Passing return-to-sport criteria and landing biomechanics in young athletes following anterior cruciate ligament reconstruction.

Passing return-to-sport criteria and landing biomechanics in young athletes following anterior cruciate ligament reconstruction.
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DOI:
10.1002/jor.25110
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发表时间:
2022-01
影响因子:
2.8
通讯作者:
Schmitt, Laura C.
Schmitt, Laura C.
中科院分区:
医学3区
文献类型:
--
作者:
Losciale, Justin M.;Ithurburn, Matthew P.;Paterno, Mark, V;Schmitt, Laura C.

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我们试图评估矢状面膝关节负荷模式在双腿着陆任务中的年轻运动员谁通过或未通过返回到运动(RTS)标准后,ACL重建(ACLR),并在未受伤的运动员。参与者完成了股四头肌力量测试、跳跃测试组合和国际膝关节文献委员会在RTS医疗许可后的主观表格。如果ACLR参与者符合≥90肢体对称性(%)或所有测量评分,则他们“通过”RTS标准(RTS-PASS),否则被归类为“失败”(RTS-FAIL)。所有参与者都完成了三维运动分析测试。在双腿垂直跳任务中,计算了运动学和动力学变量。计算平均肢体值和肢体对称指数(LSI; %),并使用单因素ANOVA(LSI)和混合组间-组内ANOVA(组x肢体差异)进行比较。共纳入205名参与者,其中RTS-PASS组39名,RTS-FAIL组109名,CTRL组57名。RTS-FAIL组的峰值垂直地面反作用力、峰值膝关节内伸力矩和峰值膝关节屈曲角的对称性值较低。观察X组肢体相互作用的峰值垂直地面反作用力和峰值内膝关节伸展力矩。与CTRL相比,RTS-PASS和RTS-FAIL组的受累肢体值降低,而与RTS-FAIL和CTRL相比,RTS-PASS组的未受累肢体值较低。ACLR后通过RTS标准的年轻运动员在双腿任务中对称着陆,但对称是通过减少四肢的负荷来实现的。
We sought to evaluate the sagittal plane knee joint loading patterns during a double-leg landing task among young athletes who passed or failed return-to-sport (RTS) criteria following ACL reconstruction (ACLR), and in uninjured athletes. Participants completed quadriceps strength testing, a hop test battery, and the International Knee Documentation Committee subjective form following medical RTS clearance. ACLR participants ‘passed’ RTS criteria (RTS-PASS) if they met ≥90 limb symmetry (%) or score on all measures and were categorized as ‘failing’ (RTS-FAIL) if not. All participants completed three-dimensional motion analysis testing. Sagittal plane kinematic and kinetic variables were calculated during a double-leg drop vertical jump task. Mean limb values and limb symmetry indices (LSI; %) were calculated and compared using a one-way ANOVA (for LSI) and mixed between-within ANOVA (for group x limb differences). 205 participants were included, with 39 in the RTS-PASS group, 109 in the RTS-FAIL group, and 57 CTRLs. The RTS-FAIL group demonstrated lower symmetry values for peak vertical ground reaction force, peak internal knee extension moment, and peak knee flexion angle. Group x limb interactions were observed for peak vertical ground reaction force and peak internal knee extension moment. Involved limb values were reduced in the RTS-PASS and RTS-FAIL groups compared to CTRLs, while the RTS-PASS groups had lower uninvolved limb values compared to the RTS-FAIL and CTRLs. Young athletes who pass RTS criteria after ACLR land symmetrically during a double-leg task, but symmetry was achieved by reducing loading on both limbs.
DOI: 10.1177/0363546517708996
发表时间: 2017-09-01
影响因子: 4.8
作者:
Ithurburn, Matthew P.;Paterno, Mark V.;Schmitt, Laura C.
通讯作者: Schmitt, Laura C.
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DOI: 10.1007/s00167-014-3283-z
发表时间: 2015-12-01
影响因子: 3.8
作者:
Grevnerts, Hanna Tigerstrand;Terwee, Caroline B.;Kvist, Joanna
通讯作者: Kvist, Joanna
DOI: 10.1177/0363546519864688
发表时间: 2019-08-02
影响因子: 4.8
作者:
Ithurburn, Matthew P.;Paterno, Mark, V;Schmitt, Laura C.
通讯作者: Schmitt, Laura C.
DOI: 10.1177/0363546506288855
发表时间: 2006-10-01
影响因子: 4.8
作者:
Irrgang, James J.;Anderson, Allen F.;Shelbourne, K. Donald
通讯作者: Shelbourne, K. Donald
DOI: 10.1177/0363546513482718
发表时间: 2013-06
期刊: The American journal of sports medicine
影响因子: --
作者:
Di Stasi SL;Logerstedt D;Gardinier ES;Snyder-Mackler L
通讯作者: Snyder-Mackler L