Accelerometer-assessed physical activity levels 32-37 years after anterior cruciate ligament rupture - Does initial treatment strategy or the presence of osteoarthritis matter?

IF 3 2区 医学 Q1 SPORT SCIENCES
Stephanie Filbay, Sofi Sonesson, Roman Peter Kuster, Wilhelmus Johannes Andreas Grooten, Joanna Kvist
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Abstract

Objectives: To quantify physical activity 32-37 years after acute anterior cruciate ligament injury with respect to the World Health Organization physical activity recommendation, and to compare physical activity levels between: i) individuals managed with anterior cruciate ligament surgery and rehabilitation vs. rehabilitation alone, and ii) individuals with and without symptomatic osteoarthritis.

Design: Prospective longitudinal cohort.

Methods: Participants (n = 234) within 14 days of anterior cruciate ligament rupture (confirmed arthroscopically) were allocated to early anterior cruciate ligament repair and rehabilitation or rehabilitation alone. Thirty-two to 37 years after anterior cruciate ligament injury, 80 participants provided valid accelerometer data assessing physical activity and underwent an x-ray to assess osteoarthritis. Symptomatic osteoarthritis was defined as radiographic osteoarthritis plus knee pain and/or symptoms. Differences in physical activity parameters between treatment and osteoarthritis groups were assessed with analysis of covariance, adjusted for potential confounding.

Results: Tibiofemoral symptomatic osteoarthritis was observed in 35 (47 %) participants (anterior cruciate ligament surgery 44 %; rehabilitation-alone 50 %). Participants spent a mean of 37.1 (95 % confidence interval 31.6-42.6) min/day in moderate to vigorous physical activity. Recommended levels of physical activity (≥150 min/week of moderate to vigorous physical activity) were reached by 66 % of participants with tibiofemoral symptomatic osteoarthritis [mean (95 % confidence interval): 35.4 (26.2-44.7) min/day of moderate to vigorous physical activity] and 77 % without tibiofemoral symptomatic osteoarthritis [39.1 (31.5-46.8) min/day moderate to vigorous physical activity]. Adjusted analyses found no differences in physical activity parameters between treatment groups or between participants with or without tibiofemoral symptomatic osteoarthritis.

Conclusions: More than 30 years after anterior cruciate ligament injury, over two-thirds of participants reached recommended levels of physical activity. Physical activity levels did not differ based on the initial treatment strategy or presence of tibiofemoral symptomatic osteoarthritis.

加速度计评估的32-37 年前交叉韧带破裂后的身体活动水平-最初的治疗策略或骨关节炎的存在是否重要?
目的:量化急性前交叉韧带损伤后32-37 年的体力活动与世界卫生组织的体力活动建议,并比较体力活动水平:i)前交叉韧带手术和康复治疗与单独康复治疗的个体,ii)有和没有症状性骨关节炎的个体。设计:前瞻性纵向队列。方法:将前交叉韧带断裂(经关节镜确认)后14 天内的参与者(n = 234)分配到早期前交叉韧带修复和康复组或单独康复组。在前交叉韧带损伤32至37 年后,80名参与者提供了有效的加速度计数据来评估身体活动,并接受了x光检查来评估骨关节炎。症状性骨关节炎被定义为影像学上的骨关节炎加上膝关节疼痛和/或症状。通过协方差分析评估治疗组和骨关节炎组之间体力活动参数的差异,并对潜在的混杂因素进行调整。结果:35名(47 %)参与者观察到胫股症状性骨关节炎(前交叉韧带手术44 %;rehabilitation-alone 50 %)。参与者平均每天花37.1分钟(95 %置信区间31.6-42.6)进行中度到剧烈的身体活动。66 %患有胫股症状性骨关节炎的参与者达到了推荐的体力活动水平(≥150 分钟/周的中度至剧烈体力活动)[平均(95 %置信区间):35.4(26.2-44.7)分钟/天的中度至剧烈体力活动],77 %没有胫股症状性骨关节炎的参与者达到了推荐的体力活动水平[39.1(31.5-46.8)分钟/天的中度至剧烈体力活动]。调整后的分析发现,在治疗组之间或有或没有胫股症状性骨关节炎的参与者之间,体力活动参数没有差异。结论:在前交叉韧带损伤30 年后,超过三分之二的参与者达到了推荐的身体活动水平。体力活动水平没有因初始治疗策略或胫股症状性骨关节炎的存在而有所差异。
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
CiteScore
7.40
自引率
10.00%
发文量
198
审稿时长
48 days
期刊介绍: The Journal of Science and Medicine in Sport is the official journal of Sports Medicine Australia (SMA) and is an an international refereed research publication covering all aspects of sport science and medicine. The Journal considers for publication Original research and Review papers in the sub-disciplines relating generally to the broad sports medicine and sports science fields: sports medicine, sports injury (including injury epidemiology and injury prevention), physiotherapy, podiatry, physical activity and health, sports science, biomechanics, exercise physiology, motor control and learning, sport and exercise psychology, sports nutrition, public health (as relevant to sport and exercise), and rehabilitation and injury management. Manuscripts with an interdisciplinary perspective with specific applications to sport and exercise and its interaction with health will also be considered.
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