Department of Orthopaedics & Traumatology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Office of Student Affairs, Lingnan University, Hong Kong, China.
Int J Environ Res Public Health. 2023 Mar 9;20(6):4821. doi: 10.3390/ijerph20064821.
After reconstruction, the return to full competition rate of athletes is low, while the re-injury rate remains high despite the completion of a rehabilitation programme. Primary ACL prevention programmes are well developed, yet few research papers focus on secondary ACL injury prevention. The aim of current review is to determine if current ACL secondary prevention training has a positive influence on the re-injury rate, the clinical or functional outcomes, or the risk of re-injury in athletes. Studies investigating secondary prevention of ACL were searched in PubMed and EBSCOhost, followed by a review of the references in the identified articles. The existing evidence suggests that neuromuscular training, eccentric strengthening, and plyometric exercises may have a potential impact on improving biomechanical, functional, and psychological outcomes in athletes; however, the studies on the prevention of second ACL injury in athletes is scarce and inconclusive. Future research is needed to investigate the effectiveness of secondary ACL prevention in reducing the re-injury rates. (PROSPERO Registration number: CRD42021291308).
重建后，运动员重返完全竞技状态的比率较低，尽管完成了康复计划，但再次受伤的比率仍然很高。前交叉韧带（ACL）的一级预防方案已经很完善，但很少有研究论文关注 ACL 的二级预防。本综述的目的是确定当前 ACL 二级预防训练是否对运动员的再次受伤率、临床或功能结果或再次受伤的风险有积极影响。在 PubMed 和 EBSCOhost 中搜索了调查 ACL 二级预防的研究，然后对已确定文章中的参考文献进行了审查。现有证据表明，神经肌肉训练、离心强化和增强式训练可能对改善运动员的生物力学、功能和心理结果有潜在影响；然而，关于运动员预防第二次 ACL 损伤的研究很少且尚无定论。需要进一步的研究来调查二级 ACL 预防在降低再受伤率方面的有效性。（PROSPERO 注册号：CRD42021291308）。
