利用ACL Reasons调查问卷评估青少年ACL重建术后6至9个月体力活动的纵向变化
简介
该研究利用ACL Reasons问卷评估125例青少年ACL重建术后患者（平均15.9岁，45.6%女性）在术后6个月和9个月时对体力活动的感知变化，并按活动水平分为“与伤前相同”、“更困难”和“更少活动”三组。结果显示：术后6个月时仅24.8%的患者活动水平恢复至伤前，9个月时升至51.2%；年龄和性别对活动感知无显著影响，但6个月时的活动分组显著影响9个…
英文摘要
OBJECTIVES: The ACL Reasons is validated to characterize barriers to physical activity (PA) after anterior cruciate ligament reconstruction (ACLR). Understanding how perceptions of PA change after ACLR can improve patient-centered care. DESIGN: Cross-Sectional. SETTING: Academic sports medicine centers. PARTICIPANTS: 125 adolescent patients after primary ACLR (15.9 ± 1.7years; 45.6% female). MAIN OUTCOME MEASURES: Participants completed the ACL Reasons at 6.4 ± 0.6 months and 9.5 ± 0.9 months post-ACLR. Individuals were categorized as 'as active', 'more challenging', and 'less active' at both time points. Activity groups were compared based on demographics and patient-reported outcome measures using one-way ANOVA and change in activity status was characterized using the Stuart-Maxwell test. RESULTS: 24.8% of participants were 'as active' as prior to injury 6 months after ACLR and 51.2% of participants were 'as active' as prior to injury at 9 months after ACLR. When grouped by activity level, there were no differences by age or sex. The pattern of change of activity level differed based on activity group at the 6 month assessment (p < .001). CONCLUSIONS: Patient-reported PA categories improve from 6-to-9 months, but 50% of patients remain less active or find activity more challenging at 9 months. Age and sex did not impact perceptions of PA.