柯京九,章荣兵,罗 杰

前交叉韧带重建术是治疗前交叉韧带损伤的常用方法，术后有效的康复训练对于恢复膝关节功能至关重要。神经肌肉电刺激作为一种辅助康复手段，近年来在该领域得到了广泛研究和应用。本文对神经肌肉电刺激在前交叉韧带重建术后康复中的应用进展进行综述，包括其作用机制、临床应用效果以及未来研究方向等方面，旨在为临床康复治疗提供参考。

神经肌肉电刺激；前交叉韧带重建；康复；肌肉力量；神经肌肉控制

[1] Su W,Wang J,Ying Y,et al.Injury risk reduction programs including balance training reduce the incidence of anterior cruciate ligament injuries in soccer players:a systematic review and meta-analysis.J Orthop Surg Res.2025;20(1):248. [2] Belkhelladi M,Cierson T,Martineau PA.Biomechanical Risk Factors for Increased Anterior Cruciate Ligament Loading and Injury:A Systematic Review.Orthop J Sports Med.2025;13(2):23259671241312681. [3] Li Y,Peng J,Cao J,et al.Effectiveness of virtual reality technology in rehabilitation after anterior cruciate ligament reconstruction:A systematic review and meta-analysis.PLoS One.2025;20(3):e0314766. [4] Fontanier V,Vergonjeanne M,Eon P,Bruchard A,Laplaud D.Effect of open kinetic chain exercises during the first weeks of anterior cruciate ligament reconstruction rehabilitation:A systematic review and meta-analysis.Phys Ther Sport.2025;72:95-108. [5] 樊志娇,靳岚琦,黄志彬,等.神经肌肉电刺激对前交叉韧带重建术后患者股四头肌肌力和步行功能的效果[J].中国康复理论与实践,2025,31(02):242-248. [6] 柯伟杰,罗志增.神经肌肉电刺激对静立平衡下皮层肌肉耦合的影响分析[J].生物医学工程学杂志,2024,41(06):1227-1234+1242. [7] Wright RW,Preston E,Fleming BC,et al.A systematic review of anterior cruciate ligament reconstruction rehabilitation:part II:open versus closed kinetic chain exercises,neuromuscular electrical stimulation,accelerated rehabilitation,and miscellaneous topics.J Knee Surg.2008;21(3):225-234. [8] Toth MJ,Tourville TW,Voigt TB,et al.Utility of Neuromuscular Electrical Stimulation to Preserve Quadriceps Muscle Fiber Size and Contractility After Anterior Cruciate Ligament Injuries and Reconstruction:A Randomized,Sham-Controlled,Blinded Trial.Am J Sports Med.2020;48(10):2429-2437. [9] Paternostro-Sluga T,Fialka C,Alacamliogliu Y,Saradeth T,Fialka-Moser V.Neuromuscular electrical stimulation after anterior cruciate ligament surgery.Clin Orthop Relat Res.1999;(368):166-175. [10] 戴蓓蕾,陈怡君,徐云云,等.前交叉韧带重建术后患者早期康复护理方案的应用体会[J].浙江创伤外科,2025,30(02):391-392. [11] 林妍妍.前交叉韧带术后康复系统评价及神经肌肉电刺激疗效研究[D].广州中医药大学,2019.12.李仰军,于洋,邢琪.神经肌肉电刺激配合康复训练对关节镜下前交叉韧带重建术后康复的影响[J].医疗装备,2018,31(18):22-23. [12] 戴文敏,丁杰,周稳,等.前交叉韧带重建后肌肉功能恢复中神经肌肉电刺激的应用[J].中国组织工程研究,2015,19(07):1082-1086. [13] 王允芳,刘亚琴,刘晓东.低频神经肌肉电刺激联合 WAFF 运动对产后腹直肌分离的效果[J].中国医刊,2025,60(01):66-70. [14] 马振宇.针刺配合低频神经肌肉电刺激对卒中下肢偏瘫患者肢体功能的影响[J].上海针灸杂志,2019,38(09):964-968. [15] 马天成,王岩,周丽芸,等.神经肌肉电刺激在骨骼肌废用性萎缩康复治疗中的研究进展[J].中国中西医结合外科杂志,2024,30(05):757-762. [16] 杨玲,高晴,周宇轩,等.高频电刺激对神经动作电位阻断作用的研究[J].南京医科大学学报(自然科学版),2011,31(05):706-710+776. [17] 周瑸,严洪立,黄林科,等.不同神经肌肉电刺激方法对肌肉疲劳影响的研究[J].生命科学仪器,2021,19(02):35-39. [18] 李欣然,李瑞青.神经肌肉电刺激在脑卒中后运动障碍中的研究进展[J].中山大学学报(医学科学版),2024,45(02):180-189. [19] Başaran PÖ,Büyükşireci DE.Comparison of low-level laser therapy versus neuromuscular electrical nerve stimulation at hemiplegic shoulder pain and upper extremity functions.Lasers Med Sci.2025;40(1):42.Published 2025 Jan 24. [20] Hoekstra S,King JA,Fenton J,et al.The effect of home-based neuromuscular electrical stimulation-resistance training and protein supplementation on lean mass in persons with spinal cord injury:A pilot study.Physiol Rep.2024;12(19):e70073. [21] Moezy A,Masoudi S,Nazari A,Abasi A.A controlled randomized trial with a 12-week follow-up investigating the effects of medium-frequency neuromuscular electrical stimulation on pain,VMO thickness,and functionality in patients with knee osteoarthritis.BMC Musculoskelet Disord.2024;25(1):158.

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