COVID-19大流行对前交叉韧带重建后6个月重返运动的心理准备没有负面影响

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-08-01 DOI:10.1016/j.asmr.2025.101174

Adam Nasreddine M.D. , Aditi S. Majumdar M.D. , Rohit Siddabattula B.A. , Matthew D. Milewski M.D. , Emma C. Gossman B.S. , Ryan P. Coene M.S. , Danielle L. Cook M.A. , Mininder S. Kocher M.D., M.P.H. , Dennis E. Kramer M.D. , Lyle J. Micheli M.D. , Yi-Meng Yen M.D., Ph.D. , Melissa A. Christino M.D.

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引用次数: 0

摘要

目的比较2019冠状病毒病（COVID-19）大流行前后行前交叉韧带重建（ACLR）患者术后6个月重返运动的心理准备水平。方法于2018年12月至2021年5月在一家学术运动医学实践中心招募原发性ACLR后6个月的8至35岁患者，并将其分为COVID-19前组和COVID-19组。比较人口统计学和结局评分，包括损伤后恢复运动量表、患者报告的结果测量信息系统心理应激经历、国际膝关节文献委员会评分（IKDC）、儿科功能活动简要量表和医生RTS清除率。χ2、Student t检验，并进行线性回归。在控制年龄、性别和移植物类型的情况下，完成了组间的匹配分析。结果共纳入231例患者，其中男性89例，女性142例，平均年龄16.9岁，其中新冠肺炎前期组占76%(176/231)，新冠肺炎组占24%（55/231）。队列之间的年龄和性别没有显著差异。与COVID-19前组相比，COVID-19组从手术到入组的时间有显著差异（7.1个月vs 6.2个月，P < 0.001）。在匹配分析队列（n = 126, 37/126 COVID-19组）中，COVID-19组比COVID-19前组更早获得RTS清除（6.9个月vs 8.8个月，P < 0.001）。6个月的ACL-RSI评分在两组间无显著差异（新冠病毒前63.8 vs新冠病毒前67.0,P = 0.42），两组评分均较低。配对组在患者报告结果测量信息系统心理应激经历（P = 0.37）、IKDC （P = 0.43）、pedii -IKDC （P = 0.35）和pedii -功能活动简短量表（P = 0.74）方面无显著差异。结论年轻患者在ACLR后6个月对RTS的心理准备水平与COVID-19大流行前和期间相似。患者报告的结果评分在两组之间具有可比性，表明COVID-19大流行对康复认知的影响最小。心理准备在aclr后6个月可能不会完全优化，年轻患者可能会从额外的时间和康复中受益。证据水平：III级，前瞻性收集数据的回顾性队列分析。

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The COVID-19 Pandemic Did Not Have a Negative Impact on Psychological Readiness to Return to Sport 6 Months After Anterior Cruciate Ligament Reconstruction

Purpose

To compare 6-month postoperative levels of psychological readiness to return to sport (RTS) in patients who underwent anterior cruciate ligament reconstruction (ACLR) before and during the COVID-19 pandemic.

Methods

Patients between 8 and 35 years of age were enrolled 6 months post primary ACLR at an academic sports medicine practice from December 2018 to May 2021 and categorized into pre-COVID-19 and COVID-19 groups. Demographics and outcomes scores, including ACL-Return to Sport after Injury Scale, Patient-Reported Outcomes Measurement Information System Psychological Stress Experiences, International Knee Documentation Committee Score (IKDC), Pediatric Functional Activity Brief Scale, and physician RTS clearance were compared. χ², Student t tests, and linear regression were performed. A matched analysis between groups was completed, controlling for age, sex, and graft type.

Results

A total of 231 patients were included (89 male, 142 female, average age 16.9 years), with 76% (176/231) in the pre-COVID-19 group and 24% (55/231) in the COVID-19 group. No significant differences in age and sex were noted between cohorts. A significant difference in time from surgery to enrollment was seen in the COVID-19 group compared to the pre-COVID-19 group (7.1 vs 6.2 months, P < .001). In the matched analysis cohort (n = 126, 37/126 COVID-19 group), the COVID-19 group received RTS clearance earlier than the pre-COVID-19 group (6.9 months vs 8.8 months, P < .001). Six-month ACL-RSI scores showed no significant differences between groups (63.8 pre-COVID-19 vs 67.0 COVID-19, P = .42), with both groups scoring low. There were no significant differences between matched groups in Patient-Reported Outcomes Measurement Information System Psychological Stress Experiences (P = .37), IKDC (P = .43), Pedi-IKDC (P = .35), and Pedi-Function Activity Brief Scale (P = .74).

Conclusions

Young patients showed similar levels of psychological readiness to RTS at 6 months after ACLR before and during the COVID-19 pandemic. Patient-reported outcome scores were comparable between groups, suggesting minimal COVID-19 pandemic impact on perceptions of recovery. Psychological readiness may not be fully optimized at 6 months post-ACLR, and young patients may benefit from additional time and rehabilitation.