Ross Cheryl A, Clifford Amanda, Louw Quinette A
Department of Physiotherapy, Stellenbosch University, South Africa.
Department of Clinical Therapies, University of Limerick, Ireland.
S Afr J Physiother. 2015 Jun 11;71(1):230. doi: 10.4102/sajp.v71i1.230. eCollection 2015.
The anterior cruciate ligament is the most commonly injured ligament in the knee, with an average of only 64% of affected athletes returning to their pre-injury level of sport. Intrinsic factors associated with an increased likelihood of return to sport may be addressed during rehabilitation to improve the outcome of the reconstruction. The objectives of this review were to systematically appraise publications from six electronic databases describing intrinsic factors that may be associated with return to sport after anterior cruciate ligament reconstruction.
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Methodological quality appraisal was performed according to the Critical Appraisal Skills Programme for cohort studies. We performed a descriptive synthesis of the findings that associated intrinsic factors with return to sport.
Ten studies were included in the review. The findings show that fear of re-injury is a common reason for not returning to participation in sport. Younger patients may be more likely to return to sport, but findings regarding gender were equivocal, with male competitive athletes appearing to be more likely to return to sport than their female counterparts. Good knee function is not always associated with a higher likelihood to return to sport.
Fear of re-injury and age should be considered in the management of sports participants after anterior cruciate ligament reconstruction.
前交叉韧带是膝关节最常受伤的韧带，平均仅有64%的受影响运动员能恢复到受伤前的运动水平。与恢复运动可能性增加相关的内在因素可在康复过程中加以解决，以改善重建效果。本综述的目的是系统评价来自六个电子数据库的描述可能与前交叉韧带重建后恢复运动相关的内在因素的出版物。
遵循系统评价和Meta分析的首选报告项目（PRISMA）指南。根据队列研究的批判性评价技能计划进行方法学质量评估。我们对将内在因素与恢复运动相关联的研究结果进行了描述性综合分析。
本综述纳入了10项研究。结果表明，害怕再次受伤是不恢复运动参与的常见原因。年轻患者可能更有可能恢复运动，但关于性别的研究结果并不明确，男性竞技运动员似乎比女性竞技运动员更有可能恢复运动。良好的膝关节功能并不总是与更高的恢复运动可能性相关。
在前交叉韧带重建后对运动参与者的管理中，应考虑害怕再次受伤和年龄因素。
