Nyland John, Cottrell Brad, Harreld Kevin, Caborn David N M
Division of Sports Medicine, Department of Orthopaedic Surgery, University of Louisville, 210 E Gray St, Suite 1003, Louisville, KY 40202, USA.
Arthroscopy. 2006 Nov;22(11):1225-32. doi: 10.1016/j.arthro.2006.05.034.
The purpose of this study was to evaluate the influence of high or low internal health locus of control (HLOC) scores on knee function and sports activity self-reports.
The Multidimensional HLOC Scale, the Knee Outcome Survey (KOS) Activities of Daily Living Scale (ADLS) and Sports Activity Scale (SAS), and the 2000 International Knee Documentation Committee (IKDC) Subjective Knee Evaluation and Current Health Assessment surveys were mailed to 335 subjects at a minimum of 2 years after anterior cruciate ligament reconstruction.
Of the subjects, 198 returned completed surveys at 5.1 +/- 2.9 years after surgery. Compared with the group with low internal HLOC scores, the group with high internal HLOC scores had better KOS-ADLS scores (89.6 +/- 13.7 v 77.4 +/- 23.9, P < .0001), KOS-SAS scores (85.2 +/- 18 v 70 +/- 29, P < .0001), global ADLS ratings (90.7 +/- 12.8 v 77.4 +/- 23.9, P < .0001), global SAS ratings (81.8 +/- 20.6 v 70 +/- 29.4, P < .0001), 2000 IKDC Subjective Knee Evaluation scores (80.9 +/- 17.7 v 68.3 +/- 25.2, P < .0001), and 2000 IKDC Current Health Assessment scores for physical function (90.2 +/- 14 v 80.5 +/- 24.6, P = .001), social function (92.6 +/- 14.8 v 85.8 +/- 21.1, P = .014), bodily pain (80.7 +/- 17.7 v 68.7 +/- 24.6, P < .001), mental health (77.9 +/- 14.2 v 70.6 +/- 19.2, P = .005), and vitality (65.1 +/- 19 v 58.8 +/- 21, P = .04). Current knee function scores (8.7 +/- 1.8 v 7.1 +/- 2.9, P < .0001) and KOS-SAS sports activity level scores (chi(2) = 11.2, P = .01) were also higher in the group with high internal HLOC scores compared with the group with low scores.
Patients with high internal HLOC scores were more satisfied with knee function.
Level IV, prognostic case series.
本研究旨在评估高或低的内控健康源点（HLOC）得分对膝关节功能及运动活动自我报告的影响。
在至少2年的前交叉韧带重建术后，将多维HLOC量表、膝关节结果调查（KOS）日常生活活动量表（ADLS）和运动活动量表（SAS），以及2000年国际膝关节文献委员会（IKDC）主观膝关节评估和当前健康评估调查问卷邮寄给335名受试者。
受试者中，198人在术后5.1±2.9年返回了完整的调查问卷。与内控HLOC得分低的组相比，内控HLOC得分高的组在KOS-ADLS得分（89.6±13.7对77.4±23.9，P<.0001）、KOS-SAS得分（85.2±18对70±29，P<.0001）、整体ADLS评分（90.7±12.8对77.4±23.9，P<.0001）、整体SAS评分（81.8±20.6对70±29.4，P<.0001）、2000年IKDC主观膝关节评估得分（80.9±17.7对68.3±25.2，P<.0001）以及2000年IKDC当前健康评估的身体功能得分（90.2±14对80.5±24.6，P=.001）、社会功能得分（92.6±14.8对85.8±21.1，P=.014）、身体疼痛得分（80.7±17.7对68.7±24.6，P<.001）、心理健康得分（77.9±14.2对70.6±19.2，P=.005）和活力得分（65.1±19对58.8±21，P=.04）方面更高。与得分低的组相比，内控HLOC得分高的组当前膝关节功能得分（8.7±1.8对7.1±2.9，P<.0001）和KOS-SAS运动活动水平得分（χ²=11.2，P=.01）也更高。
内控HLOC得分高的患者对膝关节功能更满意。
IV级，预后病例系列。
