Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK.
Sports Surgery Clinic, Dublin, Ireland.
Scand J Med Sci Sports. 2022 Mar;32(3):612-621. doi: 10.1111/sms.14104. Epub 2021 Nov 25.
There are currently a multitude of tests used to assess readiness to return to sport (RTS) following anterior cruciate ligament reconstruction (ACLR). The aim of this study was to establish the extent to which movement strategies transfer between three common assessment tasks to help improve design of athlete testing batteries following ACLR. A cohort of 127 male patients 8-10 months post-ACLR and 45 non-injured controls took part in the study. Three movement tasks were completed (unilateral and bilateral drop jump, and 90° pre-planned cut), while ground reaction forces and three-dimensional kinematics (250 Hz) were recorded. Compared to the bilateral drop jump and cut, the unilateral drop jump had a higher proportion of work done at the ankle (d = 0.29, p < 0.001 and d = -1.87, p < 0.001, respectively), and a lower proportion of work done at the knee during the braking phase of the task (d = 0.447, p < 0.001 and d = 1.56, p < 0.001, respectively). The ACLR group had higher peak hip moments than the non-injured controls, although the proportion of work done at the ankle, knee and hip joints were similar. Movement strategies were moderately and positively related at the ankle (r = 0.728, p < 0.001), knee (r = 0.638, p < 0.001) and hip (r = 0.593, p < 0.001) between the unilateral and bilateral drop jump, but there was no relationship at the ankle (r = 0.10, p = 0.104), knee (r = 0.106, p = 0.166) and hip (r = -0.019, p = 0.808) between the unilateral drop jump and the cut. Clinicians could therefore consider omitting one of the drop jumps from assessment batteries but should include both jumping and cutting tasks.
目前有许多测试用于评估前交叉韧带重建 (ACLR) 后重返运动 (RTS) 的准备情况。本研究旨在确定运动策略在三种常见评估任务之间转移的程度,以帮助改善 ACLR 后运动员测试电池的设计。一项包括 127 名男性 ACLR 后 8-10 个月的患者和 45 名未受伤对照组的队列参与了这项研究。完成了三项运动任务(单侧和双侧跳落,以及 90°预先计划的切割),同时记录地面反作用力和三维运动学(250Hz)。与双侧跳落和切割相比,单侧跳落的踝关节做功比例更高(d=0.29,p<0.001 和 d=-1.87,p<0.001),在任务的制动阶段,膝关节做功比例更低(d=0.447,p<0.001 和 d=1.56,p<0.001)。ACL 组的髋关节峰值力矩高于未受伤对照组,尽管踝关节、膝关节和髋关节的做功比例相似。单侧和双侧跳落之间的踝关节(r=0.728,p<0.001)、膝关节(r=0.638,p<0.001)和髋关节(r=0.593,p<0.001)之间的运动策略呈中度和正相关,但踝关节(r=0.10,p=0.104)、膝关节(r=0.106,p=0.166)和髋关节(r=-0.019,p=0.808)之间没有关系。因此,临床医生可以考虑从评估电池中省略一个跳落,但应包括跳跃和切割任务。