An 8-week physiotherapist-led return to sport group program after anterior cruciate ligament reconstruction improves measures of physical and psychological function: A case series

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2024-07-19 DOI:10.1016/j.msksp.2024.103149

Adam Walker , Larissa Sattler , Samuel Heyward , Jordan Tedesco , Zachariah Jones , Corey D'Lima , Caroline Higham , Sophie Cuthbert , Wayne Hing

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引用次数: 0

Abstract

Background

Low return to competitive sport, high reinjury rates and long-term functional impairment of anterior cruciate ligament reconstruction (ACLR) present significant challenges for patients. A program that facilitates a safe return to sport (RTS) following ACLR could potentially improve outcomes.

Study design

Case Series.

Methods

Sixty participants (median 20-years-old (13–36), 43 males, 18 females, median 7.5 months (4–25) post-ACLR) completed an eight-week exercise program. A battery of physical tests and patient-reported outcome measures were assessed pre and post-program. The number of participants passing RTS criteria was evaluated, and RTS rates were determined. The correlation between the ACL-RSI and measures of physical function was explored.

Results

Improvements in all isometric strength, hop tests, running T-test, and patient reported outcome measures were seen post-program. Five (8%) participants successfully passed all RTS criteria and eighty-five percent of participants returned to their previous level of sport. The ACL-RSI and the IKDC showed correlation across all time points (pre rs = 0.49; post rs = 0.40; change r = 0.40).

Conclusions

Our study demonstrated improvements in all RTS criteria tests upon completing the 8-week rehabilitation program; however, few participants (8%) passed all RTS criteria. Psychological readiness is more closely related to patient-reported function than functional tests.

查看原文本刊更多论文

在前十字韧带重建术后，由理疗师指导的为期 8 周的重返运动集体计划可改善身体和心理功能的测量：病例系列。

背景：前交叉韧带重建术（ACLR）后，竞技运动恢复率低、再损伤率高以及长期功能障碍是患者面临的重大挑战。研究设计：病例系列：研究设计：病例系列：60名参与者（中位数20岁（13-36岁），43名男性，18名女性，中位数ACLR术后7.5个月（4-25个月））完成了为期八周的锻炼计划。计划前后对一系列身体测试和患者报告的结果进行了评估。评估了通过 RTS 标准的参与者人数，并确定了 RTS 率。此外，还探讨了 ACL-RSI 与身体功能测量之间的相关性：结果：项目结束后，所有等长力量、跳跃测试、跑步 T 测试和患者报告结果指标均有所改善。五名参与者（8%）成功通过了所有 RTS 标准，85% 的参与者恢复到了之前的运动水平。ACL-RSI 和 IKDC 在所有时间点都显示出相关性（前 rs = 0.49；后 rs = 0.40；变化 r = 0.40）：我们的研究表明，在完成为期 8 周的康复计划后，所有 RTS 标准测试均有所改善；但是，只有少数参与者（8%）通过了所有 RTS 标准测试。与功能测试相比，心理准备与患者报告的功能关系更为密切。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.