Psychological Factors Are Related to Neuromuscular Asymmetries After Anterior Cruciate Ligament Reconstruction.

IF 2.7 2区 医学 Q1 SPORT SCIENCES
Joanna Borawski, Richard Arthur Brindle, Erin Florkiewicz, John S Mason, Will Pitt, Kenneth L Cameron, Michael S Crowell
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引用次数: 0

Abstract

Background: After an anterior cruciate ligament reconstruction (ACLR), only 47% of military members return to full duty, possibly due to persistent neuromuscular asymmetries. Psychological factors may also contribute to reduced return to duty in military members.

Hypothesis: Psychological factors and time since surgery would be associated negatively with neuromuscular asymmetries, asymmetries would be greater in cadets postsurgery when compared with healthy controls, and asymmetries would be greater at earlier timepoints after ACLR.

Study design: Case control.

Level of evidence: Level 4.

Methods: This study examined the relationship between psychological factors and time since surgery with neuromuscular asymmetry, compared neuromuscular asymmetries between cadets with and without a history of ACLR, and explored differences in neuromuscular asymmetries at different timepoints in cadets with a history of ACLR. A total of 37 cadets post-ACLR (18.3 ± 9 months) and 28 controls participated. Psychological factors were assessed using the Tampa Scale of Kinesiophobia and Anterior Cruciate Ligament-Return to Sport after Injury scale (ACL-RSI). Participants performed a drop-jump landing, joint positioning sense (JPS), and isometric quadriceps strength testing. Peak vertical ground-reaction forces (vGRF), absolute angle of replication, peak quadriceps torque, rate of torque development (RTD), and RTD time torque interval 200 ms (TTI200) were analyzed.

Results: The ACL-RSI score was significantly related to limb symmetry index (LSI) peak quadriceps torque (r = 0.617, P < 0.01), LSI RTD (r = 0.367, P = 0.05), and LSI TTI200 (r = 0.0489, P < 0.01), but not time since surgery, JPS, or LSI peak vGRF. Cadets with a history of ACLR had significantly lesser ACL-RSI scores and greater asymmetries compared with controls.

Conclusion: Reduced psychological readiness was associated with increased neuromuscular asymmetries after ACLR.

Clinical relevance: Clinicians should assess psychological readiness during rehabilitation after ACLR.

心理因素与前十字韧带重建后的神经肌肉不对称有关。
背景:在前交叉韧带重建(ACLR)后,只有 47% 的军人能够重返岗位,这可能是由于持续存在的神经肌肉不对称。心理因素也可能是导致军人复职率降低的原因之一:研究设计:病例对照:研究设计:病例对照:证据等级:4 级:本研究探讨了心理因素和手术后时间与神经肌肉不对称之间的关系,比较了有前交叉韧带损伤病史和无前交叉韧带损伤病史的学员之间的神经肌肉不对称,并探讨了有前交叉韧带损伤病史的学员在不同时间点的神经肌肉不对称差异。共有 37 名前交叉韧带损伤后(18.3 ± 9 个月)的学员和 28 名对照组学员参加了此次研究。心理因素采用坦帕运动恐惧症量表和前交叉韧带损伤后恢复运动量表(ACL-RSI)进行评估。参与者进行了落跳着地、关节定位感(JPS)和等长股四头肌力量测试。对峰值垂直地面反作用力(vGRF)、绝对复制角、峰值股四头肌扭矩、扭矩发展速度(RTD)和RTD时间扭矩间隔200毫秒(TTI200)进行了分析:结果:ACL-RSI评分与肢体对称指数(LSI)股四头肌峰值扭矩(r = 0.617,P < 0.01)、LSI RTD(r = 0.367,P = 0.05)和LSI TTI200(r = 0.0489,P < 0.01)显著相关,但与手术后时间、JPS或LSI峰值vGRF无关。与对照组相比,有前交叉韧带损伤史的学员的前交叉韧带-RSI得分明显较低,不对称程度也较高:结论:心理准备度降低与 ACLR 后神经肌肉不对称性增加有关:临床意义:临床医生应在 ACLR 术后康复期间评估心理准备情况。
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来源期刊
Sports Health-A Multidisciplinary Approach
Sports Health-A Multidisciplinary Approach Medicine-Orthopedics and Sports Medicine
CiteScore
6.90
自引率
9.10%
发文量
101
期刊介绍: Sports Health: A Multidisciplinary Approach is an indispensable resource for all medical professionals involved in the training and care of the competitive or recreational athlete, including primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other medical and health care professionals. Published bimonthly, Sports Health is a collaborative publication from the American Orthopaedic Society for Sports Medicine (AOSSM), the American Medical Society for Sports Medicine (AMSSM), the National Athletic Trainers’ Association (NATA), and the Sports Physical Therapy Section (SPTS). The journal publishes review articles, original research articles, case studies, images, short updates, legal briefs, editorials, and letters to the editor. Topics include: -Sports Injury and Treatment -Care of the Athlete -Athlete Rehabilitation -Medical Issues in the Athlete -Surgical Techniques in Sports Medicine -Case Studies in Sports Medicine -Images in Sports Medicine -Legal Issues -Pediatric Athletes -General Sports Trauma -Sports Psychology
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