Dietvorst Martijn, Brzoskowski Maarten H, van der Steen Marieke, Delvaux Eugenie, Janssen Rob P A, Van Melick Nicky
Department of Orthopaedic Surgery, Máxima MC, Eindhoven, the Netherlands.
Fontys University of Applied Sciences, Eindhoven, the Netherlands.
J Exp Orthop. 2020 Oct 15;7(1):83. doi: 10.1186/s40634-020-00298-8.
Specific return to sport criteria for children and adolescents after anterior cruciate ligament injury and reconstruction are unknown. The aim of this scoping review is to provide an overview of current tests regarding return to sport for children and adolescents. This scoping review was performed according to the PRISMA statement. A systematic search was performed on PubMed and EMBASE. The inclusion criteria were diagnostic and prognostic studies evaluating tests regarding return to sport after ACL injury and reconstruction in children/adolescents (age < 18 years). Twenty-six studies were included, of which 22 studies evaluated tests in the age category of 16 to 18 years. All studies evaluated tests after ACL reconstruction, no studies have been conducted in non-operative patients. Strength tests, movement quality and patient reported outcomes measures (PROMs) are investigated most frequently. Clearance for return to sport should be based on a test battery including strength tests, movement quality during sport-specific tasks and (paediatric) patient reported outcome measures. There are no recommendations on which specific tests regarding quantity and quality of movement should be used. Future research should aim at at developing and validating a test battery including movement quality and neuromotor control in a sport-specific context for both younger children and adolescents after both operative and non-operative treatment.
儿童和青少年前交叉韧带损伤及重建后具体的恢复运动标准尚不清楚。本范围综述的目的是概述目前有关儿童和青少年恢复运动的测试。本范围综述是根据PRISMA声明进行的。在PubMed和EMBASE上进行了系统检索。纳入标准为评估儿童/青少年（年龄<18岁）前交叉韧带损伤及重建后恢复运动测试的诊断和预后研究。共纳入26项研究，其中22项研究评估了16至18岁年龄组的测试。所有研究均评估了前交叉韧带重建后的测试，未对非手术患者进行研究。力量测试、运动质量和患者报告结局指标（PROMs）是最常被研究的内容。恢复运动的许可应基于一套测试，包括力量测试、特定运动任务中的运动质量以及（儿科）患者报告结局指标。对于应使用哪些关于运动数量和质量的具体测试，尚无建议。未来的研究应旨在开发和验证一套测试，包括在手术和非手术治疗后的年幼儿童和青少年的特定运动背景下的运动质量和神经运动控制。
