四肢筋の強さと運動パターンは,ACLR後の患者で,クリニックベースのスポーツ復帰テストのバッテリーを通過した患者です
David M Werner1,2,3, Ashley Conlin4, Paul Muray4
1College of Allied Health Professions, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Orthopaedic journal of sports medicine
|February 13, 2026
まとめ
前十字筋の再建 (ACLR) 後にスポーツ復帰 (RTS) についてクリアされた患者は,依然として強度および生体力学的欠陥を有している可能性があります. 臨床ベースのRTSテストは,四頭四頭筋の強さと運動パターンの残留障害を完全に特定できない場合があります.
科学分野:
- 整形外科の手術は,整形外科の手術です.
- スポーツ医学はスポーツ医学です.
- リハビリテーション・サイエンス・サイエンス
背景:
- 前十字筋再建 (ACLR) の後のスポーツ復帰 (RTS) 検査は,再怪我率を低減するために極めて重要です.
- 既存のRTSプロトコルは,多くの場合,専門的な設備とリソースを必要とし,多くの臨床医のアクセシビリティを制限しています.
研究 の 目的:
- 臨床ベースのRTS評価に合格した患者が,ゴールドスタンダードな実験室測定値と比較して残留強度または生体力学的欠陥を示すかどうかを判断する.
- 客観的な実験室での評価に基づいてアクセシブルなRTSテストを検証する.
主な方法:
- 参加者は,臨床ベースのRTSテスト (強度,ホップテスト,機能スケール) を完了しました.
- 実験室での試験には,イソメトリックとイソキネティック強度 (四頭四肢,ハムストリング),トルク発達の速度 (RTD),ジャンプ中の3D運動分析が含まれていました.
- ペアリングされたtテストは,四肢間の差異を分析した.
主要な成果:
- 合格したRTSテストは,イソメトリック四頭筋の強度における肢体対称性の≥90%と相関し,特定の強度目標を達成しました.
- 関連する四頭四肢の強さ (7.6%の低位アイソメトリック,4.9%の低位アイソキネティック) とRTD (最大20.9%の低位) で有意な赤字が観察されました.
- バイオメカニカル分析により,肢体負荷の低下 (6.6%~67%の差) と,関わる肢体のハムストリングの強度の増加 (4.7%) が明らかになった.
結論:
- 臨床ベースのRTSテストは,ACLR後のすべての残留欠陥を完全に捉えることはできません,特に四頭四足のRTDと運動バイオメカニクスで.
- 臨床RTS基準を合格したにもかかわらず,患者は持続的な強度の欠乏と変化した運動パターンを表す可能性があります.
- RTSテストのさらなる精錬は,ACLR後のスポーツに対する患者の総合的な準備を確保するために必要である.
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