Males have higher psychological readiness to return to sports than females after anterior cruciate ligament reconstruction: a systematic review and meta-analysis.
Anja Obradovic, Marko Manojlovic, Aleksandra Rajcic, Stefan Jankovic, Nikola Andric, Vuk Ralic, Tamara Zlicic, Branko Aleksic, Srdjan Ninkovic, Aleksander Veraksa, Patrik Drid
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引用次数: 0
Abstract
Objectives: To examine sex differences in psychological readiness to return to sport following anterior cruciate ligament (ACL) reconstruction as well as to determine whether males and females separately fulfilled cut-off values (≥65) of psychological readiness necessary to return to sport.
Information sources: Web of Science, Scopus and PubMed were comprehensively searched from inception to January 2024 to identify relevant studies.
Eligibility criteria: Observational investigations that compared males and females with a history of ACL reconstruction concerning psychological readiness to return to sport.
Risk of bias: Studies were rated using the Methodological Index for Non-Randomised Studies.
Included studies: Only 11 reports fulfilled the eligibility criteria and were included in the quantitative analysis. A total of 2618 participants were subjected to the primary ACL reconstruction, out of 1631 males and 987 females. Psychological readiness to return to sport was evaluated approximately 9±2.9 months following surgery.
Synthesis of results: The main findings demonstrated that males had slightly higher psychological readiness to return to the sport than females (standardised mean difference 0.33; 95% CI 0.14 to 0.52; p=0.0007; I2=77%) after ACL surgery. In addition, the mean psychological readiness to return to the sport of males was 70.1±8.8 points and of females 65.1±8.8 points, indicating that both sexes exceeded recommendations necessary to return to sport.
Conclusion: Males had slightly higher psychological readiness to return to sport than females approximately 9±2.9 months after ACL reconstruction and both sexes exceeded the highlighted recommendations necessary to return to sport.
目的：检查前交叉韧带（ACL）重建后重返运动的心理准备的性别差异，并确定男性和女性是否分别达到重返运动所需的心理准备的临界值（≥65）。信息来源：全面检索Web of Science、Scopus和PubMed，从建校到2024年1月，确定相关研究。资格标准：观察性调查，比较有前交叉韧带重建史的男性和女性关于重返运动的心理准备。偏倚风险：使用非随机研究方法学指数对研究进行评分。纳入的研究：只有11份报告符合资格标准，被纳入定量分析。共有2618名参与者接受了初次ACL重建，其中男性1631名，女性987名。术后约9±2.9个月评估重返运动的心理准备情况。结果综合：主要研究结果表明，男性对重返运动的心理准备略高于女性(标准化平均差0.33；95% CI 0.14 ~ 0.52；p = 0.0007;I2=77%)。此外，男性重返运动的平均心理准备为70.1±8.8分，女性为65.1±8.8分，表明两性都超过了重返运动所必需的建议。结论：前交叉韧带重建后约9±2.9个月，男性恢复运动的心理准备略高于女性，男女均超过了恢复运动所需的重点建议。普洛斯彼罗注册号：CRD42024497769: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024497769。
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