Functional assessments for decision-making regarding return to sports following ACL reconstruction. Part II: clinical application of a new test battery.
Functional assessments for decision-making regarding return to sports following ACL reconstruction. Part II: clinical application of a new test battery.
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DOI：
10.1007/s00167-015-3546-3
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发表时间：
2015-05
期刊：
影响因子：
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通讯作者：
Fink C
中科院分区：
文献类型：
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作者：
Herbst E;Hoser C;Hildebrandt C;Raschner C;Hepperger C;Pointner H;Fink C
本研究的目的是利用一种新的功能测试系统来帮助确定ACL重建后恢复运动的时间。本初步研究纳入了69例单侧ACL重建患者。所有患者均进行了一系列标准化测试，包括单腿和双腿稳定性测试、反向运动跳跃、快速跳跃、快速跳跃和快速进食测试。平均在术后170.7 ± 75.1天进行第一次测试，平均在术后239.1 ± 79.7天进行第二次测试。将子测试的值与健康的性别和年龄匹配的对照组的标准数据进行比较，以确定ACL重建后患者的功能能力。在第一次和第二次测试后，分别有15.9%和17.4%的患者符合“恢复非竞技性运动”的标准。一名患者在第二次测试后符合“重返竞技体育”的标准。最大的限制因素是如果优势腿受累，LSI值<90%，如果非优势腿受累，LSI值<80%。该测试组合表明，就神经肌肉能力而言，与健康对照组相比，大多数患者即使在术后8个月也很可能没有准备好安全地恢复运动。今后应考虑这一点，以确定何时可以安全地重返体育运动，并应避免过早地重返竞技体育。三.
The purpose of this study was to utilize a novel functional test system to facilitate determining the time of return to sports following ACL reconstruction. Sixty-nine patients with unilateral ACL reconstruction were included in this pilot study. All the patients performed a standardized test battery consisting of one- and two-legged stability tests, counter movement jumps, speedy jumps, plyometric jumps and a quick feed test. The first test was administered on average 170.7 ± 75.1 days post-operatively, and the retest was administered on average 239.1 ± 79.7 days post-operatively. The values of the subtests were compared with the normative data of healthy gender- and age-matched controls to determine the functional capacities of patients following ACL reconstruction. After the first and second test, 15.9 and 17.4 % of the patients met the criteria for a “return to non-competitive sports”. One patient fulfilled the criteria for a “return to competitive sports” after the second test battery. The most limiting factor was a poor LSI value of <90 % if the dominant leg was involved and <80 % if the non-dominant leg was involved. This test battery demonstrates that, in terms of neuromuscular abilities, most patients, compared to healthy controls, are most likely not ready for a safe return to sports, even 8 months post-operatively. This should be considered in the future to determine when it is safe to return to sports and should avoid a premature return to competitive sports. III.