良好的身体功能,但在ACL重建后3年儿童的生活质量下降
Mathilde Lundgaard-Nielsen1, Robert Bennike Herzog1, Susan Warming1
1Department of Physical and Occupational Therapy, Copenhagen University Hospital, Bispebjerg-Frederiksberg, Copenhagen, Denmark.
概括
接受前十字带 (ACL) 重建的儿童在手术后的一年和三年表现出良好的身体功能. 然而,他们的体育和生活质量得分仍然低于健康同龄人的得分.
科学领域:
- 儿科整形外科 儿科整形外科
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 前十字带 (ACL) 损伤在儿科运动员中很常见.
- 关节骨架重建的目的是恢复膝盖的功能和稳定性.
- 在儿童中ACL重建的长期结果需要进一步调查.
研究的目的:
- 在ACL重建后的一年和三年,评估儿童的身体功能和主观膝盖状况.
- 为了比较手术和非手术腿的力量和功能.
- 评估随着时间的推移,膝盖松和患者报告的结果的变化.
主要方法:
- 在ACL重建后对儿童 (<16岁) 的前性随访.
- 评估包括跳跃测试,力量测量 (动力装置),膝盖松 (Rolimeter) 和患者报告的结果 (Pedi-IKDC,KOOS-Child).
- 配对t测试分析了手术后一至三年的变化.
主要成果:
- 在148名儿童中,有60人完成了所有评估.
- 跳跃测试和强度的四肢对称指数在两个时间点均为>90%.
- 从1年到3年观察到跳测试,Pedi-IKDC和KOOS-Child (体育,生活质量) 的显著改善,尽管得分仍然低于健康儿童的得分.
结论:
- 儿童在ACL重建后的一年和三年表现出良好的客观身体功能.
- 尽管功能恢复,体育特异性和生活质量得分表明与健康同龄人相比,持续存在的赤字.
- 进一步的研究可能会探索影响长期主观结果的因素.
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