Andrade AndrÉ LuÍs Lugnani DE, Sardeli Amanda Veiga, Livani Bruno, Belangero William Dias
Universidade Estadual de Campinas, School of Medical Sciences, Campinas, SP, Brazil.
Universidade Estadual de Campinas, School of Physical Education, Exercise Physiology Laboratory, Campinas, SP, Brazil.
Acta Ortop Bras. 2020 Nov-Dec;28(6):303-310. doi: 10.1590/1413-785220202806236114.
To systematically review and meta-analyze the performance of return to play (RTP) and non-RTP patients in different assessment tools after anterior cruciate ligament reconstructions (ACLR).
Out of 182 studies searched on PubMed, 11 presented RTP and non-RTP groups assessing the performance of young individuals, practitioners of different sports, with different tools.
There was higher limb symmetry (7.13% [95%CI 4.55; 9.70], < 0.001), Tegner activity scale (2.41 [95%CI 0.18; 4.64], = 0.03), functional scores such as International Knee Documentation Committee (x7.44 [95%CI 4.69; 10.19], < 0.001), Knee Osteoarthritis Outcome score for quality of life (14.75 [95%CI 10.96; 18.54], < 0.001) and for sports/recreation (11.86 [95%CI 8.87; 14.86], < 0.001); and lower knee laxity (-0.25 mm [95%CI -0.36; -0.14], < 0.001) in RTP compared to non-RTP patients following ACLR.
We confirmed that these different tools can differentiate RTP for non-RTP patients, which may contribute to the physician's decision about the ideal time for RTP.
系统评价和荟萃分析前交叉韧带重建术（ACLR）后不同评估工具中恢复运动（RTP）和未恢复运动（non - RTP）患者的表现。
在PubMed上检索的182项研究中，有11项呈现了RTP组和non - RTP组，这些研究使用不同工具评估了不同运动项目的年轻个体的表现。
与ACLR术后的non - RTP患者相比，RTP患者的肢体对称性更高（7.13% [95%CI 4.55; 9.70]，P < 0.001），Tegner活动量表得分更高（2.41 [95%CI 0.18; 4.64]，P = 0.03），国际膝关节文献委员会等功能评分更高（x7.44 [95%CI 4.69; 10.19]，P < 0.001），膝关节骨关节炎生活质量结局评分更高（14.75 [95%CI 10.96; 18.54]，P < 0.001）以及运动/娱乐评分更高（11.86 [95%CI 8.87; 14.86]，P < 0.001）；膝关节松弛度更低（-0.25 mm [95%CI -0.36; -0.14]，P < 0.001）。
我们证实这些不同的工具可以区分RTP和non - RTP患者，这可能有助于医生决定RTP的理想时间。
