pirozzi博士

Anamnesis

病史

19-year-old patient, amateur soccer athlete, operated for reconstruction of the anterior cruciate ligament of the left knee with withdrawal from the patellar tendon in 2018, clinical history of multiple ankle sprains.

患者，19岁，业余足球运动员，于2018年进行了左膝前交叉韧带重建手术，并伴有髌腱萎缩，病史为多发性踝关节扭伤。

Test with Baiobit

使用Baiobit测试

At the beginning of the sports season, the athlete undergoes a physiotherapy assessment based on movement analysis in order to assess the degree of injury risk and set up a personalized prevention program. For this reason, we evaluated the two-foot vertical jump through a measurement of both the squat jump (jump without counter-movement) and the counter-movement jump (jump with counter-movement).

在运动赛季开始时，运动员将进行基于运动分析的物理治疗评估，以评估损伤风险的程度并制定个体化的预防方案。因此，我们通过对蹲跳（无反向运动的跳跃）和下蹲跳（有反向运动的跳跃）的测量来评估两足垂直跳跃的能力。

Results

结果

During both the counter-movement jump and the non-counter-movement jump, there was a pelvic tilt range of approximately 43 degrees to the right. Furthermore, the same pelvis had a greater average angle of inclination at the moment of landing rather than during the take-off phase: more specifically, during the jump with counter-movement the pelvic tilt was 0 ° at take-off and 11 ° at landing, while during the jump without counter-movement the pelvic tilt was 0 ° at take-off and 6 ° at landing.

在蹲跳和下蹲跳期间，骨盆向右倾斜范围约为43度。此外，骨盆在着陆时比起跳阶段具有更大的平均倾斜角度：更具体地说，在有反向运动的跳跃过程中，起跳时骨盆倾斜为0°，着陆时为11°，在没有反向运动的跳跃过程中，起跳时骨盆倾斜为0°，着陆时为6°。

Further Results

进一步的结果

In addition to the measurement of pelvic movements, the two vertical jump tests showed another important data from a preventive point of view: all parameters of strength, power, speed are higher during the squat jump rather than during the counter-movement jump. These data testify to the fact that the soccer player has a deficit in the management and use of the muscular explosive elastic force, relying more on static muscular strength.

除了测量骨盆活动度外，从预防的角度来看，两次垂直跳跃试验还显示了另一个重要数据：在蹲跳过程中，与力量、功率、速度所有相关的参数数值都比在下蹲跳过程中更高。这些数据证明了足球运动员在管理和使用肌肉爆发力方面存在缺陷，他们更多的是依靠静态肌肉力量。

Rehabilitation Program

康复计划

The objectives of the prevention program are two:

· Improving the neuromotor control of the “core” during the two-breech and mono-breech jumping phases through specific exercises to activate the abdominal, lumbar and gluteal muscles.

· Improve the ability to use the elastic component of the muscle-tendon system through a specific progressive plyometric training.

预防方案有两个目标：

l 通过特定的运动来激活腹部、腰部和臀部肌肉，以提高在双足和单足跳跃时神经运动控制“核 心”的能力

l 通过特定的渐进增强式训练提高肌腱弹性的能力

Exercises with Baiobit

通过Baiobit训练

Continuous measurement of pelvic movements and strength, power and speed developed during jumps.

在跳跃时连续测量骨盆的活动度、强度、力度和速度。

Conclusions

结论

Jump evaluation with bipodalic countermovement

双足下蹲跳的跳跃评估

Jump evaluation without bipodalic countermovement

双足蹲跳的跳跃评估

Baiobit--跳跃测试

*跳跃能力也是患者需要评估和恢复日常生活能力之一；

*运动领域中的基础动作；

*数据可为运动能力和治疗效果提供客观的分析；

跳跃协议包含多种跳跃分析协议：下蹲跳（CMJ）、深蹲跳（SJ）、跳深（DJ）、刚度测试（STIFF）。