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年龄和性别对前交叉韧带重建术后约6个月时前交叉韧带功能测试的影响

Effect of Age and Sex on Anterior Cruciate Ligament Functional Tests Approximately 6 Months After Anterior Cruciate Ligament Reconstruction.

作者信息

Sugimoto Dai, Milewski Matthew D, Williams Kathryn A, Coene Ryan P, Nunally Kianna D, Kocher Mininder S, Kramer Dennis E, Micheli Lyle J, Yen Yi-Meng, Christino Melissa A

机构信息

Faculty of Sport Sciences, Waseda University, Tokyo, Japan.

The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts, U.S.A.

出版信息

Arthrosc Sports Med Rehabil. 2024 Jan 24;6(3):100897. doi: 10.1016/j.asmr.2024.100897. eCollection 2024 Jun.

DOI:10.1016/j.asmr.2024.100897
PMID:39006798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11240043/
Abstract

PURPOSE

To examine age- and sex-related differences in postoperative functional outcomes at approximately 6 months after anterior cruciate ligament reconstruction (ACLR).

METHODS

In this study, patients who underwent primary ACLR performed a series of return-to-sport functional tests at 5 to 8 months after surgery. Functional tests included strength tests (knee extensors, knee flexors, hip abductors, and hip extensors), a balance test (Y-balance composite score), and hop tests (single, triple, crossover, and 6-m timed hop tests). Limb symmetry was calculated to compare the reconstructed limb with the uninvolved limb. A 2-way multivariate analysis of covariance was used, and effect size was calculated for data analysis.

RESULTS

A total of 176 subjects were included in this study. There were no significant interaction between age and sex on return-to-sport functional tests after ACLR. Also, no main effects of age and sex on return-to-sport functional tests were found in our data.

CONCLUSIONS

Age and sex do not significantly affect functional test performance after ACLR 6 months postoperatively.

LEVEL OF EVIDENCE

Level III, retrospective review of prospective cohort study.

摘要

目的

研究前交叉韧带重建(ACLR)术后约6个月时与年龄和性别相关的功能预后差异。

方法

在本研究中,接受初次ACLR的患者在术后5至8个月进行了一系列恢复运动功能测试。功能测试包括力量测试(膝伸肌、膝屈肌、髋外展肌和髋伸肌)、平衡测试(Y平衡综合评分)和单腿跳测试(单腿跳、双腿跳、交叉跳和6米定时单腿跳测试)。计算肢体对称性以比较重建肢体与未受累肢体。采用双向多变量协方差分析,并计算效应量进行数据分析。

结果

本研究共纳入176名受试者。ACLR术后恢复运动功能测试中,年龄和性别之间没有显著的交互作用。此外,在我们的数据中未发现年龄和性别对恢复运动功能测试的主要影响。

结论

术后6个月,年龄和性别对ACLR后的功能测试表现没有显著影响。

证据水平

III级,前瞻性队列研究的回顾性综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a9b/11240043/73dccee87656/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a9b/11240043/73dccee87656/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a9b/11240043/73dccee87656/gr1.jpg

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本文引用的文献

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Effect of Age and Sex on Psychological Readiness and Patient-Reported Outcomes 6 Months After Primary ACL Reconstruction.年龄和性别对初次前交叉韧带重建术后6个月心理准备状态及患者报告结局的影响
Orthop J Sports Med. 2023 Jun 9;11(6):23259671231166012. doi: 10.1177/23259671231166012. eCollection 2023 Jun.
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Isometric Knee Strength is Greater in Individuals Who Score Higher on Psychological Readiness to Return to Sport After Primary Anterior Cruciate Ligament Reconstruction.在前交叉韧带初次重建后,心理上对恢复运动准备更充分的个体,其等长膝关节力量更强。
Int J Sports Phys Ther. 2022 Dec 1;17(7):1330-1339. doi: 10.26603/001c.39737. eCollection 2022.
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前交叉韧带重建术后1年随访时,身体功能与患者报告的结果之间相关性有限。
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Association Between Self-Reported Kinesiophobia and Single-Leg Hop for Distance in Patients With ACL Reconstruction: A Systematic Review.
自我报告的运动恐惧与 ACL 重建患者单腿跳远距离的关系:系统评价。
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Establishing Age- and Sex-Specific Norms for Pediatric Return-to-Sports Physical Performance Testing.建立针对儿科运动恢复体能测试的年龄和性别特定标准。
Orthop J Sports Med. 2021 Aug 19;9(8):23259671211023101. doi: 10.1177/23259671211023101. eCollection 2021 Aug.
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Who Passes Return-to-Sport Tests, and Which Tests Are Most Strongly Associated With Return to Play After Anterior Cruciate Ligament Reconstruction?哪些人通过了重返运动测试,以及哪些测试与前交叉韧带重建术后重返赛场的关联最为紧密?
Orthop J Sports Med. 2020 Dec 18;8(12):2325967120969425. doi: 10.1177/2325967120969425. eCollection 2020 Dec.
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Autograft type affects muscle strength and hop performance after ACL reconstruction. A randomised controlled trial comparing patellar tendon and hamstring tendon autografts with standard or accelerated rehabilitation.移植物类型影响 ACL 重建后肌肉力量和跳跃表现。一项比较髌腱和腘绳肌腱移植物与标准或加速康复的随机对照试验。
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Low proportion of skeletally immature patients met return-to-sports criteria at 7 Months following ACL reconstruction.在 ACL 重建术后 7 个月时,骨骼未成熟患者中达到重返运动标准的比例较低。
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Passing return to sports tests after ACL reconstruction is associated with greater likelihood for return to sport but fail to identify second injury risk.前交叉韧带重建术后通过重返运动测试与更高的重返运动可能性相关,但未能识别二次受伤风险。
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Safer and Cheaper: An Enhanced Milestone-Based Return to Play Program After Anterior Cruciate Ligament Reconstruction in Young Athletes Is Cost-Effective Compared With Standard Time-Based Return to Play Criteria.更安全、更经济:与基于时间的标准重返运动标准相比,在前交叉韧带重建后,针对年轻运动员的基于里程碑的强化重返运动方案更具成本效益。
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