Forelli Florian, Moiroux-Sahraoui Ayrton, Mazeas Jean, Ly William, Bialy Maciej, Douryang Maurice, Hewett Timothy E, De Fontenay Benoit Pairot
Haute-Ecole Arc Santé, HES-SO University of Applied Sciences and Arts Western Switzerland, Delémont, Switzerland.
Orthopaedic Surgery Department, OrthoLab, Clinic of Domont, Domont, France.
BMC Sports Sci Med Rehabil. 2025 Aug 30;17(1):259. doi: 10.1186/s13102-025-01301-4.
BACKGROUND: Anterior cruciate ligament reconstruction (ACL-R) significantly affects lower limb biomechanics, particularly during dynamic movements like jumping. The countermovement jump (CMJ) is a commonly used test to evaluate force production and asymmetry in post-ACL-R individuals. This study aimed to compare eccentric and concentric forces during the CMJ between ACL-R patients and healthy controls. METHODS: This retrospective study included 56 ACL-R patients and 47 recreational athletes. All participants performed CMJs on a dual force plate to measure eccentric mean force (ECC), Concentric mean force (CON), and limb symmetry index (LSI). A mixed ANOVA was performed to compare ECC LSI and CON LSI between the ACL-R and control groups. RESULTS: CMJ height was significantly lower in the ACL-R group compared to the control group (-25.4%, p < 0.001), with a lower ECC LSI (-7.7%, p < 0.001) and CON LSI (-10.0%, p < 0.001). CONCLUSION: Six months after ACL-R, both eccentric and concentric force production remain compromised, with significant inter-limb asymmetries. These findings highlight the need for targeted rehabilitation strategies to restore force symmetry and optimize return-to-sport readiness.
背景:前交叉韧带重建术(ACL - R)会显著影响下肢生物力学,尤其是在诸如跳跃等动态运动过程中。反向运动跳跃(CMJ)是一种常用的测试方法,用于评估ACL - R术后个体的力量产生及不对称情况。本研究旨在比较ACL - R患者与健康对照者在CMJ过程中的离心力和向心力量。 方法:这项回顾性研究纳入了56例ACL - R患者和47名休闲运动员。所有参与者在双力板上进行CMJ测试,以测量离心平均力(ECC)、向心平均力(CON)和肢体对称指数(LSI)。采用混合方差分析来比较ACL - R组和对照组之间的ECC LSI和CON LSI。 结果:与对照组相比,ACL - R组的CMJ高度显著降低(-25.4%,p < 0.001),ECC LSI较低(-7.7%,p < 0.001),CON LSI较低(-10.0%,p < 0.001)。 结论:ACL - R术后6个月,离心力和向心力量的产生均受到损害,存在明显的肢体间不对称。这些发现凸显了制定针对性康复策略以恢复力量对称性并优化重返运动准备状态的必要性。
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