前交叉韧带重建术后5至7个月的783例青少年患者的年龄、性别和移植物特异性参考值:国际膝关节文献委员会(IKDC)、儿童IKDC、膝关节损伤和骨关节炎疗效评分(KOOS)、前交叉韧带恢复指数(ACL-RSI)、单腿跳和大腿力量。

Age-, Sex-, and Graft-Specific Reference Values From 783 Adolescent Patients at 5 to 7 Months After ACL Reconstruction: IKDC, Pedi-IKDC, KOOS, ACL-RSI, Single-Leg Hop, and Thigh Strength.

作者信息

Kuenze Christopher, Weaver Adam, Grindstaff Terry L, Ulman Sophia, Norte Grant E, Roman Dylan P, Giampetruzzi Nicholas, Lisee Caroline M, Birchmeier Thomas, Triplett Ashley, Farmer Brooke, Hopper Haleigh, Sherman David A, Ness Brandon M, Collins Katherine, Walaszek Michelle, Baez Shelby E, Harkey Matthew S, Tulchin-Francis Kirsten, Ellis Henry, Wilson Philip L, Chang Edward S, Wilcox C Luke, Schorfhaar Andrew, Shingles Michael, Hart Joseph M

出版信息

J Orthop Sports Phys Ther. 2023 Apr;53(4):194-201. doi: 10.2519/jospt.2023.11389. Epub 2023 Jan 23.

Abstract

To describe age-, sex-, and graft source-specific reference values for patient-reported, physical function, and strength outcome measures in adolescents at 5 to 7 months after anterior cruciate ligament reconstruction. Cross-sectional study. Data were collected at 3 universities and 2 children's hospitals. The participants completed at least one of the International Knee Documentation Committee (IKDC) Subjective Evaluation Form, Pediatric IKDC (Pedi-IKDC), Knee Injury and Osteoarthritis Outcomes Score (KOOS), and Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) Scale. Participants also completed single-leg hop tests and/or isokinetic quadriceps and hamstrings strength assessments (at 60°/s). Reference values were summarized using descriptive statistics and stratified for age, sex, and graft source. Reference values were reported for common patient-reported outcomes and measures of physical function and strength from 783 participants (56% females, age = 16. 4 ± 2.0 years) who were in early adolescence (12-14 years, N = 183, 52% females), middle adolescence (15-17 years, N = 456, 58% females), or late adolescence (18-20 years, N = 144, 55% females). Three hundred seventy-nine participants (48.4%) received a bone-patellar tendon-bone autograft, 292 participants (37.3%) received hamstring tendon autograft, and 112 participants (14.3%) received autograft or allograft from an alternative source. Reference values for common patient-reported outcomes and measures of physical function and strength differed depending on a patient's age, sex, and graft source. Using patient-specific reference values, in addition to previously described age-appropriate cutoff values, may help clinicians monitor and progress patients through rehabilitation and return to physical activity after anterior cruciate ligament reconstruction. .

摘要

描述青少年前交叉韧带重建术后5至7个月时,患者报告的、身体功能和力量结果测量的年龄、性别和移植物来源特异性参考值。横断面研究。数据在3所大学和2家儿童医院收集。参与者完成了至少一份国际膝关节文献委员会(IKDC)主观评估表、儿科IKDC(Pedi-IKDC)、膝关节损伤和骨关节炎结果评分(KOOS)以及前交叉韧带损伤后恢复运动(ACL-RSI)量表。参与者还完成了单腿跳测试和/或等速股四头肌和腘绳肌力量评估(60°/s)。参考值采用描述性统计进行总结,并按年龄、性别和移植物来源进行分层。报告了783名参与者(56%为女性,年龄=16.4±2.0岁)的常见患者报告结果以及身体功能和力量测量的参考值,这些参与者处于青春期早期(12 - 14岁,N = 183,52%为女性)、青春期中期(15 - 17岁,N = 456,58%为女性)或青春期晚期(18 - 20岁,N = 144,55%为女性)。379名参与者(48.4%)接受了骨 - 髌腱 - 骨自体移植物,292名参与者(37.3%)接受了腘绳肌腱自体移植物,112名参与者(14.3%)接受了来自其他来源的自体移植物或同种异体移植物。常见患者报告结果以及身体功能和力量测量的参考值因患者的年龄、性别和移植物来源而异。除了先前描述的适合年龄的临界值外,使用患者特异性参考值可能有助于临床医生在青少年前交叉韧带重建术后监测患者康复进程并使其恢复体育活动。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索