Clinique Du Sport, 28 Boulevard Saint-Marcel, 75005, Paris, France.
Clinique Jouvenet, 6 Sq. Jouvenet, 75016, Paris, France.
Knee Surg Sports Traumatol Arthrosc. 2023 Nov;31(11):4961-4968. doi: 10.1007/s00167-023-07548-z. Epub 2023 Aug 23.
The return to sport is one of the main goals following Achilles tendon tear repair. Several psychological factors influence the return to sport after a sports injury. The traditional tools to assess the return to sport do not take into account psychological factors. The ankle ligament reconstruction-return to sport injury (ALR-RSI), validated for ankle instability, is a score to evaluate psychological readiness to return to sport. The goal of this study was to validate the ALR-RSI score for the assessment of the readiness to return to sport after Achilles tendon repair.
The ALR-RSI score, adapted from the anterior cruciate ligament-return to sport injury (ACL-RSI) score used following knee ligament reconstruction, was validated according to the international COSMIN methodology. Patients operated for Achilles tendon repair responded to the questionnaire during the rehabilitation period. The EFAS, FAAM and VISA-A scores were used as reference questionnaires.
A total of 50 patients were included. The ALR-RSI score was strongly (r > 0.5) correlated to the EFAS score: r = 0.68 [0.50-0.80] the FAMM sport score: r = 0.7 [0.52-0.84] the FAAM AVQ score (r = 0.6 [0.35-0.78]), and the VISA-A score (r = 0.54 [0.26-0.76]). The discriminant validity was good with the ALR-RSI, which was significantly lower in the patients that did not return to sport: 60.7 (40-81.4) compared to those that did: 83.2 (64.3-100) p = 0.001. Reproducibility was excellent with an intra-class correlation coefficient ρ of 0.99 [097-1.00]. The internal consistency was excellent (alpha coefficient = 0.95).
The ALR-RSI score provides a valid, reproducible assessment of the psychological readiness to return to sport in patients who undergo surgical Achilles tendon suture repair.
III.
跟腱撕裂修复后，重返运动是主要目标之一。有几个心理因素会影响运动损伤后的重返运动。传统的评估重返运动的工具没有考虑到心理因素。踝关节韧带重建-重返运动损伤（ALR-RSI）是一种评估重返运动心理准备的评分，已在踝关节不稳定中得到验证。本研究的目的是验证 ALR-RSI 评分在评估跟腱修复后重返运动的准备情况。
根据用于膝关节韧带重建后的前交叉韧带-重返运动损伤（ACL-RSI）评分改编的 ALR-RSI 评分，按照国际 COSMIN 方法学进行了验证。接受跟腱修复手术的患者在康复期间回答了问卷。EFAS、FAAM 和 VISA-A 评分被用作参考问卷。
共纳入 50 例患者。ALR-RSI 评分与 EFAS 评分高度相关（r>0.5）：r=0.68 [0.50-0.80] FAMM 运动评分：r=0.7 [0.52-0.84] FAAM AVQ 评分（r=0.6 [0.35-0.78]）和 VISA-A 评分（r=0.54 [0.26-0.76]）。ALR-RSI 具有良好的判别效度，未重返运动的患者 ALR-RSI 显著较低：60.7（40-81.4），而重返运动的患者为 83.2（64.3-100），p=0.001。内部一致性良好（alpha 系数=0.95）。
ALR-RSI 评分可有效、可重复地评估接受手术跟腱缝合修复的患者重返运动的心理准备情况。
III 级。
