伤前运动水平不影响前交叉韧带重建术后膝关节肌力恢复
简介
本研究比较了ACL重建术后4个月内，高水平运动员与业余运动员的肌肉功能恢复情况。采用腘绳肌腱自体移植物，对69名高水平运动员（Tegner评分9-10）与401名业余运动员（Tegner评分6-8）的术后康复过程及股四头肌等速肌力测试结果进行回顾性分析。 关键发现：尽管高水平运动员组在术后4个月内接受康复中心治疗的比例更高（84% vs 52%），物理治疗次…
英文摘要
OBJECTIVES: After anterior cruciate ligament reconstruction (ACLR), high-level athletes usually perform rehabilitation cares until return to sport. We aimed to compare muscle inhibition recovery after ACLR using hamstring autograft between high-level and recreational athletes for the first 4 postoperative months. METHODS: From a 5-year retrospective cohort, 69 high-level athletes (Tegner score 9-10) were compared to 401 amateur-level athletes (Tegner 6-8). Knee muscle inhibition was assessed at 4 postoperative months with isokinetic strength measurements to calculate the limb symmetry index (LSI). RESULTS: Muscle inhibition recovery was similar between the two groups, even if high-level athletes benefited significantly more frequently from stays in a rehabilitation center (84% vs 52%, p = 0.01). They had also more physiotherapy sessions (47 ± 19 vs 36 ± 11 sessions, p <0.0001). Their sessions were more often extended up to 4 months after surgery (50% vs 29%, p = 0.0001). After multiple linear regression, these factors had no influence on strength recovery. CONCLUSIONS: Knee muscle inhibition recovery after ACLR using hamstring graft was not improved by the high-level sport status, despite higher number of rehabilitation sessions for the first 4 postoperative months. LEVEL EVIDENCE: III.