Sports Rehabilitation Research Articles

Impact of Dry, Wet & Combination Endurance Training on Selected Biomechanical Variables At The Voluntary Gait In Men Aged 60-75

Background and Aims: Considering that in old age, the potential for musculoskeletal abnormalities and consequently changes in biomechanical function is probable, utilizing appropriate exercise programs with a prevention approach toward reducing the negative consequences of these changes is a concern for sports rehabilitation and occupational therapy specialists. The aim of the present study was to investigate the effect of dry, wet, and a combination of endurance training on selected biomechanical variables at the voluntary gait in men aged 60-75 years. Methods: In this semi-experimental study, 60 elderly aged 60-75 years participated voluntarily and were randomly assigned to three groups of dry, wet, and a combination of endurance training. All three training protocols were performed weekly (three sessions per week) for eight weeks. A dependent t-test was used to compare pre-test and post-test and the analysis of covariance was utilized to compare the effect of three types of exercises on dependent variables. Results: The results of the present study showed that performing endurance exercises on dry, water and combination significantly increases the normalized stride length, displacement of the body mass center in the anterior-posterior and vertical axes, range of motion of the hip, knee and peak dorsiflexion of the ankle joints and the first normalized peak of Fz (vertical ground reaction force) during voluntary walking (P<0.05). Also, different types of endurance exercises had different effects on the variable of peak plantarflexion of the ankle joint (P<0.05) (between dry and combined exercises with P=0.007); but no significant difference was observed in the effect of various endurance trainings on other kinematic and kinetic variables during of voluntary walking (P>0.05). Conclusion: Although it seems that using endurance training on dry, water and combination can have positive effects on the biomechanical variables of elderly during walking; due to more effect, combined endurance protocol can be recommended for the elderly to improve balance and gait performance and safe and secure movement. Future studies are necessary to more precisely examine differences among various types of endurance training methods.

육상 선수들의 스포츠 손상과 재손상 발생 및 재활특성 분석

The purpose of this study is to compare and analyze the incidence of sports injuries and the characteristics of re-injury for elite athletes in the field and track. A survey on sports damage and rehabilitation status of 33 elite athletes on the track, 33 athletes on the athletics field, was revised and supplemented according to the study, and consisted of a total of 14 questions. It was found that the incidence of sports injuries by sport was experienced more than 3 times, and the injuries were answered during the main training time, during the game, and in the afternoon training. The training method for the occurrence of impairment pointed to the event-specific training, and it was found that the cause of the injury was due to carelessness and internal psychological factors of the individual. The injuries were seen at the ankles and waist. It was found that rehabilitation after injury was stopped for competition and return to training before cure. The results of this study will be used as basic data for systematic injury prevention programs and return criteria by presenting the frequency of sports injuries and the causes of re-injury of elite athletes in field and track.

Addressing the Effect of Mindfulness Based Stress Reduction and Mindfulness Based Approaches in Sport Injury: A Systematic Review

The aim of this review was to determine the effect of mindfulness on the psychological demands of injured athletes following formal and informal mindfulness practice across seven major studies that were graded and summarized. As a result, this review will provide a comprehensive examination of MBSR's theoretical and practical application in the sport rehabilitation process. The scientific search was conducted via the Web of Science, PubMed, Scopus, and CINAHL, to find research that had been published between (2011-2020). Using a combination of these groups of keywords, a manual search has also been supplemented. The first and second researcher extracted relevant data from the studies. As for the information on study design, study population, stress reduction measurement, duration of intervention, and results were extracted in a standardized form. The initial search yielded 240 articles. A total of nine studies were deemed applicable following application of the inclusion and exclusion criteria. Most studies in this review used quantitative methods and two studies used mixed approaches. One study used both quantitative and qualitative methods, whilst another study used both experimental and quantitative methods. They assessed both pain tolerance and the perception of pain in injured athletes during a Cold Pressor Test. The rest of the studies were descriptive and most of the studies applied MBSR techniques or other mindfulness-based approaches with injured athletes. One study used a cross-sectional study design. There was a mix of methodology designs that had been used by the researchers. This systematic review clarified a promising outcome to adapt MBSR into sport injury rehabilitation. This is through formal and informal mindfulness practice by practitioners. MBSR is not only used with clinical populations, but also with non-clinical populations. Thus, the integration of MBSR and MBA into sport therapy would create a valuable understanding regarding mindfulness practice in sport, in both theoretical and practical knowledge.

RESEARCH ON STRATEGIES OF HOME CARE AND INTERVENTION FOR STROKE BASED ON KNOWLEDGE RULES

For patients with stroke at home, strategies have been formulated for emotional nursing, sports rehabilitation nursing, and interventions for poor lifestyle habits such as smoking, drinking, and picky eating. Data were obtained through tracking investigation, effect evaluation indexes were developed according to Hamilton depression scale (HAMD), activities of daily living (ADL) and other rating scale; C4.5 decision tree algorithm was used to analyze the effect of nursing intervention strategy, then we derived the corresponding knowledge rules. We come to conclusions: ① Effective emotional care and bad living habits interventions are contributed to reduce the risk of stroke. ② Smoking, drinking, picky eating, exercising and other factors are associated, so we should combine and intervene them as to better perfect the risk of stroke to provide decision-making reference for home nursing and rehabilitation intervention of stroke patients.

The reliability of the scapular posture and scapular dyskinesis tests in rugby union players.

Impact forces during rugby can contribute to scapula dysfunction and shoulder pain. Reliable assessment of static and dynamic scapula position is paramount in managing athletes with, and those at risk of developing, shoulder pain. To determine the reliability of static scapular posture (SP), clavicular tilt angle (CTA) and the scapular dyskinesis (SD) assessments by expert and student therapists. The study design was an inter-rater and intra-rater reliability study in male university level rugby union players. Four sport rehabilitation students and one experienced physiotherapist evaluated the position of the scapular and clavicle of male university-level rugby union players (inter-rater participants: session 1: n=17, session 2: n=12 and session 3: n=16; (intra-rater participants: n = 12). Participants attended 3 testing sessions, each 1 week apart. Scapular orientation and motion were assessed in five planes of movement and using the Scapular Dyskinesis Test (SDT) respectively. The inter-rater analysis included all participants from each session, while in the intra-rater analysis included only the 12 participants who attended all three testing sessions. Kappa coefficient values and percentage agreement ratings for students compared to the experienced therapist were: SP=poor to fair (-0.01 to 0.33), (27% - 94%); SDT=slight (0.16; 41%); CTA=fair (0.21; 59%). Test-retest (intra-rater) agreement was fair to moderate (0.22 - 0.44; 69% - 95%), slight (0.12; 47%), and fair (0.39; 77%) for the SP, SDT, and CTA, respectively. Static and dynamic evaluation of the shoulder by students and an experienced therapist has poor to moderate reliability and should not be used to make clinical decisions based on observation alone.

Improving environmental sustainability in outpatient clinics: Lessons from a waste audit

BackgroundThe healthcare industry is the second leading contributor of waste in the United States. While there are multiple examples of medical waste audits in the literature, few were conducted in outpatient settings. The objective of this study was to utilize a waste audit to identify key waste generators in an outpatient practice and start immediately reducing waste and greenhouse gas emissions. Materials and methodsThis was a cross-sectional, observational study wherein waste from a total of 31 randomly selected encounters from December 2020 through June 2021 in the Physical Medicine & Rehabilitation Sports and Spine clinics of an academic center was collected and weighed, and key waste generators were identified. ResultsThe outpatient surgical center produced the most waste per patient encounter (1,758 g), followed by in-clinic procedure visits (379 g per encounter). Clinicians who performed in-clinic procedures using pre-packaged procedure kits produced an estimated 819.5 kg more waste annually than those who selected individual sterile components for their procedures. DiscussionBy identifying and developing interventions that target key waste generators, such as reducing the use of pre-packaged injection kits, we demonstrate how outpatient offices can immediately reduce waste. In doing so, we demonstrate the significant potential environmental savings of such measures.

Fabric sensor modified by Bi2Te3 nanomaterials in the field of sports rehabilitation

The current research based on Bi2Te3 nanomaterials applied in the field of sports rehabilitation is not deep enough. Therefore, the research purpose of this paper is based on the application of fabric sensors modified with Bi2Te3 nanomaterials in the field of sports rehabilitation. First, learn about the basic structure of Bi2Te3 nanomaterials and prepare for the synthesis of fabric sensors based on nano-Bi2Te3 materials with uniform morphology and higher purity. Secondly, fabric sensors are required to improve the response speed and sensitivity of the dynamic response process and be used in sports. Research on rehabilitation is to further improve the practicality of fabric sensors. Finally, the thermoelectric properties of the performance of Bi2Te3 nanomaterials are used, which shows that the material's function of converting thermal energy into electrical energy can help the wide application of fabric sensors. Experimental data shows that the pressure on the sole of the foot using the fabric sensor as a tool is 150 Newtons, and the effect of accelerating the rehabilitation of each joint is 1.5 times. The experimental results show that the fabric sensor modified based on Bi2Te3 nanomaterials can accelerate the rehabilitation process of patients in the field of sports rehabilitation.

Ti3C2Tx MXene/polyvinyl alcohol decorated polyester warp knitting fabric for flexible wearable strain sensors

Flexible wearable strain sensors with excellent sensing performance have received widespread interest due to their superior application capability in the field of human-computer interaction, sports rehabilitation, and disease diagnosis. But at present, it is still a considerable challenge to exploit a flexible strain sensor with high sensitivity and wide sensing range that is easily manufactured, low-cost, and easily integrable into clothing. MXene is a promising material sensitive enough for flexible sensors due to its superior conductivity and hydrophilicity. The warp knitting weft insertion textile structure gives the fabric excellent elasticity, making it suitable as a flexible, stretchable substrate. Therefore, utilizing a polyester elastic fabric with a warp knitting weft insertion structure, a fabric strain sensor with high sensitivity and wide sensing range prepared by layer-by-layer self-assembly of polyvinyl alcohol layers and MXene layers is reported in this study. The strain sensor exhibits high sensitivity (up to 288.43), a wide sensing range (up to 50%), fast response time (50 ms), ultra-low detection limit (a strain of 0.067%), excellent cycle stability (1000 cycles), and good washability. Besides, affixing the MXene/polyvinyl alcohol/polyester elastic fabric strain sensor on the joints can detect the movement of limbs. Therefore, the MXene/polyvinyl alcohol/polyester elastic fabric strain sensor demonstrates potential application opportunities in smart wearable electronic devices, and the researcher can also apply this method in the production of other flexible, intelligent wearable devices.

Nano-ligament combined with sports rehabilitation training on treatment effect of patients with ligament injury

The effectiveness of rehabilitation training methods after ligament injury has become an important factor restricting the future development of athletes. Therefore, the study of sports injuries and rehabilitation training methods for athletes in the new era still has important practical significance. This article mainly studies the effect of nano-ligament combined with sports rehabilitation training on the treatment effect of patients with ligament injury. In this paper, the experimental group received 10–15 minutes of rehabilitation training before each training, while the control group did not. Before and after the experiment, perform functional movement test (FMS) and Y-type balance test (YBT) to compare the differences between the physical functions of the two groups of athletes and the lower extremity exercise ability to test the effectiveness of the rehabilitation training method and help the athletes to recover quickly after injury restore. The score comparison between the two groups on the first day of treatment was p > 0.05, and there was no statistically significant difference between the two groups; the score comparison between the third day of treatment and four weeks after treatment was p < 0.05, and the difference between the two groups was statistically significant, A the curative effect of the group was better than that of group B; the score comparison at eight weeks after treatment was p > 0.05, and there was no statistically significant difference between the two groups. There was no significant difference between the FMS test results and the YBT test results of the experimental group before the experiment. The test results of the experimental group after the experiment were significantly higher than the control group (significant difference), indicating that rehabilitation training helps improve and improve physical exercise ability, especially for improvement. The athlete’s lower extremity athletic ability has obvious effect.

Nanoparticles in the diagnosis and treatment of coronary artery diseases under sports rehabilitation intervention

The emergence of nanotechnology provides a new method for the development and application of nanomaterials in the medical field. Nanoparticles could promote the expression of vascular endothelial growth factor (VEGF), dilate the coronary artery, improve the cardiac mechanism and reduce the recurrence rate of angina pectoris. Nanoparticles have the advantages of large specific surface area, high surface reactivity, high catalytic efficiency and strong adsorption capacity, which provide a new method for biomedical research. This paper mainly studies the application of nanoparticles in the diagnosis and treatment of coronary artery disease under the intervention of exercise rehabilitation. Then the prepared nanoparticles were added into the medium for co culture. The effect of nanoparticles on coronary cells was observed. It was found that the detection of zinc in the extracellular medium and in the cell increased with the increase of the concentration of ZnO NPs, and the differences were statistically significant (F = 13012.34, P < 0.001; F = 7033.54, P < 0.001). The results showed that the nanoparticles could promote the expression of vascular endothelial growth factor (VEGF), dilate the coronary artery, improve the cardiac mechanism and reduce the recurrence rate of angina pectoris.

One-dimensional nanomaterials on prognosis and sports rehabilitation of elderly patients with chronic heart failure

Chronic heart failure (CHF), referred to as chronic heart failure, is the end stage of most cardiovascular diseases and the leading cause of death. One-dimensional nanomaterials have related applications in medical rehabilitation due to their high specific surface area and aspect ratio. This article mainly studies the effect of one-dimensional nanomaterials on the prognosis and sports rehabilitation of elderly patients with chronic heart failure. In this study, the elderly patients with chronic heart failure were randomly divided into two groups, a control group and a treatment group. The control group was given conventional anti-heart failure treatment and basic disease treatment; the treatment group was given one-dimensional nanomaterial treatment on the basis of the control group. Collect all relevant data including the relevant indicators of CPET examination, cardiac ultrasound parameters, blood biochemical indicators, 6-min walking distance and QOL score of heart failure quality of life questionnaire at the time of enrollment and 24 months of treatment with one-dimensional nanomaterials Statistical analysis of the results. To explore the effects of one-dimensional nanomaterials therapy on cardiopulmonary function, exercise tolerance, plasma NT-proBNP level and quality of life in patients with CHF. The research data shows that after 150 follow-up patients were followed up for 24 months; during the follow-up period, the overall death was 20, the mortality rate was 13.3%, and the number of deaths without using one-dimensional nanomaterials was 15; the mortality rate was 75%; The number of deaths in the dimensional nanomaterials group was 5 and the case fatality rate was 25%. There was a significant difference in the mortality of the two groups. The experimental results show that one-dimensional nanomaterials can promote the prognosis and sports rehabilitation of elderly patients with chronic heart failure.

Athlete Rehabilitation Evaluation System Based on Internet of Health Things and Human Gait Analysis Algorithm

In order to improve the effect of athlete’s injury recognition and rehabilitation evaluation, this paper studies the traditional rehabilitation evaluation method and proposes a new athlete rehabilitation evaluation system combining the Internet of Health Things technology and human gait analysis algorithm. Moreover, this paper combines sports characteristics to improve the algorithm of human gait analysis. In addition, through the study of the athlete’s human body modeling and movement process, a human gait analysis algorithm that can be applied to multiple sports is proposed, and the gait parameter analysis and algorithm reliability research are carried out through simulation analysis. After confirming that the algorithm is effective, this paper combines the Internet of Health Things technology to construct a system model, obtains the system function module architecture with the support of the Internet of Health Things technology, and conducts experiments to verify the system performance. From the experimental research, it can be seen that the model constructed in this paper meets the theoretical and practical needs, and the system in this paper can be applied to practice in the future. The human gait recognition algorithm constructed in this article has a good effect and can play an important role in sports rehabilitation of athletes. At the same time, the system constructed in this article has certain advantages over traditional sports rehabilitation systems with the support of algorithms.

REHABILITATION OF NEUROMUSCULAR FUNCTION BY PHYSICAL EXERCISE

ABSTRACT Introduction In long-term sports, especially in explosive sports such as accelerated starting, athletes are prone to rupture the anterior cruciate ligament (ACL). It is the ultimate goal of ACL reconstruction for athletes to restore the stability (static and dynamic) and mechanical structure of the knee joint through reconstruction surgery. Object This article uses ACL reconstruction to repair patients’ ACL and explores the effect of athletes’ nerve recovery after sports. Methods We collected 35 ACL reconstruction athletes and randomly divided them into two groups (experimental group, 18; control group, 17). After reconstruction, the athletes in the experimental group were treated with sports rehabilitation. Results The experimental and control groups had great differences in knee joint exercise indexes and nerve function recovery. Conclusion Sports rehabilitation training can effectively improve the nerve function of the knee joint after ACL reconstruction. Level of evidence II; Therapeutic studies - investigation of treatment results.

Clinical Pearls on How Practitioners Can Best Support Elite Soccer Players to Return to Peak Performance After Injury

Shared decision making for return to sport (RTS) is complex and typically influenced by advice from different stakeholders in the coaching, medical, and performance teams. Involving the player by listening to their needs is critical to RTS decision making, yet player narratives are rarely part of published research. In this editorial, we highlight the voices of 1 former elite male player and 1 current elite female player who worked with a practitioner to (1) summarize key themes through an iterative process of writing and reflecting, and (2) derive 6 key messages that the players wanted to share with sports medicine and rehabilitation practitioners to enhance successful RTS. JOSPT Cases 2021;1(3):126–128. doi:10.2519/josptcases.2021.0103

Nanomaterials in the Sports Rehabilitation of Basketball Players After Anterior Cruciate Ligament Reconstruction

Nanomaterials have now become a hotspot and frontier in the medical world, with broad application prospects and industrial development space. This study explored the effects of knee-related training on knee-related activities and knee-related activities during arthroscopic anterior cruciate ligament reconstruction. In this study, 100 cases of anterior cruciate ligament reconstruction under arthroscopy were used as the research object. They were divided into an observation group and a control group by random number table method, with 50 cases in each group. The observation group was given preoperative care and rehabilitation guidance, and the control group was given routine care. The normal walking recovery rate and total knee mobility of the two groups were compared. Two months after surgery, the normal gait, normal knee joint mobility, and knee joint mobility of the observation group were higher than those of the control group (P &lt; 0.05). The number of normal gait in the observation group was 41, accounting for 82% of the total number of observation groups; the number of knees with full angle or more in the observation group was 43, accounting for 86% of the total number of observation groups; normal gait in the control group The number was 23, which accounted for 46% of the total number of observation groups; the number of full-angle knees in the control group was 20, which accounted for 40% of the total number of observation groups. The results show that the guidelines and related nursing for knee training before arthroscopic osteotomy reduction can be improved, and the operation can strengthen the knee function.

체육학분야의 바람직한 연구윤리교육방법 탐색을 위한 분석

Purpose: The purpose of this study is to provide researchers in the field of sports studies with primary data to prepare useful and effective research ethics education guidelines to explore desirable research ethics education methods in the field of sports studies.<BR> Method: In this study, the Delphi method was applied as a way to derive desirable sports ethics education methods, and for this purpose, a group of experts gathered opinions from professors of sports marketing, sports studies, sports physiology, sports rehabilitation, and special sports. At that time, the sports marketing professors selected six professors, three professors majoring in sports studies, two professors majoring in sports physiology, one professor majoring in sports rehabilitation, and one professor majoring in special sports.<BR> Results: The second Delphi Round survey, which categorized the results of the first Delphi Round, and the third Delphi Round analysis of the final ranking, was followed by ‘wrong data processing’, ‘publishing fraud’, ‘personal fraud’, and ‘research management and other fraud’.<BR> Conclusion: The results of this study are based on the subjective views of some experts and may not have included what is required for sports ethics education. Participants in the Delphi methodology conducted in this study are limited to faculty members located in the metropolitan area, which makes it difficult to generalize sports ethics training content through the Delphi method, so future research will result in more reliable results.

Application value of different dimension ZnO nano materials in sports rehabilitation of basketball players with limb fracture injury

The process of basketball is often accompanied by physical injury, serious fractures of limbs will also occur. At present, the most common treatment for limb fracture is surgery, which can repair the fracture site and achieve the ideal treatment effect through the postoperative sports rehabilitation training. But even so, there are still some difficult problems such as high postoperative infection, most complications, loosening of fixed points, etc. the main solution is to add zinc oxide nano material coating in the implant to reduce infection. However, the current research on the application of different dimensions of ZnO nanomaterials in postoperative sports rehabilitation is almost zero. To solve this problem, this paper will take this as the main research purpose. Through the establishment of the corresponding experimental program, this paper first screened the experimental samples, and randomly divided 30 patients who met the experimental conditions. And divided into zero dimensional group, one-dimensional group and two-dimensional group. Through different groups, the members of each group were coated with different dimensions of ZnO nano materials. This paper unifies the operation standard, the postoperative rehabilitation program, and the corresponding evaluation indicators. Through the way of quantitative indicators, we try to analyze the impact of different dimensions of zinc oxide nano material coating on the postoperative rehabilitation of fracture surgery. According to the experimental data, different dimensions of ZnO nanomaterials have little effect on the success rate of the operation, but there are significant differences in the aspect of anti-infection. Zero dimensional materials performed well in the experiment. Compared with one and two-dimensional groups, the rehabilitation time was shortened and complications were effectively reduced. In this paper, it is suggested that the use of zero dimensional ZnO nanomaterials in fracture surgery is a treatment plan that can be popularized.

Nano-ligament combined with sports rehabilitation training on the therapeutic effect after ligament reconstruction

As for the postoperative treatment effect of joint reconstruction, researchers have recognized the following point of view: surgical treatment alone not only has many complications, but also the recovery of knee joint function in some patients is not ideal. The effect of ligament reconstruction depends not only on the level of operation, but also on the postoperative rehabilitation. In order to study the effect of the new nano ligament combined with sports rehabilitation training on the treatment effect of ligament reconstruction, strict method analysis and control experiment were carried out in this paper.This paper first studies the importance, significance and related research status of link reconstruction at home and abroad, and then studies the proprioception training rehabilitation methods, rood multi sensory stimulation promotion, Mrs lower limb training methods and so on. Based on the theoretical support of these methods, this paper carried out the experimental study on the influence of rehabilitation training on the therapeutic effect of ligament reconstruction and the experimental results. This paper innovated on the traditional rehabilitation training: using more technical experimental results and comparing the experimental results of this paper, setting more control groups than the traditional reference experiments. In order to achieve more in-depth research results.The results showed that at the early stage of recovery, the passive flexion of bilateral knee joints was also slightly limited. After 24 weeks of rehabilitation training, the passive flexibility angle of the injured side of the three patients increased from 84 degrees to 92 degrees, from 148 degrees to 154 degrees, and the maximum increase was 64 degrees. At the early stage of rehabilitation, it gradually decreases with the rehabilitation process, and finally tends to be stable, which shows that the effect of early rehabilitation is very obvious, and it proves that early rehabilitation is more important in the whole rehabilitation training.

Effect of TCM Nursing Combined with Sports Rehabilitation Training on Joint Function Recovery of Shoulder Osteoarthritis

Effect of TCM Nursing Combined with Sports Rehabilitation Training on Joint Function Recovery of Shoulder Osteoarthritis

Preparation of Silk Fibroin Nanofiber Scaffold and Its Application in Tendon-Bone Healing and Sports Rehabilitation

ABSTRACTIn this work, polylactic acid/polycaprolactone/silk fibroin (PLA/PCL/SF) nanofiber scaffolds with different mass ratios were prepared by electrospinning technology. The morphology and structure of the nanofiber scaffold were characterized with the scanning electron microscope (SEM), and its porosity and adsorption were tested using the Fourier transform infrared spectrometer (FTIR). 24 New Zealand white rabbits were rolled into control group (n = 8, with autologous tendons) and experimental group (n = 16) randomly. The PLA/PCL/SF nanofiber scaffolds were adopted to wrap autologous tendons to establish extra-articular models. Tendon-bone healing was evaluated six weeks after surgery through histological and biomechanical tests, and the related gene expressions in tissue cells were detected. It turned out that mass ratio of PLA/PCL and SF components had a considerable impact on the morphology of the nanofiber scaffold. The surface of nanofiber with a mass ratio of 3:1 was distributed with dense pores. As the content of SF increased, the porosity and adsorption of the nanofiber scaffold gradually decreased. Moreover, the experimental results suggested that the addition of SF improved the hydrophilicity of PLA/PCL/SF scaffold, which was beneficial to the adhesion and proliferation of NIH/3T3 (a mouse embryonic fibroblast cell line established by the National Institutes of Health (NIH)). In addition, histological observation results showed that the width of the tendon-bone interface (TBI) of rabbits in control group was still relatively large at the 6th week after the surgery, with poor healing effect and disordered collagen arrangement. The widths of the TBI of the material group and rehabilitation group were substantially narrower relative to that in control group, and the collagen was arranged regularly. It was suggested that the healing effects between tendon and bone in material group and rehabilitation group were accelerated, and the effect in the rehabilitation group was superior to that of material group, indicating that rehabilitation exercise could organize the negative effects of training in postoperative rehabilitation training and promote the healing between tendons and bones.