前交叉韧带重建术后男性比女性恢复运动的心理准备更充分：一项系统评价和荟萃分析。
Males have higher psychological readiness to return to sports than females after anterior cruciate ligament reconstruction: a systematic review and meta-analysis.
作者信息
Obradovic Anja, Manojlovic Marko, Rajcic Aleksandra, Jankovic Stefan, Andric Nikola, Ralic Vuk, Zlicic Tamara, Aleksic Branko, Ninkovic Srdjan, Veraksa Aleksander, Drid Patrik
机构信息
Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia.
Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
出版信息
BMJ Open Sport Exerc Med. 2024 Dec 15;10(4):e001996. doi: 10.1136/bmjsem-2024-001996. eCollection 2024.
OBJECTIVES
To examine sex differences in psychological readiness to return to sport following anterior cruciate ligament (ACL) reconstruction as well as to determine whether males and females separately fulfilled cut-off values (≥65) of psychological readiness necessary to return to sport.
INFORMATION SOURCES
Web of Science, Scopus and PubMed were comprehensively searched from inception to January 2024 to identify relevant studies.
ELIGIBILITY CRITERIA
Observational investigations that compared males and females with a history of ACL reconstruction concerning psychological readiness to return to sport.
RISK OF BIAS
Studies were rated using the Methodological Index for Non-Randomised Studies.
INCLUDED STUDIES
Only 11 reports fulfilled the eligibility criteria and were included in the quantitative analysis. A total of 2618 participants were subjected to the primary ACL reconstruction, out of 1631 males and 987 females. Psychological readiness to return to sport was evaluated approximately 9±2.9 months following surgery.
SYNTHESIS OF RESULTS
The main findings demonstrated that males had slightly higher psychological readiness to return to the sport than females (standardised mean difference 0.33; 95% CI 0.14 to 0.52; p=0.0007; I=77%) after ACL surgery. In addition, the mean psychological readiness to return to the sport of males was 70.1±8.8 points and of females 65.1±8.8 points, indicating that both sexes exceeded recommendations necessary to return to sport.
CONCLUSION
Males had slightly higher psychological readiness to return to sport than females approximately 9±2.9 months after ACL reconstruction and both sexes exceeded the highlighted recommendations necessary to return to sport.
PROSPERO REGISTRATION NUMBER
CRD42024497769: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024497769.
目的
研究前交叉韧带（ACL）重建术后恢复运动心理准备状态的性别差异，并确定男性和女性是否分别达到恢复运动所需的心理准备临界值（≥65）。
信息来源
对Web of Science、Scopus和PubMed进行全面检索，检索时间从数据库建立至2024年1月，以识别相关研究。
纳入标准
比较有ACL重建病史的男性和女性恢复运动心理准备状态的观察性研究。
偏倚风险
采用非随机研究方法学指数对研究进行评分。
纳入研究
只有11篇报告符合纳入标准并纳入定量分析。共有2618名参与者接受了初次ACL重建，其中男性1631名，女性987名。术后约9±2.9个月评估恢复运动的心理准备状态。
结果综合
主要研究结果表明，ACL手术后男性恢复运动的心理准备状态略高于女性（标准化均数差0.33；95%可信区间0.14至0.52；p = 0.0007；I² = 77%）。此外，男性恢复运动的平均心理准备得分为70.1±8.8分，女性为65.1±8.8分，表明两性均超过了恢复运动所需的推荐值。
结论
ACL重建术后约9±2.9个月，男性恢复运动的心理准备状态略高于女性，且两性均超过了恢复运动所需的突出推荐值。
PROSPERO注册号：CRD42024497769：https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024497769 。
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