Jauregui Bidegain Lucas, Izquierdo Redin Mikel, Alfaro-Adrian Jesus, Garcia-Arroyo Jaime, Garcia-Tabar Ibai, Sesma Mendaza Andoni, Setuain Chourraut Igor
TDN, Orthopedic Surgery and Advanced Rehabilitation Center, Clinical Research Department, Mutilva, Spain.
Navarrabiomed, Complejo Hospitalario de Navarra (CHN)-Universidad Pública de Navarra (UPNA), Navarra Institute for Health Research (IdiSNA), Pamplona, Spain.
Medicine (Baltimore). 2025 Jul 4;104(27):e43111. doi: 10.1097/MD.0000000000043111.
Objective criteria-based rehabilitation (OCBR) has shown potential in improving muscle strength and reducing knee laxity following anterior cruciate ligament reconstruction (ACLR). Limited evidence exists regarding its effectiveness in restoring functional jumping capacity. The objective of this study was to compare the effects of 2 rehabilitation programs on vertical and horizontal jumping performance at 3 to 6 and 12 months after ACLR.
A longitudinal clinical double-blind randomized controlled trial was carried out. Forty recreational athletes (30 males, 10 females; age: 24 ± 6.9 years; height: 176.55 ± 6.6 cm; weight: 73.58 ± 12.3 kg), Tegner activity level of 7, were recruited. Participants were randomly assigned to either the OCBR or usual care rehabilitation (UCR) programs following primary ACLR. Vertical and horizontal jumping performance was assessed at 3-, 6-, and 12-month post-surgery.
OCBR group showed significantly better performance 6 months postoperatively among ACLR limbs in both vertical (unilateral drop jump 14.5 ± 3.6 vs 11.6 ± 4.6 cm, P < .05, ES = 0.7; bilateral drop jump 30.4 ± 6.4 vs 24.3 ± 6.0, P < .05, ES = 0.9) and horizontal jumping tasks (unilateral triple hop for distance 422.3 ± 52.3 vs 340.4 ± 53.1 cm, P < .05, ES = 1.5; unilateral cross over hop for distance 355.4 ± 52.0 vs309.7 ± 70.4 cm, P < .05, ES = 1.2). These differences remain consistent also at 12-months post-surgery compared to the UCR group between their operated limbs for vertical (unilateral drop jump 15.8 ± 3.2 vs 12.2 ± 3.3 cm, P < .05, ES = 1.1; bilateral drop jump 30.3 ± 4.9 vs 25.2 ± 6.5, P < .05, ES = 0.9) and horizontal maneuvers (unilateral triple hop for distance 452.1 ± 54.9 vs 385.0 51.9 cm, P < .05, ES = 1.6; unilateral cross over hop for distance 385.6 69.6 vs 285.1 60.3 70.4 cm, P < .05, ES = 1.5).
The OCBR program led to superior functional performance outcomes at 6- and 12-months following ACL surgery, highlighting its potential as an effective rehabilitation strategy.Implementing an OCBR program post-ACL reconstruction improves functional performance in jumping tasks at 6 and 12 months compared with UCR rehabilitation.
基于客观标准的康复训练（OCBR）已显示出在改善前交叉韧带重建（ACLR）术后肌肉力量和减轻膝关节松弛方面的潜力。关于其在恢复功能性跳跃能力方面的有效性，证据有限。本研究的目的是比较两种康复方案对ACLR术后3至6个月以及12个月时垂直和水平跳跃性能的影响。
进行了一项纵向临床双盲随机对照试验。招募了40名休闲运动员（30名男性，10名女性；年龄：24±6.9岁；身高：176.55±6.6厘米；体重：73.58±12.3千克），Tegner活动水平为7级。在初次ACLR术后，参与者被随机分配到OCBR或常规护理康复（UCR）方案中。在术后3个月、6个月和12个月评估垂直和水平跳跃性能。
OCBR组在术后6个月时，ACLR肢体在垂直（单腿下落跳14.5±3.6厘米对11.6±4.6厘米，P<.05，效应量=0.7；双腿下落跳30.4±6.4厘米对24.3±6.0厘米，P<.05，效应量=0.9）和水平跳跃任务（单腿三级跳远422.3±52.3厘米对340.4±53.1厘米，P<.05，效应量=1.5；单腿交叉跳远355.4±52.0厘米对309.7±70.4厘米，P<.05，效应量=1.2）方面表现明显更好。与UCR组相比，在术后12个月时，其手术肢体在垂直（单腿下落跳15.8±3.2厘米对12.2±3.3厘米，P<.05，效应量=1.1；双腿下落跳30.3±4.9厘米对25.2±6.5厘米，P<.05，效应量=0.9）和水平动作（单腿三级跳远452.1±54.9厘米对385.0±51.9厘米，P<.05，效应量=1.6；单腿交叉跳远385.6±69.6厘米对285.1±60.3厘米，P<.05，效应量=1.5）方面，这些差异同样保持一致。
OCBR方案在ACL手术后6个月和12个月时带来了更好的功能表现结果，突出了其作为有效康复策略的潜力。与UCR康复相比，在ACL重建后实施OCBR方案可改善6个月和12个月时跳跃任务的功能表现。
