Ohji Shunsuke, Aizawa Junya, Hirohata Kenji, Mitomo Sho, Ohmi Takehiro, Jinno Tetsuya, Koga Hideyuki, Yagishita Kazuyoshi
Clinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
Department of Physical Therapy, Juntendo University, 3-2-12 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
BMC Sports Sci Med Rehabil. 2021 Apr 7;13(1):37. doi: 10.1186/s13102-021-00264-6.
This study aimed to determine the relationships between athletic identity and sport commitment and return to sports (RTS) status in athletes after anterior cruciate ligament reconstruction (ACLR).
Thirty-nine participants post-ACLR (8-24 months) were included in this cross-sectional study. Measures included the athletic identity measurement scale and sport commitment scale. In addition, we measured kinesiophobia and psychological readiness using the Tampa Scale for Kinesiophobia and ACL-Return to sport after injury scale. The subjects were categorized into Yes-RTS or No-RTS based on two questions to determine whether they were returning to sport at the same level of competition as before the injury. A Chi-squared test, Fisher's exact test, unpaired t-test, and Mann-Whitney's U test were used to analyze the data.
The Yes-RTS group had significantly higher scores on the athletic identity measurement scale (P = 0.023, effect size [ES] = - 0.36), sport commitment scale (P = 0.027, ES = - 0.35), and ACL-Return to sport after injury scale (P = 0.002, ES = - 0.50) and significantly lower Tampa Scale for Kinesiophobia scores (P = 0.014, ES = - 0.39) compared to the No-RTS group.
Athletes who returned to sports at the same level of competition as before the injury had higher athletic identity and sport commitment and lower kinesiophobia compared to those who did not return to sports at the same level of competition. These self-beliefs regarding sport may play an important role in post-ACLR athletes' RTS.
本研究旨在确定前交叉韧带重建（ACLR）术后运动员的运动身份认同、运动投入与恢复运动（RTS）状态之间的关系。
本横断面研究纳入了39例ACLR术后8至24个月的参与者。测量指标包括运动身份认同量表和运动投入量表。此外，我们使用坦帕运动恐惧量表和损伤后ACL恢复运动量表测量了运动恐惧和心理准备情况。根据两个问题将受试者分为恢复运动组（Yes-RTS）或未恢复运动组（No-RTS），以确定他们是否恢复到受伤前相同水平的比赛。采用卡方检验、Fisher精确检验、独立样本t检验和Mann-Whitney U检验对数据进行分析。
与未恢复运动组相比，恢复运动组在运动身份认同量表（P = 0.023，效应量[ES] = -0.36）、运动投入量表（P = 0.027，ES = -0.35）和损伤后ACL恢复运动量表（P = 0.002，ES = -0.50）上的得分显著更高，而在坦帕运动恐惧量表上的得分显著更低（P = 0.014，ES = -0.39）。
与未恢复到相同比赛水平的运动员相比，恢复到受伤前相同比赛水平的运动员具有更高的运动身份认同和运动投入，且运动恐惧更低。这些关于运动的自我信念可能在ACLR术后运动员的恢复运动中发挥重要作用。
