Jahnke Sonja, Prill Robert, Królikowska Aleksandra, Oleksy Łukasz, Cruysen Caren, Daszkiewicz Maciej, Kowal Mateusz, Kentel Monika, Kentel Maciej, Michel Sven, Reichert Paweł, Becker Roland
Center of Orthopaedics and Traumatology, University Hospital Brandenburg/Havel, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg an der Havel, Germany.
Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg an der Havel, Germany.
J Clin Med. 2025 Sep 6;14(17):6308. doi: 10.3390/jcm14176308.
: A comprehensive rehabilitation program is recommended following anterior cruciate ligament reconstruction (ACLR) to restore function, strength and lower limb stability. Despite advancements in surgical techniques, high reinjury rates highlight the need to refine rehabilitation strategies. This study investigates performance across various physically demanding tasks and compares outcomes between the injured and uninjured leg, using a modified Back in Action (BIA) test battery. It is hypothesized that due to test learning effects patients exhibit faster improvement in coordinatively demanding tasks compared to strength-related tasks. : Thirty-two patients (aged 18-40) following primary unilateral ACLR participated in a prospective cross-sectional study within the context of a larger trial. Participants completed a modified BIA test battery, including stability, countermovement jump (CMJ), drop landing, speedy jumps, and quick-feet test (QFT). Each test was conducted in three sets, with three immediate repetitions. Self-reported outcomes were also collected. : Patients showed significant within-session improvements in coordinative tasks, with 32% in the injured and 26% in the uninjured limb during the speedy jumps [ < 0.05]. No significant learning effects were observed in strength-related tasks (drop landing, stability test, CMJ). Patients with lower baseline performance exhibited greater improvement than patients with higher performance level from baseline. Furthermore, a correlation between self-assessed abilities and actual performance was identified. : This study showed that improvement of coordinative tasks after Return to Sport (RTS) testing of ACLR patients are rather affected by test learning effects. In contrast, this phenomenon is not seen in strength-related tasks. Rehabilitation programs should integrate both types of exercises while considering individual baseline abilities. Tailoring rehabilitation to individual needs, establishing sport-specific rehabilitation programs and incorporating self-assessment tools can enhance patient-centered care and reduce reinjury risks.
前交叉韧带重建（ACLR）术后建议采用综合康复计划，以恢复功能、力量和下肢稳定性。尽管手术技术有所进步，但高再损伤率凸显了完善康复策略的必要性。本研究使用改良的“重返行动”（BIA）测试组，调查了在各种体力要求较高的任务中的表现，并比较了受伤腿和未受伤腿的结果。研究假设，由于测试学习效应，与力量相关任务相比，患者在协调性要求较高的任务中表现出更快的改善。
32例（年龄18 - 40岁）初次单侧ACLR术后患者参与了一项更大规模试验背景下的前瞻性横断面研究。参与者完成了改良的BIA测试组，包括稳定性测试、反向纵跳（CMJ）、下落着地测试、快速跳跃和快速脚步测试（QFT）。每个测试进行三组，每组立即重复三次。还收集了自我报告的结果。
患者在协调性任务中表现出显著的组内改善，在快速跳跃中，受伤肢体改善了32%，未受伤肢体改善了26%[P < 0.05]。在与力量相关的任务（下落着地测试、稳定性测试、CMJ）中未观察到显著的学习效应。基线表现较低的患者比基线表现较高的患者改善更大。此外，还确定了自我评估能力与实际表现之间的相关性。
本研究表明，ACLR患者重返运动（RTS）测试后协调性任务的改善受测试学习效应影响较大。相比之下，在与力量相关的任务中未出现这种现象。康复计划应结合这两种类型的练习，同时考虑个体基线能力。根据个体需求定制康复方案、制定特定运动的康复计划并纳入自我评估工具，可以提高以患者为中心的护理水平并降低再损伤风险。
