Effects of Lumbar Core Stability Exercise Programme on Knee Pain, Range of Motion, and Function Post Anterior Cruciate Ligament Reconstruction

To study the additional effects of lumbar core stability on knee pain, range of motion and function post ACL reconstruction. An experimental comparative study was undertaken at a tertiary orthopaedic and rehabilitation centre with a total of 60 patients with ACL reconstruction, randomly allotted into two groups. Both groups were given institutional rehabilitation protocol; and additional lumbar core stability exercise programme was given to experimental group. Intervention period was 4 weeks. Pain on VAS, range of motion (ROM) and function using Modified Lysholm Scoring Scale (MLSS) and Tegner Activity Level (TAL) were the outcome measures. Between group analyses of MLSS and TAL by Mann Whitney U test showed a statistically significant difference (p = 0.038) and statistically non-significant difference (p = 1.00), respectively. Institutional conventional exercise protocol is effective in reducing pain and improving the ROM post and lumbar core stability exercise programme is effective in improving function, post ACL reconstruction. 研究額外的腰部核心穩定性訓練對前十字韌帶重建手術後的膝關節疼痛,活動範圍及功能帶來的影響。 本研究是在屬於第三層轉介中心的骨科和康復醫院進行的單盲隨機對照試驗,共有 60 例前十字韌帶重建手術的患者,隨機分為兩組。兩組均給予平常的復康訓練,而實驗組接受額外的腰部核心穩定性訓練方案。訓練期是 4 周。評核成果是疼痛分數 VAS,活動範圍 (ROM) ,並以修改 Lysholm 評分 (MLSS) 和 Tegner 活動水準 (TAL) 來側定的功能。 由曼惠特尼U測試(Mann Whitney U test)的結果,發現兩組之間的MLSS 評分有統計學上的明顯差異 (p=0.038)。TAL 則沒有統計學上的明顯差異 (p=1.00)。 在前十字韌帶重建手術後,平常的復康訓練有效地減輕疼痛,改善關節活動範圍。額外的腰部核心穩定性訓練方案則有效地改善術後功能。