Univ Lyon, UJM-Saint-Etienne, Laboratoire Interuniversitaire de Biologie de la Motricité, EA 7424, F-42023 Saint-Etienne, France.
SFMKS-Lab, SFMKS, Pierrefitte/Seine, France.
Int J Sports Med. 2020 Sep;41(10):696-704. doi: 10.1055/a-1122-8995. Epub 2020 May 12.
The purpose of this study was to evaluate improvements in functional performance through the use of the Limb Symmetry Index of Single and Triple Hop tests between 12 and 52 weeks after anterior cruciate ligament reconstruction, and to compare these values with usual time-based and performance-based criteria used during the return to sport continuum. Repeated functional assessments using Single and Triple Hop Tests at 12, 16, 22, 26, 39 and 52 postoperative weeks were evaluated. At each session, the median and interquartile range of Limb Symmetry Index of tests were calculated and compared with the usual criteria: return to participation:≥85%, between 12-16 w; return to play:≥90%, between 26-39 w. The results indicate that the median increased over time to 39 postoperative weeks and then stabilized. For Single Hop Test, wide variability was seen at 12 and 16 weeks (interquartile range=20%); this was lower from 22 to 52 weeks (interquartile range=8-6%). At 12 weeks for Single Hop Test, the median was 83.6% and did not meet>85% criteria for return to participation. Hop tests could be interesting functional tests to follow the functional recovery and help decision-making regarding return to participation and return to play.
本研究旨在评估前交叉韧带重建后 12 至 52 周内，通过使用单足和三单足跳跃试验的肢体对称性指数（Limb Symmetry Index），改善功能表现，并将这些数值与运动回归连续体中常用的基于时间和基于表现的标准进行比较。在术后 12、16、22、26、39 和 52 周，重复使用单足和三单足跳跃试验进行功能评估。在每次测试中，计算测试的肢体对称性指数的中位数和四分位间距，并与常用标准进行比较：重返运动：≥85%，在 12-16 周；重返比赛：≥90%，在 26-39 周。结果表明，中位数随时间增加至 39 周后趋于稳定。对于单足跳跃测试，在 12 周和 16 周时观察到较大的变异性（四分位间距=20%）；从 22 周到 52 周时变异性较低（四分位间距=8-6%）。在 12 周时，单足跳跃测试的中位数为 83.6%，未达到重返运动的>85%标准。跳跃测试可能是一种有趣的功能测试，可以跟踪功能恢复，并有助于做出重返运动和重返比赛的决策。
