与青少年和年轻成年人相比，在 ACL 重建后 8 个月和 12 个月时，儿科患者的自我效能感、心理准备和重返运动的比例更高。
Greater self-efficacy, psychological readiness and return to sport amongst paediatric patients compared with adolescents and young adults, 8 and 12 months after ACL reconstruction.
机构信息
Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
出版信息
Knee Surg Sports Traumatol Arthrosc. 2023 Dec;31(12):5629-5640. doi: 10.1007/s00167-023-07623-5. Epub 2023 Oct 20.
PURPOSE
The purpose of this study was to evaluate differences in rehabilitation-specific outcomes between paediatric patients, adolescents and young adults within the first 2 years after anterior cruciate ligament (ACL) reconstruction. A further aim was to determine whether patient age was associated with an increased risk of not achieving symmetrical muscle function within the first 2 years after ACL reconstruction.
METHODS
The patient data in the present study were extracted from the rehabilitation outcome registry, Project ACL. Patients aged 11-25 years registered for primary ACL reconstruction with a hamstring tendon autograft between April 1, 2013 and November 23, 2020 were included. A total of 691 patients met the inclusion criteria and were included in the study; 41 paediatric patients (females 11-13, males 11-15 years), 347 adolescents (females 14-19, males 16-19 years) and 303 young adults (females 20-25, males 20-25 years).
RESULTS
The comparison between groups revealed that 70% of paediatric patients, 39% of adolescents and 35% of young adults had returned to knee-strenuous sport at 8 months and that 90% of paediatric patients, 71% of adolescents and 62% of young adults had returned to sport at 12 months. Paediatric patients also reported higher scores compared with both the other patient groups on the Knee Self-Efficacy Scale (K-SES) and the Anterior Cruciate Ligament Return to Sport after Injury scale (ACL-RSI) at 8 and 12 months.
CONCLUSIONS
A larger proportion of paediatric patients had returned to sport compared with adolescents and young adults 8 and 12 months after ACL reconstruction. Paediatric patients also reported higher self-efficacy and greater psychological readiness to return to sport at 8 and 12 months than the other two groups. No differences in terms of muscle function tests when comparing paediatric patients, adolescents and young adults were found.
LEVEL OF EVIDENCE
II.
目的
本研究旨在评估前交叉韧带（ACL）重建后 2 年内，儿童患者、青少年和年轻成人在康复特定结局方面的差异。进一步的目的是确定患者年龄是否与 ACL 重建后 2 年内无法实现对称肌肉功能的风险增加有关。
方法
本研究中的患者数据来自康复结局登记处，项目 ACL。纳入 2013 年 4 月 1 日至 2020 年 11 月 23 日期间接受 ACL 重建的年龄在 11-25 岁的自体腘绳肌腱的原发性 ACL 重建患者。共有 691 名患者符合纳入标准并被纳入研究；41 名儿童患者（女性 11-13 岁，男性 11-15 岁），347 名青少年（女性 14-19 岁，男性 16-19 岁）和 303 名年轻成人（女性 20-25 岁，男性 20-25 岁）。
结果
组间比较显示，70%的儿童患者、39%的青少年和 35%的年轻成人在 8 个月时已重返膝关节剧烈运动，90%的儿童患者、71%的青少年和 62%的年轻成人在 12 个月时已重返运动。与其他两组相比，在 8 个月和 12 个月时，儿童患者在膝关节自我效能量表（K-SES）和前交叉韧带损伤后重返运动量表（ACL-RSI）上的评分也更高。
结论
与 ACL 重建后 8 个月和 12 个月的青少年和年轻成人相比，更大比例的儿童患者已重返运动。与其他两组相比，儿童患者在 8 个月和 12 个月时的自我效能感和重返运动的心理准备程度更高。在肌肉功能测试方面，儿童患者、青少年和年轻成人之间没有差异。
证据水平
II。
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