精英与非精英运动员在前十字带重建后的心理准备
Timothy McAleese1,2, Conor J Kilkenny1, Jessie Barr2
1RCSI University of Medicine and Health Sciences, Dublin, Ireland.
精英运动员在前十字带重建 (ACLR) 后表现出更高的心理准备和恢复比赛率. 膝盖功能和男性性别是关键预测因素,而不仅仅是精英地位,突出了对所有运动员的心理支持的需要.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 康复心理学 康复心理学
背景情况:
- 心理准备,包括对重伤的恐惧,表现信心和风险评估,对于在前十字带重建 (ACLR) 后重返比赛 (RTP) 至关重要.
- 精英运动员面临独特的压力,因为高自我效能和运动身份,影响他们的心理恢复后ACLR.
- 之前的研究没有详细说明ACLR后精英和非精英运动员在心理准备方面的具体差异.
研究的目的:
- 为了比较精英和非精英运动员在初级ACLR后的心理准备.
- 确定影响心理准备和ACLR后RTP率的因素.
主要方法:
- 一项队列研究包括756名参与者:252名精英运动员和504名与倾向分数匹配的非精英运动员.
- 在手术前和手术后的3,6个月和9个月使用ACL伤害后回归体育 (ACL-RSI) 尺度评估心理准备.
- 游戏回归率 (RTP) 记录在1年和2年,多变量分析确定了ACL-RSI得分的预测因素.
主要成果:
- 在精英和非精英组之间,手术前的ACL-RSI得分相似 (P = .28).
- 精英运动员在手术后3,6个月和9个月显示出明显更高的ACL-RSI得分 (分别P < .001,P = .01,P = .009).
- 精英运动员在1年和2年有更高的RTP率 (86%与69%,P<.001;94.3%与86.7%,P<.002). 国际膝关节文档委员会得分和男性性别是9个月ACL-RSI最强的预测因素.
结论:
- 虽然手术前的心理准备程度相似,但精英运动员在康复期间表现出更高的准备程度,并在ACLR后呈现出更高的RTP率.
- 膝盖功能和男性性别是心理准备 (ACL-RSI得分) 的主要预测因素,而不是精英地位.
- 应考虑对所有接受ACLR的运动员进行心理干预,无论他们的精英地位如何.
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