Darain Haider, Alkitani Abdulhameed, Yates Christopher, Bailey Andrea, Roberts Simon, Coutts Fiona, Gleeson Nigel
School of Health Sciences, Queen Margaret University, Edinburgh, UK.
Institute of Physical Medicine and Rehabilitation Khyber Medical University, Peshawar, Pakistan.
J Back Musculoskelet Rehabil. 2015;28(4):877-82. doi: 10.3233/BMR-140581.
A 22-year-old patient undergoing unilateral surgical reconstruction of the anterior cruciate ligament (ACL) of the right knee volunteered for the research project and followed an established contemporary hospital-based rehabilitation programme. The patient was supervised post-surgically by an experienced and clinically specialized physiotherapist. The clinical outcomes of rehabilitation were assessed by selected validated patient-reported and objectively-measured outcomes of functional performance capability on four different occasions (pre-surgery, 6th, 12th and 24th week post-surgery). The patient scored 30, 56, 60 and 85 on IKDC (maximum score, 100); 46, 53, 90 and 91 on Lysholm (maximum score, 100); 141, 73, 128 and 175 on K-SES (maximum score, 220); 17, 12, 6 and 6 on the symptom subsection of KOOS (maximum score, 28); 7, 7, 5 and 5 on the pain subsection (maximum score, 36); 1, 0, 3 and 1 on the daily function subsection (maximum score, 68); 0, 0, 5 and 5 on the sport and recreation function subsection (maximum score, 20); 13, 11, 15 and 13 on the quality of life subsection (maximum score, 16) of KOOS at pre-surgery and at the 6th, 12th and 24th week following ACL reconstruction, respectively. Moreover, the patient scored 1.96 m, 1.92 m and 1.99 m on single-leg hop (injured leg) when assessed at pre-surgery and at the 12th and 24th week post-surgery, respectively, following ACL reconstruction. The total time spent in supervised rehabilitation by the patient (675 minutes) was computed as the aggregate patient-reported time spent in exercise during each hospital-based rehabilitation session (verified by physiotherapist evaluation) across the total number of sessions. The patient managed to return to the sport in which he had participated prior to the injury, immediately after the completion of the contemporary rehabilitation programme, at 24 weeks post-surgery. A total of fifteen physiotherapy sessions supervised by the physiotherapist, were attended by the patient during the 24 week rehabilitation period. The latter number of physiotherapy sessions was substantially less than the average supervised physiotherapy sessions reported in the literature.
一名22岁接受右膝前交叉韧带（ACL）单侧手术重建的患者自愿参与该研究项目，并遵循既定的当代医院康复计划。术后由一名经验丰富且临床专业的物理治疗师对患者进行监督。在四个不同时间点（术前、术后第6周、第12周和第24周），通过选定的经过验证的患者报告的以及客观测量的功能表现能力结果来评估康复的临床效果。患者在国际膝关节文献委员会（IKDC）评分中分别为30、56、60和85分（满分100分）；在Lysholm评分中分别为46、53、90和91分（满分100分）；在K-SES评分中分别为141、73、128和175分（满分220分）；在膝关节损伤和骨关节炎疗效评分系统（KOOS）的症状子项中分别为17、12、6和6分（满分28分）；在疼痛子项中分别为7、7、5和5分（满分36分）；在日常功能子项中分别为1、0、3和1分（满分68分）；在运动和娱乐功能子项中分别为0、0、5和5分（满分20分）；在KOOS的生活质量子项中分别为13、11、15和13分（满分16分），分别对应术前以及ACL重建术后第6周、第12周和第24周。此外，在ACL重建术后，分别在术前以及术后第12周和第24周对患者进行评估时，其单腿跳（伤腿）成绩分别为1.96米、1.92米和1.99米。患者在监督下康复的总时长（675分钟）是通过计算患者报告的每次医院康复治疗期间锻炼所花费的时间（经物理治疗师评估核实），并汇总所有治疗时段得出的。患者在完成当代康复计划后，即术后24周，成功恢复到受伤前参与的运动项目。在24周的康复期内，患者共接受了物理治疗师监督的15次物理治疗。这一物理治疗次数显著少于文献中报道的平均监督物理治疗次数。
