Gali Julio Cesar, Fadel Guilia Wendt, Marques Marcos Felipe, Almeida Tyago Araújo, Gali Julio Cesar, Faria Felipe Alexandre Separovic
Pontifícia Universidade Católica de São Paulo, School of Medical Sciences and Health of Sorocaba, Department of Surgery, Sorocaba, SP, Brazil.
Fundação São Paulo, Hospital Santa Lucinda, Orthopedic Service, Sorocaba, SP, Brazil.
Acta Ortop Bras. 2021 Jan-Feb;29(1):21-25. doi: 10.1590/1413-785220212901240903.
The objective of our study was to evaluate if functional training with the Functional Movement Screen (FMS) can reduce the risk of a new injury for patients that underwent an anterior cruciate ligament reconstruction (ACLR). Our hypothesis was that the functional training might reduce the risk of a new injury.
Our training protocol consisted of six phases, each one lasting six weeks. It began two months after surgery. The study group was composed of 10 individuals that completed our protocol after ACLR. The control group consisted of 10 people that completed a regular ACLR rehabilitation protocol. The FMS was used to compare the study and control group performance. Patients with a score of 14 or less on the FMS were considered more likely to suffer an injury than those with a score higher than 14.
The study group average FMS score was 16.6 compared to the control group at 12.3. Functional training for ACLR rehabilitation added a statistically significant benefit ( < 0.0002) to reduce the risk of a new injury compared to regular protocol.
Functional training may be considered an alternative to the regular ACLR rehabilitation to reduce the risk of a new injury before returning to sports.
我们研究的目的是评估使用功能性动作筛查（FMS）进行功能训练是否可以降低接受前交叉韧带重建术（ACLR）的患者再次受伤的风险。我们的假设是功能训练可能会降低再次受伤的风险。
我们的训练方案包括六个阶段，每个阶段持续六周。该训练在手术后两个月开始。研究组由10名在ACLR后完成我们方案的个体组成。对照组由10名完成常规ACLR康复方案的人组成。使用FMS来比较研究组和对照组的表现。FMS得分14分及以下的患者比得分高于14分的患者更有可能受伤。
研究组的平均FMS得分为16.6，而对照组为12.3。与常规方案相比，ACLR康复的功能训练在降低再次受伤风险方面具有统计学上的显著益处（<0.0002）。
在恢复运动前，功能训练可被视为常规ACLR康复的替代方法，以降低再次受伤的风险。
