Sengoku Takuya, Takata Yasushi, Yoshimizu Rikuto, Kimura Mitsuhiro, Kanayama Tomoyuki, Kitaoka Katsuhiko, Nakase Junsuke
Section of Rehabilitation, Kanazawa University Hospital, Kanazawa, JPN.
Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, JPN.
Cureus. 2024 Sep 10;16(9):e69099. doi: 10.7759/cureus.69099. eCollection 2024 Sep.
Background Psychological state has been reported as one of the factors strongly related to a return to sports after anterior cruciate ligament (ACL) reconstruction. However, its relationship with the emotional state remains unclear. The aim of this study was to investigate whether patients who have undergone ACL reconstruction and have a higher preoperative psychological competitive ability have a better emotional status preoperatively and six months postoperatively. Methods Patients with a Tegner activity score of ≥6 who underwent ACL reconstruction between 2015 and 2020 were divided into two groups according to their grades on the Diagnostic Inventory of Psychological Competitive Ability for Athletes (DIPCA.3). The emotional states preoperatively and at six months postoperatively were assessed using the Profile of Mood States Second Edition (POMS2) and compared between the two groups. Furthermore, the possibility of returning to sports was compared between the groups based on participation in the entire practice at six months postoperatively. Results Eighty-four patients were included and divided into the high (DIPCA.3 grades ≥4, n = 23) and low (DIPCA.3 <4, n = 61) groups. Vigor-activity and friendliness were significantly higher in the high group than in the low group preoperatively. The difference was even greater at six months after ACL reconstruction. In addition, the high group showed significantly better results postoperatively for fatigue-inertia and total mood disturbance. Rates of return to sports did not differ significantly between the high and low groups (56.5% vs. 54.1%). Conclusions Those with a higher preoperative psychological competitive ability were in a positive emotional state preoperatively and six months after ACL reconstruction. However, the psychological competitive ability did not affect the rate of participation in the entire practice at six months postoperatively.
背景 心理状态已被报道为与前交叉韧带（ACL）重建后恢复运动密切相关的因素之一。然而，其与情绪状态的关系仍不明确。本研究的目的是调查接受ACL重建且术前心理竞争能力较高的患者术前及术后六个月的情绪状态是否更好。方法 2015年至2020年间接受ACL重建且Tegner活动评分≥6的患者，根据其运动员心理竞争能力诊断量表（DIPCA.3）的得分分为两组。术前及术后六个月的情绪状态采用情绪状态量表第二版（POMS2）进行评估，并在两组之间进行比较。此外，根据术后六个月参与全部训练的情况比较两组恢复运动的可能性。结果 纳入84例患者，分为高分组（DIPCA.3评分≥4，n = 23）和低分组（DIPCA.3＜4，n = 61）。术前高分组的活力-活动和友好度显著高于低分组。ACL重建术后六个月差异更大。此外，高分组术后在疲劳-惰性和总体情绪紊乱方面的结果明显更好。高分组和低分组恢复运动的比例无显著差异（56.5%对54.1%）。结论 术前心理竞争能力较高的患者在术前及ACL重建术后六个月处于积极的情绪状态。然而，心理竞争能力并未影响术后六个月参与全部训练的比例。
