Lynn Kelders, Nicky van Melick, Tristan Warren, Rob Bogie
{"title":"A、U 还是之字形？前交叉韧带重建的运动员遵循三种主要心理模式：当地前交叉韧带登记册的回顾性评估结果。","authors":"Lynn Kelders, Nicky van Melick, Tristan Warren, Rob Bogie","doi":"10.1002/ksa.12664","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Emotional responses during anterior cruciate ligament (ACL) rehabilitation are described as a 'linear' or 'U-shaped' pattern, indicating not all athletes exhibit the same emotional pattern. Therefore, this study aimed to (1) identify emotional patterns during the early- and mid-stage phases of rehabilitation after ACL reconstruction (ACLR), and (2) investigate differences in patient-specific characteristics among these patterns.</p><p><strong>Methods: </strong>Patients completed the Photographic Series of Sports Activities for Anterior Cruciate Ligament Reconstruction (PHOSA-ACLR), and Dutch language short Anterior Cruciate Ligament Return to Sport after Injury scale (short ACL-RSI-NL) preoperatively and 6 weeks, 3 months and 6 months postoperatively. Cluster analysis was conducted to identify groups with similar emotional score patterns over time. Changes in scores between consecutive time points (deltas) were calculated for clustering, after which the optimal number of clusters was determined, and K-means clustering was performed.</p><p><strong>Results: </strong>One hundred and twenty-eight patients completed both surveys at all time points. Patients displayed an 'A-shaped', 'U-shaped' or 'zigzag' pattern. Patients with an A-shaped PHOSA-ACLR pattern were significantly younger than patients with a zigzag pattern (p = 0.01). Recreational athletes who are not in competition less often followed an A-shaped short ACL-RSI-NL pattern (p < 0.002). Patients with an A-shaped short ACL-RSI-NL pattern had significantly higher preoperative scores than patients with a U-shaped (p < 0.001) or zigzag pattern (p < 0.003). Patients with a U-shaped short ACL-RSI-NL pattern had lower scores at six months postoperatively than those with A-shaped or zigzag patterns.</p><p><strong>Conclusions: </strong>Patients' emotions before and after ACLR follow three patterns: 'A-shaped', 'U-shaped', or 'zigzag'. These patterns are significantly related to age (PHOSA-ACLR) and level of sport involvement and preoperative readiness to RTS (short ACL-RSI-NL).</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":17880,"journal":{"name":"Knee Surgery, Sports Traumatology, Arthroscopy","volume":" ","pages":""},"PeriodicalIF":3.3000,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A, U or zigzag? Athletes with ACL reconstruction follow three major psychological patterns: Results from a retrospective evaluation of a local ACL register.\",\"authors\":\"Lynn Kelders, Nicky van Melick, Tristan Warren, Rob Bogie\",\"doi\":\"10.1002/ksa.12664\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Emotional responses during anterior cruciate ligament (ACL) rehabilitation are described as a 'linear' or 'U-shaped' pattern, indicating not all athletes exhibit the same emotional pattern. Therefore, this study aimed to (1) identify emotional patterns during the early- and mid-stage phases of rehabilitation after ACL reconstruction (ACLR), and (2) investigate differences in patient-specific characteristics among these patterns.</p><p><strong>Methods: </strong>Patients completed the Photographic Series of Sports Activities for Anterior Cruciate Ligament Reconstruction (PHOSA-ACLR), and Dutch language short Anterior Cruciate Ligament Return to Sport after Injury scale (short ACL-RSI-NL) preoperatively and 6 weeks, 3 months and 6 months postoperatively. Cluster analysis was conducted to identify groups with similar emotional score patterns over time. Changes in scores between consecutive time points (deltas) were calculated for clustering, after which the optimal number of clusters was determined, and K-means clustering was performed.</p><p><strong>Results: </strong>One hundred and twenty-eight patients completed both surveys at all time points. Patients displayed an 'A-shaped', 'U-shaped' or 'zigzag' pattern. Patients with an A-shaped PHOSA-ACLR pattern were significantly younger than patients with a zigzag pattern (p = 0.01). Recreational athletes who are not in competition less often followed an A-shaped short ACL-RSI-NL pattern (p < 0.002). Patients with an A-shaped short ACL-RSI-NL pattern had significantly higher preoperative scores than patients with a U-shaped (p < 0.001) or zigzag pattern (p < 0.003). Patients with a U-shaped short ACL-RSI-NL pattern had lower scores at six months postoperatively than those with A-shaped or zigzag patterns.</p><p><strong>Conclusions: </strong>Patients' emotions before and after ACLR follow three patterns: 'A-shaped', 'U-shaped', or 'zigzag'. These patterns are significantly related to age (PHOSA-ACLR) and level of sport involvement and preoperative readiness to RTS (short ACL-RSI-NL).</p><p><strong>Level of evidence: </strong>Level III.</p>\",\"PeriodicalId\":17880,\"journal\":{\"name\":\"Knee Surgery, Sports Traumatology, Arthroscopy\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-04-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Knee Surgery, Sports Traumatology, Arthroscopy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/ksa.12664\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Knee Surgery, Sports Traumatology, Arthroscopy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ksa.12664","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
A, U or zigzag? Athletes with ACL reconstruction follow three major psychological patterns: Results from a retrospective evaluation of a local ACL register.
Purpose: Emotional responses during anterior cruciate ligament (ACL) rehabilitation are described as a 'linear' or 'U-shaped' pattern, indicating not all athletes exhibit the same emotional pattern. Therefore, this study aimed to (1) identify emotional patterns during the early- and mid-stage phases of rehabilitation after ACL reconstruction (ACLR), and (2) investigate differences in patient-specific characteristics among these patterns.
Methods: Patients completed the Photographic Series of Sports Activities for Anterior Cruciate Ligament Reconstruction (PHOSA-ACLR), and Dutch language short Anterior Cruciate Ligament Return to Sport after Injury scale (short ACL-RSI-NL) preoperatively and 6 weeks, 3 months and 6 months postoperatively. Cluster analysis was conducted to identify groups with similar emotional score patterns over time. Changes in scores between consecutive time points (deltas) were calculated for clustering, after which the optimal number of clusters was determined, and K-means clustering was performed.
Results: One hundred and twenty-eight patients completed both surveys at all time points. Patients displayed an 'A-shaped', 'U-shaped' or 'zigzag' pattern. Patients with an A-shaped PHOSA-ACLR pattern were significantly younger than patients with a zigzag pattern (p = 0.01). Recreational athletes who are not in competition less often followed an A-shaped short ACL-RSI-NL pattern (p < 0.002). Patients with an A-shaped short ACL-RSI-NL pattern had significantly higher preoperative scores than patients with a U-shaped (p < 0.001) or zigzag pattern (p < 0.003). Patients with a U-shaped short ACL-RSI-NL pattern had lower scores at six months postoperatively than those with A-shaped or zigzag patterns.
Conclusions: Patients' emotions before and after ACLR follow three patterns: 'A-shaped', 'U-shaped', or 'zigzag'. These patterns are significantly related to age (PHOSA-ACLR) and level of sport involvement and preoperative readiness to RTS (short ACL-RSI-NL).
期刊介绍：
Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication.
The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance.
Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards.
Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).
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