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前交叉韧带重建术后垂直跳跃时离心力和向心力的评估:一项对比研究。

Evaluation of eccentric and concentric force during vertical jump after anterior cruciate ligament reconstruction: a comparative study.

作者信息

Forelli Florian, Moiroux-Sahraoui Ayrton, Mazeas Jean, Ly William, Bialy Maciej, Douryang Maurice, Hewett Timothy E, De Fontenay Benoit Pairot

机构信息

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.

出版信息

BMC Sports Sci Med Rehabil. 2025 Aug 30;17(1):259. doi: 10.1186/s13102-025-01301-4.


DOI:10.1186/s13102-025-01301-4
PMID:40886021
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12398032/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791b/12398032/6b137df97c71/13102_2025_1301_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791b/12398032/6b137df97c71/13102_2025_1301_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791b/12398032/6b137df97c71/13102_2025_1301_Fig1_HTML.jpg

相似文献

[1]
Evaluation of eccentric and concentric force during vertical jump after anterior cruciate ligament reconstruction: a comparative study.

BMC Sports Sci Med Rehabil. 2025-8-30

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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本文引用的文献

[1]
Rethinking the Assessment of Arthrogenic Muscle Inhibition After ACL Reconstruction: Implications for Return-to-Sport Decision-Making-A Narrative Review.

J Clin Med. 2025-4-11

[2]
Neuromuscular Control Deficits After Anterior Cruciate Ligament Reconstruction: A Pilot Study Using Single-Leg Functional Tests and Electromyography.

J Funct Morphol Kinesiol. 2025-3-19

[3]
Comparison of Vertical Jump Force-Time Metrics Between ACL-Injured and Healthy Semi-Professional Male and Female Soccer Players.

Sports (Basel). 2024-12-6

[4]
Quadriceps Activation After Anterior Cruciate Ligament Reconstruction: The Early Bird Gets the Worm!

Int J Sports Phys Ther. 2024-8-1

[5]
Relationship between vertical jump performance and playing time and efficiency in professional male basketball players.

Front Sports Act Living. 2024-6-3

[6]
Jumping into recovery: A systematic review and meta-analysis of discriminatory and responsive force plate parameters in individuals following anterior cruciate ligament reconstruction during countermovement and drop jumps.

J Exp Orthop. 2024-4-2

[7]
Vertical Jump Testing after Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis.

Med Sci Sports Exerc. 2024-2-1

[8]
Performance and symmetry measures during vertical jump testing at return to sport after ACL reconstruction.

Br J Sports Med. 2023-10

[9]
Ecological and Specific Evidence-Based Safe Return To Play After Anterior Cruciate Ligament Reconstruction In Soccer Players: A New International Paradigm.

Int J Sports Phys Ther. 2023-4-2

[10]
Periodization in Anterior Cruciate Ligament Rehabilitation: New Framework Versus Old Model? A Clinical Commentary.

Int J Sports Phys Ther. 2023-4-1

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