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基于红外热成像技术的足球运动员前交叉韧带康复期间的重返赛场标准

Return-to-play criteria based on infrared thermography during anterior cruciate ligament rehabilitation in football players.

作者信息

Escamilla-Galindo Victor-Luis, Luis Felipe José, Alonso-Callejo Antonio, Van-der-Horst Ralph, de la Torre-Combarros Ana, Minafra Paolo, Fernández-Muñoz Daniel, Fernández-Cuevas Ismael

机构信息

Department of research and development, ThermoHuman, Madrid, Spain.

INEF, Polytechnic University of Madrid, Madrid, Spain.

出版信息

Biol Sport. 2025 Apr;42(2):161-167. doi: 10.5114/biolsport.2025.144295. Epub 2024 Oct 23.


DOI:10.5114/biolsport.2025.144295
PMID:40182730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11963140/
Abstract

Reconstruction of the anterior cruciate ligament (ACL) is associated with degenerative changes during the return-to-play (RTP) process. Infrared thermography, due to its usefulness in monitoring the state of tissues, could help establish physiological criteria for monitoring the knee joint. The aim of the study was to describe normative skin temperature (Tsk) asymmetry of the knee region of interest (knee ROI) from football players during the ACL RTP process. Thirty professional and semi-professional football players, both male and female, from three different European leagues (age: 26.84 ± 3.46 years; height: 1.83 ± 0.22 m; weight: 75.38 ± 5.92 kg) were evaluated using thermography during their RTP process. A linear mixed model was then developed in which Tsk asymmetry was the dependent variable. Sex and Day were included as predictor variables with fixed effects. Athlete was included as a random effect with (Model 1 and Model 2) and without (Model 3) interaction with Day. Model 2 was fitted with a random intercept and random independent slopes, and Model 3 was fitted with a random intercept and random dependent slopes. The results showed the estimates of the model in which both predictor variables were significant. The asymmetry decreased during the days after surgery (-0.01 per day after surgery). The results might help to establish an objective criterion based on infrared thermography for monitoring the rehabilitation stages in the RTP of football players during one year of evolution. The assessment of the thermal asymmetries of the knee ROI during the RTP established a Tsk progression criterion. Medical and technical staff could implement an infrared thermography tool for knee monitoring between RTP stages.

摘要

前交叉韧带(ACL)重建与重返运动(RTP)过程中的退行性变化有关。红外热成像因其在监测组织状态方面的作用,有助于建立监测膝关节的生理标准。本研究的目的是描述足球运动员在ACL RTP过程中感兴趣的膝关节区域(膝关节ROI)的正常皮肤温度(Tsk)不对称性。对来自三个不同欧洲联赛的30名职业和半职业足球运动员(男、女)进行了评估(年龄:26.84±3.46岁;身高:1.83±0.22米;体重:75.38±5.92千克),在他们的RTP过程中使用热成像技术。然后建立了一个线性混合模型,其中Tsk不对称性是因变量。性别和日期作为具有固定效应的预测变量纳入。运动员作为随机效应纳入(模型1和模型2),且与日期无交互作用(模型3)。模型2拟合了随机截距和随机独立斜率,模型3拟合了随机截距和随机因变量斜率。结果显示两个预测变量均显著的模型估计值。术后几天内不对称性降低(术后每天降低0.01)。这些结果可能有助于基于红外热成像建立一个客观标准,以监测足球运动员在一年康复过程中RTP阶段的情况。在RTP过程中对膝关节ROI的热不对称性评估建立了一个Tsk进展标准。医疗和技术人员可以在RTP阶段之间使用红外热成像工具进行膝关节监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb3/11963140/f020335333d3/JBS-42-55009-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb3/11963140/f7af42a03646/JBS-42-55009-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb3/11963140/9b0c274cfd18/JBS-42-55009-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb3/11963140/82ad9ec3d7db/JBS-42-55009-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb3/11963140/f020335333d3/JBS-42-55009-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb3/11963140/f7af42a03646/JBS-42-55009-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb3/11963140/9b0c274cfd18/JBS-42-55009-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb3/11963140/82ad9ec3d7db/JBS-42-55009-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb3/11963140/f020335333d3/JBS-42-55009-g004.jpg

相似文献

[1]
Return-to-play criteria based on infrared thermography during anterior cruciate ligament rehabilitation in football players.

Biol Sport. 2025-4

[2]
Return to Play and Career Length After Anterior Cruciate Ligament Reconstruction Among Canadian Professional Football Players.

Am J Sports Med. 2020-5-7

[3]
ACL injuries in men's professional football: a 15-year prospective study on time trends and return-to-play rates reveals only 65% of players still play at the top level 3 years after ACL rupture.

Br J Sports Med. 2016-3-31

[4]
Rehabilitation and Return to Play Protocols After Anterior Cruciate Ligament Reconstruction in Soccer Players: A Systematic Review.

Am J Sports Med. 2025-1

[5]
Return to play after anterior cruciate ligament reconstruction in National Football League athletes.

Am J Sports Med. 2010-7-7

[6]
Return to play, performance, and career duration after anterior cruciate ligament rupture: A case-control study in the five biggest football nations in Europe.

Scand J Med Sci Sports. 2018-7-9

[7]
Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019.

Orthop J Sports Med. 2021-5-28

[8]
Impact of Anterior Cruciate Ligament Injury on European Professional Soccer Players.

Orthop J Sports Med. 2022-2-22

[9]
High Return to Play and Low Reinjury Rates in National Collegiate Athletic Association Division I Football Players Following Anterior Cruciate Ligament Reconstruction Using Quadrupled Hamstring Autograft.

Arthroscopy. 2022-1

[10]
Return to Play After Multiligament Knee Injuries in National Football League Athletes.

Sports Health. 2018-4-11

本文引用的文献

[1]
Association between physical demands, skin temperature and wellbeing status in elite football players.

Sci Rep. 2023-8-23

[2]
Joint Response to Exercise Is Affected by Knee Osteoarthritis: An Infrared Thermography Analysis.

J Clin Med. 2023-5-11

[3]
Reference Standard for Digital Infrared Thermography of the Surface Temperature of the Lower Limbs.

Bioengineering (Basel). 2023-2-21

[4]
Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction.

Br J Sports Med. 2023-5

[5]
Injury Burden in Professional European Football (Soccer): Systematic Review, Meta-Analysis, and Economic Considerations.

Clin J Sport Med. 2023-7-1

[6]
Hamstring injury rates have increased during recent seasons and now constitute 24% of all injuries in men's professional football: the UEFA Elite Club Injury Study from 2001/02 to 2021/22.

Br J Sports Med. 2022-12-6

[7]
Rehabilitation after anterior cruciate ligament and meniscal injuries: a best-evidence synthesis of systematic reviews for the OPTIKNEE consensus.

Br J Sports Med. 2022-12

[8]
Regions of interest selection and thermal imaging data analysis in sports and exercise science: a narrative review.

Physiol Meas. 2021-8-27

[9]
A pain science education and walking program to increase physical activity in people with symptomatic knee osteoarthritis: a feasibility study.

Pain Rep. 2020-9-24

[10]
Validation of ThermoHuman automatic thermographic software for assessing foot temperature before and after running.

J Therm Biol. 2020-8

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