West Thomas J, Bruder Andrea M, Crossley Kay M, Culvenor Adam G
La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia.
Australian IOC Research Centre, La Trobe University, Bundoora, Victoria, Australia.
Br J Sports Med. 2023 Jul;57(13):855-863. doi: 10.1136/bjsports-2022-105736. Epub 2023 Jan 20.
To investigate the prognostic capacity of individual hop tests, hop test batteries and other unilateral functional performance tests following anterior cruciate ligament (ACL) injury.
Systematic review with meta-analysis.
Six databases searched up to June 2021.
Studies reporting associations between unilateral lower-limb function (eg, hop tests) following ACL injury and future (≥3 months) knee-related outcomes.
Of 42 included studies (13 150 participants), all assessed the single-forward hop test and 32 assessed a repeated-forward hop test (crossover hop, triple hop, 6m-timed hop), mostly within a year after ACL injury/reconstruction. Results of meta-analyses indicated that higher single-forward and repeated-forward hop limb symmetry were associated with higher odds of return-to-sport 1-3 years post-ACL reconstruction (OR 2.15; 95% CI 1.30 to 3.54; OR 2.11; 95% CI 1.23 to 3.60, respectively). Higher single-forward and repeated-forward hop limb symmetry was associated with better self-reported symptoms and function 1-37 years after ACL injury (OR 2.51; 95% CI 1.62 to 3.88; OR 4.28; 95% CI 1.65 to 11.08, respectively). Higher limb symmetry on a repeated-forward hop does not appear to be associated with higher odds of successful rehabilitation without ACL reconstruction (OR 1.51; 95% CI 0.94 to 2.44). Achieving ≥90% limb symmetry on the single-forward hop was associated with reduced odds of knee osteoarthritis 5-37 years after ACL injury (OR 0.46; 95% CI 0.23 to 0.94).
Very low certainty evidence suggests single-forward and repeated-forward hop tests are prognostic indicators for important knee-related outcomes in individuals after ACL injury and may help stratify individuals at risk of poor outcomes to target rehabilitation interventions.
CRD42018092197.
探讨前交叉韧带（ACL）损伤后个体单腿跳测试、单腿跳测试组合及其他单侧功能表现测试对预后的评估能力。
系统评价与荟萃分析。
检索截至2021年6月的六个数据库。
报告ACL损伤后单侧下肢功能（如单腿跳测试）与未来（≥3个月）膝关节相关结局之间关联的研究。
在纳入的42项研究（13150名参与者）中，所有研究均评估了单向前跳测试，32项研究评估了重复前跳测试（交叉跳、三级跳、6米定时跳），大多在ACL损伤/重建后一年内进行。荟萃分析结果表明，单向前跳和重复前跳的肢体对称性越高，ACL重建后1 - 3年恢复运动的几率越高（OR分别为2.15；95%CI为1.30至3.54；OR为2.11；95%CI为1.23至3.60）。单向前跳和重复前跳的肢体对称性越高，ACL损伤后1 - 37年自我报告的症状和功能越好（OR分别为2.51；95%CI为1.62至3.88；OR为4.28；95%CI为1.65至11.08）。重复前跳时较高的肢体对称性似乎与未进行ACL重建而成功康复的较高几率无关（OR为1.51；95%CI为0.94至2.44）。单向前跳时达到≥90%的肢体对称性与ACL损伤后5 - 37年膝关节骨关节炎几率降低相关（OR为0.46；95%CI为0.23至0.94）。
极低确定性证据表明，单向前跳和重复前跳测试是ACL损伤个体重要膝关节相关结局的预后指标，可能有助于对预后不良风险个体进行分层，以针对性地进行康复干预。
PROSPERO注册号：CRD42018092197。
