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单腿垂直跳跃测试作为前交叉韧带重建术后的功能测试。

Single-leg vertical jump test as a functional test after anterior cruciate ligament reconstruction.

作者信息

Lee Dhong Won, Yang Sang Jin, Cho Seung Ik, Lee Jung Ho, Kim Jin Goo

机构信息

Department of Orthopaedic Surgery, KonKuk University Medical Center, Seoul, South Korea.

Sports Medical Center, KonKuk University Medical Center, Seoul, South Korea.

出版信息

Knee. 2018 Dec;25(6):1016-1026. doi: 10.1016/j.knee.2018.07.014. Epub 2018 Aug 14.

Abstract

BACKGROUND

The aim of this study was to identify the correlations between the single-leg vertical jump (SLVJ) test and subjective and objective tests which were used widely for determining return-to-sports (RTS) after anterior cruciate ligament reconstruction (ACLR).

METHODS

Seventy-five patients (29.5 ± 9.2 years) who underwent ACLR between May 2012 and Jan 2014 were included. Subjective knee scoring systems including subjective International Knee Documentation Committee (IKDC) score, Lysholm score, Tegner activity scale, and ACL-Return to Sports after Injury (ACL-RSI) scale were assessed. Objective tests were also performed.

RESULTS

The limb symmetry index (LSI) for SLVJ test and single-leg hop for distance (SLHD) test was 89.4 ± 14.9% and 90.7 ± 11.7%. LSI for SLVJ test was correlated to subjective IKDC scores (r = 0.26, P = 0.024), Tegner activity scale (r = 0.64, P < 0.001), ACL-RSI scale (r = 0.61, P < 0.001), LSI for SLHD (r = 0.45, P < 0.001), Co-contraction (r = -0.57, P < 0.001), Shuttle run (r = -0.52, P < 0.001), and Carioca (r = -0.54, P < 0.001) tests. In isokinetic strength tests, extensor peak torque (r = 0.30, P = 0.009) and extensor strength deficit (r = -0.41, P < 0.001) were correlated with LSI for SLVJ test.

CONCLUSION

There were considerable correlations between SLVJ test and subjective IKDC scores, Tegner activity scale, ACL-RSI scale, isokinetic extensor muscle strength, and all other functional tests. SLVJ test could be used conveniently to determine RTS after ACLR in outpatient clinics.

LEVEL OF EVIDENCE

Level IV, case series.

摘要

背景

本研究旨在确定单腿垂直跳(SLVJ)测试与广泛用于判定前交叉韧带重建(ACLR)术后恢复运动(RTS)的主观和客观测试之间的相关性。

方法

纳入2012年5月至2014年1月期间接受ACLR的75例患者(29.5±9.2岁)。评估主观膝关节评分系统,包括主观国际膝关节文献委员会(IKDC)评分、Lysholm评分、Tegner活动量表和ACL损伤后恢复运动(ACL-RSI)量表。还进行了客观测试。

结果

SLVJ测试和单腿跳远距离(SLHD)测试的肢体对称指数(LSI)分别为89.4±14.9%和90.7±11.7%。SLVJ测试的LSI与主观IKDC评分(r = 0.26,P = 0.024)、Tegner活动量表(r = 0.64,P < 0.001)、ACL-RSI量表(r = 0.61,P < 0.001)、SLHD的LSI(r = 0.45,P < 0.001)、协同收缩(r = -0.57,P < 0.001)、往返跑(r = -0.52,P < 0.001)和 carioca(r = -0.54,P < 0.001)测试相关。在等速肌力测试中,伸肌峰值扭矩(r = 0.30,P = 0.009)和伸肌力量 deficit(r = -0.41,P < 0.001)与SLVJ测试的LSI相关。

结论

SLVJ测试与主观IKDC评分、Tegner活动量表、ACL-RSI量表、等速伸肌肌力以及所有其他功能测试之间存在显著相关性。SLVJ测试可方便地用于门诊判定ACLR术后的RTS。

证据水平

IV级,病例系列。

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