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前交叉韧带重建前后康复强化方案对恢复运动能力的影响。

Impaction Of Rehabilitations And Strengthening Programs before And after Anterior Cruciate Ligament Reconstruction In Return to the Fitness Level.

机构信息

Surgery Department, Faculty of Medicine, Albaha University, Pediatric Orthopedic & Deformities Fellow (WIEN), Consultant Orthopedic. Director of Orthopedic Resident Training Program, Albaha 65561, Saudi Arabia.

出版信息

J Environ Public Health. 2022 Jul 9;2022:7906341. doi: 10.1155/2022/7906341. eCollection 2022.

DOI:10.1155/2022/7906341
PMID:35855819
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9288282/
Abstract

OBJECTIVES

Sports injuries are one of the most common orthopedic injuries particularly in young and active populations. Football is the most popular sport among Saudis, and thus, anterior cruciate ligament (ACL) injuries are common in clinics and emergency rooms in Saudi Arabia. The aim of this study was to evaluate the outcomes of patients six months after ACL reconstruction in both hospitals and gym-based rehabilitation services and its impaction on the patients to return to sports and preinjury fitness levels.

METHODS

This is a retrospective case series of patients who underwent arthroscopically assisted ACL reconstruction using a hamstring autograft at our center. Data were gathered from January 2020 to December 2020. Patients were given a questionnaire about their visits to the orthopedic clinic in the 6 month after surgery.

RESULTS

Sixty patients with ACL reconstructions were studied. Noncontact sports were the leading cause of injuries (53.3%). The mean Lysholm score was 84.9 (SD 3.45) out of 100 after six months of follow-up, and the mean Tegner score was 4.77 (SD 1.06) out of 10 points. The Lysholm score was excellent (>90) among 5% (= 3), good (84-90) among 60% (= 36), and fair (65-83) among 35% (= 21). As a result, we observed that the duration of postoperative rehabilitation has a significant relationship with the fitness level (2= 18.711; =0.001).

CONCLUSION

The Lysholm knee scoring scale and the Tegner activity scale showed that arthroscopically assisted ACL reconstruction using hamstring autograft has a successful and functional outcome after which the patient returns to sports or regains the preinjury level of fitness level depends on the rehabilitation.The period and types of preoperative and postoperative rehabilitation have a direct impact on the return to fitness levels and normal daily life activities.

摘要

目的

运动损伤是最常见的骨科损伤之一,尤其是在年轻和活跃人群中。足球是沙特人最喜爱的运动,因此,前交叉韧带(ACL)损伤在沙特的诊所和急诊室很常见。本研究的目的是评估 ACL 重建后 6 个月在医院和健身房为基础的康复服务中患者的结果,以及对患者重返运动和受伤前健康水平的影响。

方法

这是一项回顾性病例系列研究,研究对象为在我院接受关节镜辅助 ACL 重建的患者,使用自体腘绳肌腱。数据收集于 2020 年 1 月至 2020 年 12 月。患者在手术后 6 个月内接受了关于他们到骨科诊所就诊的问卷调查。

结果

研究了 60 例 ACL 重建患者。非接触性运动是受伤的主要原因(53.3%)。6 个月随访后,Lysholm 评分为 84.9(SD 3.45),Tegner 评分为 4.77(SD 1.06)。Lysholm 评分优秀(>90)占 5%(3 例),良好(84-90)占 60%(36 例),中等(65-83)占 35%(21 例)。结果发现,术后康复时间与健康水平有显著关系(2=18.711;=0.001)。

结论

Lysholm 膝关节评分和 Tegner 活动评分表明,关节镜辅助自体腘绳肌腱 ACL 重建后具有成功和功能性的结果,患者是否能重返运动或恢复受伤前的健康水平取决于康复情况。术前和术后康复的时间和类型对恢复健康水平和正常日常生活活动有直接影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ab/9288282/3b4980a67b33/JEPH2022-7906341.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ab/9288282/ed19886b428c/JEPH2022-7906341.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ab/9288282/d5cfe073a314/JEPH2022-7906341.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ab/9288282/e3df7c9b512a/JEPH2022-7906341.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ab/9288282/3b4980a67b33/JEPH2022-7906341.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ab/9288282/ed19886b428c/JEPH2022-7906341.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ab/9288282/d5cfe073a314/JEPH2022-7906341.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ab/9288282/e3df7c9b512a/JEPH2022-7906341.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ab/9288282/3b4980a67b33/JEPH2022-7906341.004.jpg

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