在患者报告的结果测量中,基于性别的差异在ACL重建后的三个月内不存在
Abdulmajeed Alfayyadh1, Jack R Williams2, Kelsey Neal3
1Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Jouf University, Sakaka 72388, Saudi Arabia.
Journal of clinical medicine
|January 28, 2026
概括
前十字带重建 (ACLR) 后的早期恢复显示,患者报告的结果 (PROM) 没有显著的性别差异. 这表明,在ACLR患者的康复过程中,潜在的与性别相关的康复分歧可能会在以后出现.
科学领域:
- 整形外科 整形外科 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:
- 患者报告的结果测量 (PROMs) 对于评估前十字带重建 (ACLR) 后的恢复至关重要.
- 之前的研究表明,与男性相比,女性在ACLR后可能会经历更慢的功能增长和更大的疼痛.
- 在ACLR后的PROM中,早期基于性别的差异仍然在很大程度上未被探索.
研究的目的:
- 为了在ACLR后三个月的男性和女性之间比较患者报告的结果措施 (PROM).
- 调查前十字带重建 (ACLR) 后恢复的潜在早期基于性别的差异.
主要方法:
- 对56名患者 (23名女性,33名男性) 的横截面分析,这些患者接受了初级单边ACLR治疗.
- 在手术后三个月使用多个PROM,包括KOOS,IKDC,KOS-ADLS,ACL-RSI和TSK.
- 雇佣的独立样本 t 测试与韦尔奇校正和曼·惠特尼U测试来比较性别之间的结果.
主要成果:
- 在ACLR后三个月,在所有评估的PROM中,在男性和女性之间没有观察到统计学上显著的差异.
- 男人表现出较好的KOOS体育和娱乐和IKDC分数的非显著趋势,效果大小小小到中等.
- 对于某些结果,有限的统计能力需要谨慎地解释研究结果.
结论:
- 在ACLR后的早期恢复 (3个月) 没有显示出患者报告的结果中基于性别的显著差异.
- 在前十字带重建患者中观察到的与性别相关的恢复差异可能会在康复时间表的后期表现出来.
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