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业余运动员前交叉韧带重建术后一年的不对称性:等速肌力与单腿跳跃测试表现的比较

Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026-Jul
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Cárcamo-Aravena Paulina, Robledo-Medalla Joaquín, Yañez Nicolás, Vaisman Alex, Jerez-Mayorga Daniel, Carpes Felipe P et al.

简介

一项横断面研究纳入32名ACL重建术后1年的业余运动员,比较其等速肌力与单腿跳测试的肢体不对称性。结果显示,除水平单腿跳不对称性较低(4%)外,等速肌力与垂直跳测试的不对称性均达13%–18%,显著超过临床常用的10%阈值。提示术后1年业余运动员仍普遍存在肢体功能不对称,应作为重返运动评估的重要参考指标。

英文摘要

BACKGROUND AND PURPOSE: After anterior cruciate ligament (ACL) reconstruction, strength and performance asymmetries are widely considered relevant indicators for return to sport; however, the definition of acceptable asymmetry thresholds remains controversial. Here we compare the level of asymmetry in isokinetic knee extensor outcomes and vertical and horizontal single-leg hop tests performance one year after ACL reconstruction in recreational athletes. METHODS: Cross-sectional study. A total of 32 recreational athletes (females n = 13) one year after ACL reconstruction, with a mean age of 26.21 ± 7.95 years, were included. Peak torque, power, and total work were determined at 60°/s and 180°/s during isokinetic testing. Single-leg hop tests (drop jump and countermovement jump) and vertical hop test (triple hop test) were assessed. RESULTS: Significant differences were observed between limbs in all tests (p < 0.05). No differences in asymmetry were found between the isokinetic and vertical hop tests, with asymmetry values ranging between 13% and 18%. The horizontal hop test showed the lowest asymmetry (4%) and exhibited significant differences compared to all other tests (p < 0.05). DISCUSSION: Our results indicate that, one year after ACL reconstruction, recreational athletes often continue to exhibit inter-limb asymmetries in isokinetic strength and jump performance that exceed the commonly accepted 10% threshold, except for the horizontal single-leg hop.

关键词

anterior cruciate ligament reconstruction muscle strength dynamometer return to sport sports injury

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