Physical Therapy in Sport最新文献

英文中文

Relationships between single-leg hop for distances of four types at 6 Months after anterior cruciate ligament reconstruction and knee joint function, disturbed body perception, and movement-specific fear 前交叉韧带重建后6个月四种类型单腿跳距离与膝关节功能、身体知觉障碍和运动特异性恐惧的关系

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-11-01 DOI: 10.1016/j.ptsp.2025.10.040

Shinya Fujita , So Tanaka , Yuta Tomooka , Hirofumi Yamashita , Akira Mibu , Masami Tokunaga , Takaaki Yoshimoto , Tomohiko Nishigami

Objectives

To examine the relationship between three types of single-leg hop for distance (SLHD), the triple hop for distance (TPD), and clinical variables at 6 months after anterior cruciate ligament reconstruction (ACLR).

Design

Cross-sectional study.

Participants

A total of 114 knees from 114 patients (53 males, 61 females; mean age: 23.6 ± 9.2 years) who underwent primary unilateral ACLR were assessed at 6 months postoperatively.

Main outcome measures

Outcome measures included a four-hop test battery, isokinetic knee strength, pain intensity during movement, disturbed body perception, and intensity of fear during each hop test. Multiple regression analyses were conducted, using the limb symmetry index (LSI) of each hop test as the dependent variable and clinical factors as independent variables.

Results

Multiple regression analysis showed that the LSIs of the three SLHD types were independently associated with disturbed body perception, fear during SLHD, and knee extensor strength, respectively. For triple hop for distance (THD), disturbed body perception, fear during SLHD, and knee flexor strength were independently related to performance.

Conclusions

These findings highlight the need to integrate not only muscle strengthening but also assessments addressing disturbed body perception and movement-specific fear into rehabilitation programs aimed at facilitating return-to-sport after ACLR.

目的：探讨前交叉韧带重建术（ACLR）术后6个月单腿跳远（SLHD）、三腿跳远（TPD）与临床指标的关系。设计：横断面研究。参与者：114例单侧ACLR患者（男性53例，女性61例，平均年龄23.6±9.2岁）的114个膝关节在术后6个月进行评估。主要结果测量：结果测量包括四跳测试，等速膝关节力量，运动时疼痛强度，身体知觉紊乱，以及每跳测试时的恐惧强度。以各跳试验肢体对称指数（LSI）为因变量，临床因素为自变量，进行多元回归分析。结果：多元回归分析显示，三种SLHD类型的lsi分别与身体感知障碍、SLHD时的恐惧和膝关节伸肌力量有独立的相关关系。对于长距离三跳（THD），身体知觉障碍、SLHD时的恐惧和膝关节屈肌力量与成绩独立相关。结论：这些发现强调了不仅需要将肌肉强化，还需要将对身体感知障碍和运动特异性恐惧的评估纳入旨在促进ACLR后重返运动的康复计划中。

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引用次数: 0

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-11-01 DOI: 10.1016/j.ptsp.2025.10.041

Natanael P. Batista , Amanda M. Murray , Grant E. Norte , Neal R. Glaviano , Jaini H. Kothari , Emma G. Streetman , Andrew L. Geers , David M. Bazett-Jones

Objectives

To investigate test-related psychological responses during quadriceps neuromuscular assessments in individuals with and without patellofemoral pain (PFP), and examine their relationship with test outcomes.

Design

Cross-sectional study.

Setting

Laboratory.

Participants

Forty-six individuals (23 with PFP, 23 pain-free controls).

Main outcome measures

We assessed knee extension peak torque, early and late rate of torque development (RTD) during maximal voluntary isometric contractions (MVICs). Central activation ratio was assessed using the superimposed burst (SIB) technique, and active motor threshold using transcranial magnetic stimulation (TMS). Psychological responses (discomfort, thigh pain, knee pain, anxiety, and fear) were rated on a 0–100 visual analogue scale for each test.

Results

Compared to controls, the PFP group reported greater discomfort (adjusted p = 0.007) and knee pain (adjusted p = 0.007) during MVICs, and greater knee pain during SIB (adjusted p = 0.011) and TMS (adjusted p = 0.011). There were no significant correlations between test-related psychological responses and test outcomes.

Conclusions

Psychological responses were generally similar between groups, except that those with PFP reported greater knee pain in all tests. Although elevated in both groups, these responses were not significantly associated with poorer test outcomes. These findings support the utility of these assessments and underscore the importance of monitoring patient comfort during testing.

目的：研究有或无髌骨痛（PFP）的个体在进行股四头肌神经肌肉评估时的测试相关心理反应，并检查其与测试结果的关系。设计：横断面研究。设置:实验室。参与者：46名个体（23名PFP患者，23名无痛对照组）。主要结果测量：我们评估了最大自主等距收缩（mvic）期间膝关节伸展峰值扭矩、早期和晚期扭矩发展率（RTD）。采用叠加脉冲（SIB）技术评估中枢激活率，采用经颅磁刺激（TMS）评估主动运动阈值。每个测试的心理反应（不适、大腿痛、膝盖痛、焦虑和恐惧）以0-100的视觉模拟量表进行评分。结果：与对照组相比，PFP组在MVICs期间报告更大的不适（调整p = 0.007）和膝关节疼痛（调整p = 0.007），在SIB（调整p = 0.011）和TMS（调整p = 0.011）期间报告更大的膝关节疼痛。测验相关心理反应与测验结果无显著相关。结论：心理反应在两组之间大致相似，除了PFP患者在所有测试中报告更大的膝关节疼痛。尽管在两组中均有所升高，但这些反应与较差的测试结果没有显著关联。这些发现支持了这些评估的效用，并强调了在测试过程中监测患者舒适度的重要性。

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引用次数: 0

Proceedings of the 2023 SONAFE International Congress 2023年SONAFE国际大会论文集

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-11-01 DOI: 10.1016/j.ptsp.2025.10.022

引用次数: 0

A clinical case report on biceps femoris T-junction surgical repair & rehabilitation of an international footballer 国际足球运动员股二头肌t型结手术修复与康复的临床病例报告。

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-11-01 DOI: 10.1016/j.ptsp.2025.10.042

Timothy Horn , Stuart Campbell , Geoff Scott , Andrew Dunn , Fares Haddad

This clinical case study details the management of an international footballer who sustained a high-grade biceps femoris T junction tendon injury. Following surgical repair of the tendon, the player completed a phased return to training rehabilitation programme that was designed to progressively expose load and function from a strengthening, physical conditioning and technical performance aspect. This case report outlines the phases and subsequent aims in conjunction with shared decision-making processes that assisted to ensure a successful rehabilitation. This case report considers the alignment of “normal” training load and volume as a comparative marker as well as additional comparative physical profiling metrics to further inform suitability to return to training. This case report further outlines the importance of individualised rehabilitation as well as longitudinal monitoring upon returning to training to reduce further risk of (re)injury and return to performance.

本临床病例研究详细介绍了一名国际足球运动员的管理，他持续了高度的股二头肌T连接肌腱损伤。在手术修复肌腱后，球员完成了分阶段的恢复训练计划，该计划旨在从加强，身体调节和技术表现方面逐步暴露负荷和功能。本病例报告概述了各个阶段和随后的目标，并结合有助于确保成功康复的共同决策过程。本病例报告将“正常”训练负荷和训练量的一致性作为比较指标，以及额外的比较身体分析指标，以进一步告知是否适合重返训练。本病例报告进一步概述了个性化康复的重要性，以及在恢复训练后进行纵向监测，以减少进一步（再）受伤的风险并恢复表现。

引用次数: 0

Simple clinical measures quantify knee loading symmetry during running after anterior cruciate ligament reconstruction 简单的临床测量量化前交叉韧带重建后跑步时膝关节负荷对称性

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-10-12 DOI: 10.1016/j.ptsp.2025.10.003

Benoit Pairot-de-Fontenay , Jean-Sébastien Roy , Richard Willy

Objectives

Knee loading asymmetry is commonly observed during running after anterior cruciate reconstruction (ACL-R). We sought to determine whether clinically measurable asymmetries could predict knee loading symmetry (LSI) during running after ACL-R.

Design

Longitudinal laboratory study.

Setting

Three-dimensional running biomechanics.

Participants

24 participants post-ACL-R and 24 healthy, matched controls.

Main outcome measures

LSI of knee loading variables (patellofemoral and tibiofemoral joint reaction force [PFJRF/TFJRF], and knee negative work) were assessed alongside clinically measurable variables (stance time, peak knee flexion angle, knee flexion excursion and foot strike angle). Assessments were conducted at baseline (D1) in both groups, with the ACL-R group also assessed after a 14-day return-to-run program (D14).

Results

Peak knee flexion angle LSI significantly predicted PFJRF and TFJRF peak and average loading rate LSIs (all p < 0.01). Knee flexion excursion LSI predicted knee negative work LSI (p < 0.001). The R² for the predictive equations for PFJRF Average loading rate, PFJRF Peak, TFJRF Peak, TFJRF Average loading rate and Knee negative work were 0.69, 0.75, 0.73, 0.58 and 0.41, respectively.

Conclusions

Knee joint loading symmetry during running following ACL-R can be estimated using clinically accessible variables. Among these, peak knee flexion angle symmetry emerged as the most promising predictor.

Level of evidence

Longitudinal observational study, level III.

目的膝关节负荷不对称是前交叉韧带重建术（ACL-R）术后跑步时常见的现象。我们试图确定临床可测量的不对称性是否可以预测ACL-R术后跑步时的膝关节负荷对称性（LSI）。设计纵向实验室研究。设置三维跑步生物力学。参与者：24名acl - r后的参与者和24名健康、匹配的对照组。主要结果测量：与临床可测量变量（站立时间、膝关节屈曲峰值角度、膝关节屈曲偏移和足部打击角度）一起评估膝关节负荷变量（髌股关节和胫股关节反作用力[PFJRF/TFJRF]和膝关节负功）。两组在基线（D1）进行评估，ACL-R组也在14天的恢复运行计划（D14）后进行评估。结果膝关节屈曲角度LSI对PFJRF、TFJRF峰值和平均加载率LSI有显著预测作用（p < 0.01）。膝关节屈曲偏移LSI预测膝关节负功LSI （p < 0.001）。PFJRF平均加载率、PFJRF峰值、TFJRF峰值、TFJRF平均加载率和膝关节负功预测方程的R2分别为0.69、0.75、0.73、0.58和0.41。结论ACL-R术后跑步时膝关节负荷对称性可通过临床可获得的变量来估计。其中，最大膝关节屈曲角度对称是最有希望的预测因子。证据水平：纵向观察研究，III级。

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引用次数: 0

Immediate effect of a combined neuromuscular electrical stimulation and eccentric load session on acute muscle swelling of the abductor hallucis 神经肌肉电刺激联合偏心负荷治疗外展幻觉急性肌肉肿胀的即时效果。

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-10-10 DOI: 10.1016/j.ptsp.2025.10.002

Kengo Fukuda , Naotaka Nagamune , Kazunori Okamura , Tomohiro Ikeda , Shusaku Kanai

Objectives

To examine the immediate effects and safety of neuromuscular electrical stimulation combined with eccentric load (NMES + EL) sessions on acute muscle swelling (i.e., transient increase in muscle size) in the abductor hallucis (ABH).

Design

Randomized, controlled, single-blind trial.

Setting

University laboratory setting.

Participants

Forty-five healthy adults were randomly assigned to NMES + EL (n = 13), NMES (n = 14), or control (n = 15) groups.

Main outcome measures

Cross-sectional area (CSA) and echo intensity of the ABH were measured by ultrasonography before and after a single 15-min intervention. Muscle soreness was assessed using the Common Terminology Criteria for Adverse Events.

Results

The NMES + EL group showed a significant increase in the CSA of the ABH after the intervention (7.89 %, P < 0.01, Cohen's d = 0.95), with no significant increase in echo intensity or adverse events compared with the other groups. Severe muscle soreness or adverse events were not observed.

Conclusions

A single NMES + EL session induced acute muscle swelling in the ABH without increasing muscle soreness or adverse effects. This method may be a safe and effective way to strengthen the intrinsic foot muscles.

Trial registration number

UMIN000050882.

目的：探讨神经肌肉电刺激联合偏心负荷（NMES + EL）治疗外展幻觉（ABH）急性肌肉肿胀（即肌肉尺寸短暂增加）的即时效果和安全性。设计：随机、对照、单盲试验。设置：大学实验室设置。参与者：45名健康成人随机分为NMES + EL组（n = 13）、NMES组（n = 14）和对照组（n = 15）。主要观察指标：单次干预15 min前后，分别用超声测量ABH的横截面积（CSA）和回声强度。使用不良事件通用术语标准评估肌肉酸痛。结果：NMES + EL组在干预后ABH的CSA显著增加（7.89%，P）。结论：单次NMES + EL治疗可引起ABH急性肌肉肿胀，但未增加肌肉酸痛或不良反应。这种方法可能是一种安全有效的增强足部内在肌肉的方法。试验注册号：UMIN000050882。

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引用次数: 0

The effects of neurocognitive training on pain, proprioception, injury anxiety, and functional and neurocognitive performance in athletes with chronic ankle instability- randomized controlled trial 神经认知训练对慢性踝关节不稳定运动员疼痛、本体感觉、损伤焦虑、功能和神经认知表现的影响——随机对照试验

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-10-07 DOI: 10.1016/j.ptsp.2025.10.001

Ebru Tekin , Fatma Unver

Objectives

Considering the rapid motor-cognitive changes and increased risk of injury in preadolescent athletes, this study investigated the effects of neurocognitive training (NT) on pain, proprioception, injury-related anxiety, and functional and neurocognitive performance in athletes with chronic ankle instability (CAI).

Design

Randomized controlled trial.

Setting

Sports training facilities in Balıkesir, Türkiye.

Participants

Thirty preadolescent athletes with CAI (mean age 11.10 ± 1.06 years) were randomly assigned to an NT group (n = 15) or a control group (n = 13).

Main outcome measures

The Identification of Functional Ankle Instability (IdFAI), Cumberland Ankle Instability Tool (CAIT), pain severity, proprioception (dorsiflexion/plantarflexion), injury-related anxiety, Y Balance Test (YBT), Side Hop Test, Reactive Balance Test (RBT), and Upper Extremity Choice Reaction Time Test were evaluated pre- and post-intervention.

Results

The NT group demonstrated significant improvements in IdFAI (p < 0.001), CAIT (p = 0.004), dorsiflexion (p = 0.003) and plantarflexion proprioception (p = 0.018), injury-related anxiety (p = 0.013), YBT anterior reach (p = 0.048), RBT reaction time (p = 0.030), and accuracy (p = 0.003). The control group showed improvement only in plantarflexion proprioception (p = 0.028), with an increase in post-training pain (p = 0.030).

Conclusions

NT reduced ankle instability symptoms and injury-related anxiety while improving proprioception and neurocognitive performance. NT may enhance functional adaptation by addressing sport-specific cognitive-motor demands.

考虑到青春期前运动员的快速运动认知变化和损伤风险增加，本研究探讨了神经认知训练（NT）对慢性踝关节不稳定（CAI）运动员疼痛、本体感觉、损伤相关焦虑以及功能和神经认知表现的影响。设计随机对照试验。设置体育训练设施Balıkesir， t, rkiye。30名患有CAI的青春期前运动员（平均年龄11.10±1.06岁）被随机分为NT组（n = 15）和对照组（n = 13）。评估干预前后的功能性踝关节不稳定识别（IdFAI）、Cumberland踝关节不稳定工具（CAIT）、疼痛严重程度、本体感觉（背屈/跖屈）、损伤相关焦虑、Y平衡测试（YBT）、侧跳测试、反应性平衡测试（RBT）和上肢选择反应时间测试。结果NT组在IdFAI （p < 0.001）、CAIT （p = 0.004）、背屈（p = 0.003）和跖屈本体感觉（p = 0.018）、损伤相关焦虑（p = 0.013）、YBT前伸（p = 0.048）、RBT反应时间（p = 0.030）和准确性（p = 0.003）方面均有显著改善。对照组仅跖屈本体感觉改善（p = 0.028），训练后疼痛增加（p = 0.030）。结论snt减轻了踝关节不稳症状和损伤相关焦虑，改善了本体感觉和神经认知功能。NT可以通过解决运动特定的认知运动需求来增强功能适应。

{"title":"The effects of neurocognitive training on pain, proprioception, injury anxiety, and functional and neurocognitive performance in athletes with chronic ankle instability- randomized controlled trial","authors":"Ebru Tekin , Fatma Unver","doi":"10.1016/j.ptsp.2025.10.001","DOIUrl":"10.1016/j.ptsp.2025.10.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Considering the rapid motor-cognitive changes and increased risk of injury in preadolescent athletes, this study investigated the effects of neurocognitive training (NT) on pain, proprioception, injury-related anxiety, and functional and neurocognitive performance in athletes with chronic ankle instability (CAI).</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Setting</h3><div>Sports training facilities in Balıkesir, Türkiye.</div></div><div><h3>Participants</h3><div>Thirty preadolescent athletes with CAI (mean age 11.10 ± 1.06 years) were randomly assigned to an NT group (n = 15) or a control group (n = 13).</div></div><div><h3>Main outcome measures</h3><div>The Identification of Functional Ankle Instability (IdFAI), Cumberland Ankle Instability Tool (CAIT), pain severity, proprioception (dorsiflexion/plantarflexion), injury-related anxiety, Y Balance Test (YBT), Side Hop Test, Reactive Balance Test (RBT), and Upper Extremity Choice Reaction Time Test were evaluated pre- and post-intervention.</div></div><div><h3>Results</h3><div>The NT group demonstrated significant improvements in IdFAI (p < 0.001), CAIT (p = 0.004), dorsiflexion (p = 0.003) and plantarflexion proprioception (p = 0.018), injury-related anxiety (p = 0.013), YBT anterior reach (p = 0.048), RBT reaction time (p = 0.030), and accuracy (p = 0.003). The control group showed improvement only in plantarflexion proprioception (p = 0.028), with an increase in post-training pain (p = 0.030).</div></div><div><h3>Conclusions</h3><div>NT reduced ankle instability symptoms and injury-related anxiety while improving proprioception and neurocognitive performance. NT may enhance functional adaptation by addressing sport-specific cognitive-motor demands.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"76 ","pages":"Pages 134-146"},"PeriodicalIF":2.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145267018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corrigendum to “The Victorian Institute of Sport Assessment – Achilles is fundamentally flawed and unfit for clinical practice or research: A Rasch Measurement Theory Analysis using COSMIN recommendations” [Physical Therapy in Sport 73 (2025) Pages 68-76] “维多利亚运动评估研究所-阿基里斯从根本上有缺陷，不适合临床实践或研究：使用COSMIN建议的皮疹测量理论分析”的勘误表[运动物理治疗73（2025）页68-76]

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-10-03 DOI: 10.1016/j.ptsp.2025.09.002

Nigel Travers , Myles C. Murphy , Benedict M. Wand , Paul Kirwan , Mervyn Travers , James Debenham , William Gibson , Dana Hince

引用次数: 0

Masterclass: Are you getting the most out of your triple hop testing? 大师班：你从你的三跳测试中得到了最大的收获吗？

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-09-30 DOI: 10.1016/j.ptsp.2025.09.016

Anthony P. Sharp , Jonathon Neville , John B. Cronin

The triple hop test is a widely used, practical tool that allows physical therapists to assess an athlete's readiness to return-to-sport (RTS) following injury. However, recent consensus statements have raised concerns that hop distance alone may be insufficient to capture the complexity of functional recovery or to fully assess inter-limb symmetry, potentially masking readiness and increasing the risk of reinjury. In this Masterclass: exemplar kinetic and kinematic data for the triple hop are detailed; the utility of the quintuple hop introduced; the distinction between outcome and movement strategy variables discussed within an asymmetry context; and, the integration of accessible, cost-effective technologies within a tier-based framework for RTS assessment outlined. The aim of the article is to enhance the evaluation of movement strategies and support clinicians in making more informed and confident RTS decisions.

三跳测试是一种广泛使用的实用工具，允许物理治疗师评估运动员受伤后重返运动（RTS）的准备情况。然而，最近的共识声明引起了人们的关注，即单是跳跃距离可能不足以捕捉功能恢复的复杂性或完全评估肢间对称性，这可能会掩盖准备状态并增加再损伤的风险。在这个大师班中：详细介绍了三级跳的典型动力学和运动学数据；介绍了五重跳的实用性；在不对称背景下讨论结果和运动策略变量之间的区别；以及，在基于层的RTS评估框架内整合可获得的、具有成本效益的技术。本文的目的是加强对运动策略的评估，并支持临床医生做出更明智和自信的RTS决策。

引用次数: 0

Influence of pre-surgery characteristics and sports practice level on return to sport after ACL reconstruction 术前特点及运动训练水平对前交叉韧带重建后恢复运动的影响。

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport

Pub Date : 2025-09-29 DOI: 10.1016/j.ptsp.2025.09.014

Séverine Abellaneda , Malgorzata Klass , Bruno Bonnechère , Joachim Van Cant

Objectives

1) To compare pre-surgery characteristics, pre-injury sports level, and 6-month recovery outcomes between patients with successful (sRTS) and unsuccessful (noRTS) return to sport at 24 months post-ACLR; 2) To identify whether pre-surgical characteristics or pre-injury sports level predict noRTS.

Design

Longitudinal cohort study.

Participants

40 patients with ACLR.

Main outcome measures

Pre-surgery characteristics were collected and the level of sports practice was assessed using Tegner and Marx questionnaires, and the Noyes Sports Activity Rating Scale (NSARS). At 6 months a second evaluation was conducted. At 24 months, patients were divided into two groups: sRTS and noRTS.

Results

Pre-injury NSARS score was higher in noRTS (92.5 [80; 100]) compared to sRTS group (85 [72.5; 86.2]; p = 0.03). The multivariate model that best predicts noRTS (AUC = 0.83; p = 0.011) combines a higher pre-injury NSARS (AOR = 1.07 [1.01–1.14]; p = 0.001), more associated injuries (AOR = 1.55 [0.98–2.42]; p = 0.043), and longer injury to surgery time interval (AOR = 1.15 [0.91–1.46]; p = 0.21).

Conclusion

Clinicians should consider key risk factors (e.g. high pre-injury NSARS score, multiple associated injuries, delayed surgery) to tailor rehabilitation and improve return to pre-injury sports level 24 months post-ACLR.

目的：1)比较成功（sRTS）和不成功（noRTS）患者在aclr后24个月恢复运动的术前特征、损伤前运动水平和6个月恢复结果；2)确定术前特征或伤前运动水平是否能预测noRTS。设计：纵向队列研究。参与者：40例ACLR患者。主要观察指标：收集术前特征，采用Tegner和Marx问卷及Noyes体育活动评定量表（NSARS）评估运动实践水平。6个月时进行第二次评估。24个月时，患者分为两组：sRTS组和noRTS组。结果：noRTS组损伤前NSARS评分（92.5[80;100]）高于sRTS组（85 [72.5;86.2];p = 0.03）。最能预测noRTS的多变量模型（AUC = 0.83; p = 0.011）包括较高的伤前NSARS （AOR = 1.07 [1.01-1.14]; p = 0.001）、较多的相关损伤（AOR = 1.55 [0.98-2.42]; p = 0.043）和较长的损伤至手术时间间隔（AOR = 1.15 [0.91-1.46]; p = 0.21）。结论：临床医生应考虑伤前NSARS评分高、多发伴发损伤、手术延迟等关键危险因素，针对性地进行康复治疗，提高aclr术后24个月恢复到伤前运动水平。

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引用次数: 0

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