3个月时的跟腱完全断裂评分可预测患者伤后1年恢复运动的能力。
Achilles tendon Total Rupture Score at 3 months can predict patients' ability to return to sport 1 year after injury.
作者信息
Hansen Maria Swennergren, Christensen Marianne, Budolfsen Thomas, Østergaard Thomas Friis, Kallemose Thomas, Troelsen Anders, Barfod Kristoffer Weisskirchner
机构信息
Department of Physiotherapy and Occupational Therapy, Danish Achilles Tendon Database, Copenhagen University Hospital Hvidovre, Kettegård Allé 30, 2650, Hvidovre, Denmark.
Department of Physiotherapy and Occupational Therapy and Department of Orthopaedic Surgery, Danish Achilles Tendon Database, Aalborg University Hospital, Hobrovej 18-22, 9000, Aalborg, Denmark.
出版信息
Knee Surg Sports Traumatol Arthrosc. 2016 Apr;24(4):1365-71. doi: 10.1007/s00167-015-3974-0. Epub 2016 Jan 5.
PURPOSE
To investigate how the Achilles tendon Total Rupture Score (ATRS) at 3 months and 1 year after injury is associated with a patient's ability to return to work and sports as well as to investigate whether sex and age influence ATRS after 3 months and 1 year.
METHOD
This is a retrospective study analysing the data from the Danish Achilles tendon Database. A total of 366 patients were included. Logistic regression was conducted to describe the effect of ATRS on return to work and sports. The effect of age and sex on ATRS was analysed by linear regression.
RESULTS
Three months after injury patients had a significantly increased chance of return to sport after 1 year with an increased ATRS (OR 1.06, p = 0.001) but a non-significant effect on return to work. After 1 year, patients had a significantly increased probability of having returned to sport (OR 1.11, p < 0.001) and also having returned to work (OR 1.05, p = 0.007) with an increased ATRS. Men had an average 7 (p = 0.006) points higher ATRS at 3 months and an average 22 (p = 0.006) points higher at 1 year.
CONCLUSION
ATRS is associated with patients' ability to return to sports and work. ATRS at 3 months can be used as a predictor of the patient's ability to return to sports after 1 year. Hereby, ATRS might help to individualise rehabilitation by identifying patients who do not respond adequately to the chosen treatment.
LEVEL OF EVIDENCE
II.
目的
研究跟腱完全断裂伤后3个月和1年时的跟腱总评分（ATRS）与患者恢复工作及运动能力之间的关联，以及探究性别和年龄对伤后3个月和1年时ATRS的影响。
方法
这是一项回顾性研究，分析丹麦跟腱数据库中的数据。共纳入366例患者。采用逻辑回归描述ATRS对恢复工作及运动的影响。通过线性回归分析年龄和性别对ATRS的影响。
结果
伤后3个月，随着ATRS升高，患者1年后恢复运动的几率显著增加（比值比1.06，p = 0.001），但对恢复工作无显著影响。1年后，随着ATRS升高，患者恢复运动（比值比1.11，p < 0.001）及恢复工作（比值比1.05，p = 0.007）的概率均显著增加。男性在伤后3个月时ATRS平均高出7分（p = 0.006），1年时平均高出22分（p = 0.006）。
结论
ATRS与患者恢复运动及工作的能力相关。伤后3个月时的ATRS可作为患者1年后恢复运动能力的预测指标。据此，ATRS可能有助于通过识别对所选治疗反应不佳的患者来实现康复个体化。
证据级别
II级。
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