Department of Medicine, University College Cork, Cork, Republic of Ireland.
Sports Medicine Research Department, Sports Surgery Clinic, Santry Demesne, Dublin, Republic of Ireland.
Am J Sports Med. 2020 Jan;48(1):78-84. doi: 10.1177/0363546519887952.
BACKGROUND: Psychological factors including self-reported readiness to return to sport (RTS) after anterior cruciate ligament reconstruction (ACLR) measured with the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) scale have been shown to correlate with RTS. Physical deficits have been shown to exist in the later stages after ACLR rehabilitation. No previous studies have investigated the relationship between self-reported readiness to RTS and objective physical measures of power and strength. PURPOSE: To investigate the relationship between ACL-RSI scores and measures of strength and power scores after ACLR. STUDY DESIGN: Case control study; Level of evidence, 3. METHODS: This study recruited 452 male athletes who had undergone primary ACLR. Each athlete completed the ACL-RSI questionnaire, isokinetic strength testing, and jump testing approximately 9 months after surgery. RESULTS: ACL-RSI scores showed a trivial or weak correlation with strength and power measures at 9 months after surgery ( = 0.06-0.16). Similar results were found for the relationship between ACL-RSI scores and limb symmetry index for strength and power measures ( = 0.04-0.15). Comparing the strength and power measures of athletes with higher (≥90) ACL-RSI scores (n = 93) versus athletes with lower (≤75) ACL-RSI scores (n = 92) showed no significant differences except for isokinetic hamstring strength, but with a trivial effect size ( = .040; effect size = 0.15). CONCLUSION: Self-reported readiness to RTS as measured by the ACL-RSI had little or no relationship with athletes' strength and power measures, and there was no meaningful difference in strength and power between athletes with higher and lower ACL-RSI scores at 9 months after ACLR. The findings suggest that psychological recovery and physical recovery after ACLR are different constructs, and strategies to measure and address each construct separately may be necessary to ensure successful RTS after ACLR.
背景:心理因素,包括使用前交叉韧带损伤后重返运动评估(ACL-RSI)量表自评的重返运动准备状态,与前交叉韧带重建(ACLR)后 RTS 相关。ACL 重建康复后后期阶段存在身体缺陷。既往研究尚未调查自评 RTS 准备状态与 ACLR 后力量和爆发力的客观物理测量指标之间的关系。
目的:调查 ACL-RSI 评分与 ACLR 后力量和爆发力测量指标之间的关系。
研究设计:病例对照研究;证据等级,3 级。
方法:本研究招募了 452 名接受初次 ACLR 的男性运动员。每位运动员在手术后约 9 个月完成 ACL-RSI 问卷、等速力量测试和跳跃测试。
结果:ACL-RSI 评分与手术后 9 个月的力量和爆发力测量指标呈轻微或弱相关( = 0.06-0.16)。ACL-RSI 评分与力量和爆发力测量的肢体对称性指数之间的关系也存在类似结果( = 0.04-0.15)。比较 ACL-RSI 评分较高(≥90)的运动员(n = 93)与 ACL-RSI 评分较低(≤75)的运动员(n = 92)的力量和爆发力测量指标,除等速腘绳肌力量外,无显著差异,但具有较小的效应量( =.040;效应量 = 0.15)。
结论:ACL-RSI 测量的自我报告 RTS 准备状态与运动员的力量和爆发力测量指标几乎没有关系,在 ACLR 后 9 个月,ACL-RSI 评分较高和较低的运动员之间的力量和爆发力无显著差异。这些发现表明,ACL 重建后的心理恢复和身体恢复是不同的结构,可能需要分别制定策略来测量和解决每个结构,以确保 ACLR 后成功 RTS。
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