Lam Kenneth C, Thomas Steven St, Valier Alison R Snyder, McLeod Tamara C Valovich, Bay R Curtis
Arizona School of Health Sciences and ‡School of Osteopathic Medicine in Arizona, A.T. Still University, Mesa.
University of Utah Orthopaedic Center, Salt Lake City.
J Athl Train. 2017 Jun 2;52(6):534-540. doi: 10.4085/1062-6050-50.5.01. Epub 2015 Nov 13.
Patient-rated outcome measures (PROMs) capture changes that are important and meaningful to patients, such as health-related quality of life (HRQOL). Although group differences in HRQOL have been reported, little is known about the effect of injury history on HRQOL in collegiate athletes.
To determine whether knee-specific function (International Knee Documentation Committee Subjective Knee Evaluation Form [IKDC]) and HRQOL (Short Form 12 [SF-12]) differs in collegiate athletes based on sex and the severity of a previous knee injury.
Cross-sectional study.
Athletic training facilities.
Healthy collegiate athletes (n = 263) were grouped based on self-report of a previous knee injury: severe (n = 47), mild (n = 40), and no (n = 176) knee injury.
INTERVENTION(S): Participants completed the IKDC and SF-12 during their preparticipation examinations.
MAIN OUTCOME MEASURE(S): Generalized linear models were used to assess interactions and main effects of all scores.
An interaction effect was observed for the SF-12 role physical subscale (P = .02), with men in the mild- and severe-injury groups reporting worse scores than men with no injury history. We noted a main effect for injury group for the IKDC total score (P < .001) and SF-12 physical functioning (P = .04) and role emotional (P = .04) subscales, with the severe-injury group reporting worse scores than the mild- and no-injury groups. No main effects of sex were reported (P > .05).
Despite returning to full participation, collegiate athletes who previously sustained severe knee injuries tended to report worse knee-specific function and less ability to complete activities due to physical health. In addition, individuals with a history of severe knee injury tended to report more emotional concerns than athletes with a history of mild or no knee injury. Region-specific PROMs may be more sensitive in detecting deficits than generic PROMs after return to full participation. Researchers should investigate the role of PROMs, particularly region-specific PROMs, as potential screening tools for clinical care.
患者自评结局指标（PROMs）能够反映对患者来说重要且有意义的变化，比如与健康相关的生活质量（HRQOL）。尽管已有关于HRQOL群体差异的报道，但对于既往受伤史对大学生运动员HRQOL的影响却知之甚少。
确定基于性别和既往膝关节损伤的严重程度，大学生运动员的膝关节特定功能（国际膝关节文献委员会主观膝关节评估表[IKDC]）和HRQOL（简明健康调查量表12项版[SF - 12]）是否存在差异。
横断面研究。
运动训练设施。
健康的大学生运动员（n = 263）根据既往膝关节损伤的自我报告进行分组：重度损伤（n = 47）、轻度损伤（n = 40）和无损伤（n = 176）。
参与者在参与前检查期间完成IKDC和SF - 12。
使用广义线性模型评估所有得分的交互作用和主效应。
在SF - 12生理职能分量表上观察到交互作用（P = 0.02），轻度和重度损伤组的男性报告的得分比无损伤史的男性更差。我们注意到损伤组在IKDC总分（P < 0.001）、SF - 12生理功能（P = 0.04）和情感职能（P = 0.04）分量表上存在主效应，重度损伤组报告的得分比轻度损伤组和无损伤组更差。未报告性别的主效应（P > 0.05）。
尽管已恢复全面参与运动，但既往遭受严重膝关节损伤的大学生运动员往往报告膝关节特定功能更差，且由于身体健康原因完成活动的能力更低。此外，有严重膝关节损伤史的个体往往比有轻度或无膝关节损伤史的运动员报告更多的情感问题。在恢复全面参与运动后，特定部位的PROMs在检测缺陷方面可能比通用的PROMs更敏感。研究人员应调查PROMs，特别是特定部位的PROMs，作为临床护理潜在筛查工具的作用。
