前交叉韧带重建术后青少年患者患者报告结局与重返运动评估之间的关系
简介
一项纳入44例青少年ACL重建患者的回顾性研究显示，术后中期（平均5.7个月）较高的Pediatric IKDC评分与重返运动时（平均9.1个月）患膝伸膝峰力矩及其相对体重值、肢体对称指数呈正相关；而中期较高的ACL-RSI评分反而与30秒侧跳次数减少相关。提示中期患者主观评分可在一定程度上预测后期肌力与功能恢复，但心理准备度与重复跳跃表现间的负相关需进一步…
英文摘要
CONTEXT: Psychological health effects after anterior cruciate ligament (ACL) reconstruction is of interest, with perceived poor health thought to negatively impact recovery. Understanding the relationship between perceived health at mid-rehabilitation and objective outcomes at return to sport will help clinicians ensure that rehabilitation meets the specific needs of patients. DESIGN: A retrospective chart review. METHODS: A chart review of 44 adolescent patients (n = 22 males, 50%) who presented for ACL reconstruction from March 2020 to March 2022 was conducted. Patients completed the ACL-Return to Sport Index Short Form and Pediatric International Knee Documentation Committee form during mid-rehabilitation evaluation (average 5.7 [0.73] mo postsurgery) and performed strength and functional testing during the return to sport evaluation (average 9.1 [1.6] mo postsurgery). Outcome variables included absolute and relative bodyweight peak torque knee extension and peak torque knee flexion, limb symmetry index, single-leg hop for distance, and 30-second side hop. RESULTS: Higher Pediatric International Knee Documentation Committee scores at mid-rehabilitation were correlated with higher peak torque (r = .369, P < .05) and higher peak torque/BW (r = .527, P < .05) during knee extension on the operative leg and better knee extension limb symmetry index (r = .381, P < .05) at return to sport testing. Higher Pediatric International Knee Documentation Committee scores mid-rehabilitation were correlated with a lower hamstring-to-quadriceps ratio on the operative leg (r = -.373, P < .05) at return to sport testing. Higher ACL-Return to Sport Index Short Form scores mid-rehabilitation were correlated with lower 30-second side-hop repetitions on the operative (r = -.480, P < .05) and nonoperative (r = .456, P < .05) legs. CONCLUSION: These correlations suggest that patient-reported outcomes during mid-rehabilitation may correlate to strength and functional outcomes at return to sport. In addition, biases may exist between patient-reported outcomes, patient sex, and strength and functional measures. The unexpected finding that readiness to return to sport correlated with lower repetitive jumping performance requires further study.