在ACLR后的患者中,四肢力量和运动模式通过了基于临床的回归体育测试电池
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
概括
在前十字带重建 (ACLR) 后获得恢复运动 (RTS) 许可的患者可能仍然存在力量和生物力学缺陷. 基于临床的RTS测试可能无法完全识别四头肌强度和运动模式的残留损伤.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 康复科学是康复的科学.
背景情况:
- 在前十字带重建 (ACLR) 后,恢复运动 (RTS) 测试对于降低重伤率至关重要.
- 现有的RTS协议通常需要专门的设备和资源,这限制了许多临床医生的可访问性.
研究的目的:
- 为了确定通过临床RTS评估的患者是否与黄金标准实验室测量相比表现出残留强度或生物力学缺陷.
- 通过客观的实验室评估来验证可访问的RTS测试.
主要方法:
- 参与者完成了基于临床的RTS测试 (力量,跳跃测试,功能尺度).
- 实验室测试包括同度和同动力强度 (四肢,腿筋),扭矩发展速度 (RTD) 和跳跃期间的3D运动分析.
- 配对的t测试分析了四肢间的差异.
主要成果:
- 通过RTS测试与≥90%的四肢对称度相关联,在同度四头肌强度和满足特定强度目标.
- 在涉及四头四肢的强度 (7.6%较低的异度,4.9%较低的异动力) 和RTD (高达20.9%较低) 中观察到显著的缺陷.
- 生物力学分析显示,受影响的四肢负荷受损 (6.6%-67%的差异),腿筋强度增加 (4.7%).
结论:
- 基于临床的RTS测试可能无法完全捕捉ACLR后的所有残余缺陷,特别是在四头骨RTD和运动生物力学中.
- 尽管通过临床RTS标准,但患者可能会表现出持续的力量缺陷和改变的运动模式.
- 需要进一步完善RTS测试,以确保患者在ACLR后对运动的全面准备.
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