前十字韧带损伤和重建后姿势稳定性的单腿评估失败:最新系统回顾和元分析

IF 2.3 Q2 SPORT SCIENCES Sports Medicine and Health Science Pub Date : 2024-05-22 DOI:10.1016/j.smhs.2024.05.004
Le Yu , Xiao'ao Xue , Shanshan Zheng , Weichu Tao , Qianru Li , Yiran Wang , Xicheng Gu , Yang Sun , Ru Wang , Yinghui Hua
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引用次数: 0

摘要

背景前交叉韧带(ACL)损伤或重建人群中普遍存在姿势控制缺陷和持续性关节稳定性问题。姿势控制的评估通常使用压力板静态单腿站立时的压力中心(CoP)参数。然而,之前的研究对 CoP 参数的定义和描述不明确,导致特定人群姿势控制缺陷的结果不一致。目的1)总结常用于评估前交叉韧带损伤或重建人群姿势控制缺陷的 CoP 参数;2)确定前交叉韧带损伤或重建组和对照组在单腿站立时睁眼和闭眼 CoP 参数的差异。方法检索了截至 2023 年 7 月的 PubMed、Embase、Cochrane Library、CINAHL、Scopus、Web of Science 和 SPORTDiscus 数据库。从所选文章中获取数据,进行质量和偏倚风险评估,并使用随机效应模型进行荟萃分析。结果 经过筛选,共有 14 篇文章被纳入分析。与对照组相比,前交叉韧带损伤或重建组受伤膝关节在睁眼和闭眼静态单腿站立时的摇摆幅度、摇摆面积和摇摆速度差异不明显。在亚组分析中,我们发现前交叉韧带重建组与对照组仅在睁眼时的摇摆速度上存在显著差异(SMD = 0.47,P = 0.001)。结果显示,在静态单腿站立时,前交叉韧带重建人群与健康人群在睁眼时的摇摆速度存在微弱差异。
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Failed single-leg assessment of postural stability after anterior cruciate ligament injuries and reconstruction: An updated systematic review and meta-analysis

Background

Postural control deficits and persistent joint stability issues are prevalent in population with anterior cruciate ligament (ACL) injuries or reconstructions. Postural control is typically assessed using the center of pressure (CoP) parameters during the static single-leg stance with a force plate. However, previous studies have reported unclear definitions and descriptions of the CoP parameters, causing inconsistent results of postural control deficits in a specific population.

Objective

To 1) summarize CoP parameters commonly used to evaluate postural control deficits in ACL injured or reconstructed population, and 2) identify the differences in CoP parameters with opened and closed eyes during the single-leg stance between ACL injured or reconstructed and control groups.

Methods

PubMed, Embase, Cochrane Library, CINAHL, Scopus, Web of Science, and SPORTDiscus databases were searched up to July 2023. Data were obtained from the selected articles and underwent quality and risk of bias assessment and meta-analysis using random-effect models. Subgroup analysis within ACL injured or reconstructed group were also performed.

Results

A total of 14 articles were included in the analysis after screening. The injured knee of the ACL injured or reconstructed group differed insignificantly in sway amplitude, sway area, and sway velocity during static single-leg stance under opened and closed eyes when compared with the control group. In the subgroup analysis, we found that there was only significant difference in sway velocity with open eyes (SMD ​= ​0.47, p ​= ​0.001) between ACL reconstructed group and control group.

Conclusion

This study summarized the common CoP parameters used to evaluate postural control in ACL injured or reconstructed population. The results only showed weak difference in sway velocity between ACL reconstructed population and healthy individuals with opened eyes during the static single-leg stance.
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来源期刊
Sports Medicine and Health Science
Sports Medicine and Health Science Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
5.50
自引率
0.00%
发文量
36
审稿时长
55 days
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