Cheney Sarah, Chiaia Theresa A, de Mille Polly, Boyle Caroline, Ling Daphne
Sports Medicine and Shoulder Service.
Sports Rehabilitation and Performance Center, Hospital for Special Surgery.
Sports Med Arthrosc Rev. 2020 Jun;28(2):66-70. doi: 10.1097/JSA.0000000000000263.
Although the incidence of anterior cruciate ligament injuries continues to rise, return to sport (RTS) rates remain low and risk of the second injury remains high. No gold-standard criteria exist for medical clearance to RTS after anterior cruciate ligament reconstruction. The lack of consensus may be driven by the multifactorial nature of the clinical decision that includes a combination of physical and psychological factors. Tools such as the Quality of Movement Assessment, which identifies physical deficits and faulty movement patterns to provide targeted recommendations for safe RTS, and the Anterior Cruciate Ligament Return to Sport after Injury Scale, which determines psychological readiness by measuring an athlete's emotions, confidence, and risk appraisal, have been developed in recent years. This review summarizes the existing evidence regarding RTS and highlights the need for a comprehensive evaluation of an athlete's readiness to return.
尽管前交叉韧带损伤的发生率持续上升，但恢复运动（RTS）的比例仍然很低，再次受伤的风险仍然很高。对于前交叉韧带重建术后恢复运动的医学许可，不存在金标准的标准。缺乏共识可能是由临床决策的多因素性质驱动的，该决策包括身体和心理因素的综合。近年来已经开发了一些工具，如运动质量评估，它可以识别身体缺陷和错误的运动模式，为安全恢复运动提供有针对性的建议；还有前交叉韧带损伤后恢复运动量表，它通过测量运动员的情绪、信心和风险评估来确定心理准备情况。本综述总结了关于恢复运动的现有证据，并强调了对运动员恢复准备情况进行全面评估的必要性。
