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前交叉韧带损伤后的重返运动评估:在疲劳或非疲劳条件下,哪种跳落测试对前交叉韧带损伤史敏感?

Return-To-Sport Assessments After Anterior Cruciate Ligament Injury: Which Jump-Landing Test Is Sensitive to an ACL-Injury History Under Fatigued or NonFatigued Conditions?

作者信息

Calisti Maité, Mohr Maurice, Riechelmann Felix, Werner Inge, Federolf Peter

机构信息

Department of Sport Science, University of Innsbruck, Innsbruck, Austria.

Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.

出版信息

Eur J Sport Sci. 2025 Jun;25(6):e12317. doi: 10.1002/ejsc.12317.


DOI:10.1002/ejsc.12317
PMID:40347462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12065478/
Abstract

Accurately identifying residual biomechanical deficits following an anterior cruciate ligament injury is critical for effective rehabilitation and safe return to sport. This study aimed to determine which of four jump-landing tasks demonstrated the greatest sensitivity in distinguishing individuals with a history of ACL injury from healthy controls. Forty-three participants formed the ACL (n = 21, 11 females) and the control group (n = 22, 12 females). Three-dimensional motion data (Vicon, 250 Hz) were recorded during a single-leg hop, unilateral countermovement jump, unilateral crossover hop, and medial-rotation hop before and after a fatigue-inducing intervention (single-leg squats and step-ups). Logistic regression models to classify participants were built using 13 lower-body, trunk, and pelvis joint angles at 50 ms after initial ground contact, angular changes in these angles between 50 and 80 ms, and principal components derived from these variables. Classification rates and individual classification outcomes were assessed. The results revealed that no single jump-landing task consistently outperformed others in detecting ACL injury history. Classification outcomes were influenced by fatigue state and analytical approaches. Fatigue was found to enhance classification rates. Combining joint angles with their temporal changes improved classification rates compared to using joint angles alone. However, applying principal component analysis as a preprocessing step did not consistently enhance model performance. Overall, the study demonstrated that jump-landing tasks, combined with a variety of analytical approaches, can effectively detect ACL injury history. Fatigue enhanced classification outcomes, suggesting that it amplifies differences between post-injury and healthy movement characteristics.

摘要

准确识别前交叉韧带损伤后残留的生物力学缺陷对于有效的康复和安全重返运动至关重要。本研究旨在确定四项单腿落地任务中哪一项在区分有前交叉韧带损伤史的个体与健康对照方面具有最高的敏感性。43名参与者组成了前交叉韧带损伤组(n = 21,11名女性)和对照组(n = 22,12名女性)。在疲劳诱导干预(单腿深蹲和上台阶)前后,记录了单腿跳、单侧反向运动跳、单侧交叉跳和内侧旋转跳过程中的三维运动数据(Vicon,250Hz)。使用初始地面接触后50毫秒时的13个下肢、躯干和骨盆关节角度、这些角度在50至80毫秒之间的角度变化以及从这些变量导出的主成分,建立了用于对参与者进行分类的逻辑回归模型。评估了分类率和个体分类结果。结果显示,在检测前交叉韧带损伤史方面,没有一项单腿落地任务始终优于其他任务。分类结果受疲劳状态和分析方法的影响。发现疲劳会提高分类率。与单独使用关节角度相比,将关节角度与其时间变化相结合可提高分类率。然而,将主成分分析作为预处理步骤并不能始终提高模型性能。总体而言,该研究表明,单腿落地任务与多种分析方法相结合,可以有效地检测前交叉韧带损伤史。疲劳提高了分类结果,表明它放大了损伤后与健康运动特征之间的差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/12065478/efbfbdf77e4f/EJSC-25-e12317-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/12065478/c2e7f468078f/EJSC-25-e12317-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/12065478/8f492fb5b827/EJSC-25-e12317-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/12065478/aab8f3bb8d3a/EJSC-25-e12317-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/12065478/efbfbdf77e4f/EJSC-25-e12317-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/12065478/c2e7f468078f/EJSC-25-e12317-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/12065478/8f492fb5b827/EJSC-25-e12317-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/12065478/aab8f3bb8d3a/EJSC-25-e12317-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/12065478/efbfbdf77e4f/EJSC-25-e12317-g003.jpg

相似文献

[1]
Return-To-Sport Assessments After Anterior Cruciate Ligament Injury: Which Jump-Landing Test Is Sensitive to an ACL-Injury History Under Fatigued or NonFatigued Conditions?

Eur J Sport Sci. 2025-6

[2]
Lower extremity kinematic analysis in male athletes with unilateral anterior cruciate reconstruction in a jump-landing task and its association with return to sport criteria.

BMC Musculoskelet Disord. 2019-10-27

[3]
Young Athletes With Quadriceps Femoris Strength Asymmetry at Return to Sport After Anterior Cruciate Ligament Reconstruction Demonstrate Asymmetric Single-Leg Drop-Landing Mechanics.

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[4]
Reduced 2-D Frontal Plane Motion During Single-Limb Landing Is Associated With Risk of Future Anterior Cruciate Ligament Graft Rupture After Anterior Cruciate Ligament Reconstruction and Return to Sport: A Pilot Study.

J Orthop Sports Phys Ther. 2021-2

[5]
A Biomechanical Comparison of Single-Leg Landing and Unplanned Sidestepping.

Int J Sports Med. 2018-7

[6]
Unanticipated jump-landing quality in patients with anterior cruciate ligament reconstruction: How long after the surgery and return to sport does the re-injury risk factor persist?

Clin Biomech (Bristol). 2020-2

[7]
Unanticipated jump-landing after anterior cruciate ligament reconstruction: Does unanticipated jump-landing testing deliver additional return to sport information to traditional jump performance tests?

Clin Biomech (Bristol). 2019-12

[8]
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J ISAKOS. 2024-6

[9]
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Sports Med. 2019-4

[10]
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本文引用的文献

[1]
Bilateral Deficits in Dynamic Postural Stability in Females Persist Years after Unilateral ACL Injury and Are Modulated by the Match between Injury Side and Leg Dominance.

Brain Sci. 2023-12-16

[2]
A Systematic Review of the Different Calculation Methods for Measuring Jump Height During the Countermovement and Drop Jump Tests.

Sports Med. 2023-5

[3]
Single leg vertical jump performance identifies knee function deficits at return to sport after ACL reconstruction in male athletes.

Br J Sports Med. 2022-5

[4]
Does sex affect second ACL injury risk? A systematic review with meta-analysis.

Br J Sports Med. 2021-8

[5]
A longitudinal investigation of landing biomechanics following anterior cruciate ligament reconstruction.

Phys Ther Sport. 2021-7

[6]
Single leg hop for distance symmetry masks lower limb biomechanics: time to discuss hop distance as decision criterion for return to sport after ACL reconstruction?

Br J Sports Med. 2022-3

[7]
Limb symmetry index on a functional test battery improves between one and five years after anterior cruciate ligament reconstruction, primarily due to worsening contralateral limb function.

Phys Ther Sport. 2020-7

[8]
Timing of Strain Response of the ACL and MCL Relative to Impulse Delivery During Simulated Landings Leading up to ACL Failure.

J Appl Biomech. 2020-4-22

[9]
Single-Joint and Whole-Body Movement Changes in Anterior Cruciate Ligament Athletes Returning to Sport.

Med Sci Sports Exerc. 2020-8

[10]
Excessive Lateral Trunk Lean in Patients With Cerebral Palsy: Is It Based on a Kinematic Compensatory Mechanism?

Front Bioeng Biotechnol. 2019-11-19

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