CAJ | 학술논문

背景：恢复跟腱的完整性和坚韧性以及踝关节的灵活性对跟腱断裂的结局尤为重要。目的：实验采用等速肌力测试系统测试跟腱断裂修复后的肌肉力量，评价其修复效果。方法：采用Biodex System 4多关节等速肌力测试系统，以60(°)/s，120(°)/s两种速度测定17例跟腱断裂修复后三四个月患者的屈踝和伸踝肌力，指标包括峰力矩、峰力矩/体质量比值、总功、平均峰力矩和单次最大功。结果与结论：断裂跟腱修复后患者患侧屈肌群的峰力矩、峰力矩/体质量比、总功、平均峰力矩和单次最大功5项检测指标在60(°)/s和120(°)/s时较健侧均显著降低(P <0.05)。结果证实，等速肌力测试可有效反映跟腱断裂修复后的肌肉力量情况，能评价跟腱断裂修复后的效果。
배경：회복근건적완정성화견인성이급과관절적령활성대근건단렬적결국우위중요。목적：실험채용등속기력측시계통측시근건단렬수복후적기육역량，평개기수복효과。방법：채용Biodex System 4다관절등속기력측시계통，이60(°)/s，120(°)/s량충속도측정17례근건단렬수복후삼사개월환자적굴과화신과기력，지표포괄봉력구、봉력구/체질량비치、총공、평균봉력구화단차최대공。결과여결론：단렬근건수복후환자환측굴기군적봉력구、봉력구/체질량비、총공、평균봉력구화단차최대공5항검측지표재60(°)/s화120(°)/s시교건측균현저강저(P <0.05)。결과증실，등속기력측시가유효반영근건단렬수복후적기육역량정황，능평개근건단렬수복후적효과。
BACKGROUND:Restoration of tendon integrity and tenacity, and maintenance of ankle joint flexibility, play a crucial role on the rupture of Achiles tendon. OBJECTIVE: To evaluate the muscular force using isokinetic muscle strength test after the ruptured Achiles tendon is repaired, and to assess the repairing effect. METHODS: Muscle power including peak torque, peak torque/body weight, total work, average peak torque, set total work of flexor and extensor of 17 patients with Achiles tendon rupture were assessed after reconstruction using Biodex system 4 at 60 (°)/s and 120(°)/s. RESULTS AND CONCLUSION:The peak torque, peak torque/body weight, total work, average peak torque, set total work of flexor muscle group at the injured side were significantly decreased compared with uninjured side at 60 (°)/s and 120 (°)/s (P < 0.05). Isokinetic muscle strength test can reflect the muscular force after the ruptured Achiles tendon is repaired, and evaluate the repairing effect.