前交叉韧带损伤风险评估中改变方向运动定性评估的临床实用性。

IF 1.6 Q3 SPORT SCIENCES International Journal of Sports Physical Therapy Pub Date : 2024-10-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.123483
Evan Andreyo, Casey Unverzagt, Thomas Dos'Santos, J Jay Dawes
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引用次数: 0

摘要

前十字韧带(ACL)损伤是一种复杂的损伤,受到众多内部和外部风险因素的影响,要想有效减轻损伤并促进做出明智的重返运动场决策,就必须考虑到这些风险因素。在这些风险因素中,在特定运动任务中表现出的运动质量被认为是预测损伤发生的重要因素。尤其是在多方向运动中,如果在运动质量不达标的情况下进行变向(COD)运动,如膝关节外翻和躯干侧屈,是前交叉韧带损伤的主要机制。遗憾的是,在临床和运动实践中,对改变方向运动质量的正式和客观评估并没有得到充分利用,现有的方法往往局限于昂贵、复杂的实验室环境,对日常临床医生来说并不实用。本临床评论的目的是证明综合 COD 运动评估以筛查潜在前交叉韧带损伤风险的必要性,尤其是在高风险人群中。作者将评述用于定性筛查 COD 运动的具有成本效益且便于临床使用的客观测试,如切削运动评估评分和扩展切削对齐工具。此外,本评论还将讨论评估 COD 运动时的主要注意事项:5.
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Clinical Utility of Qualitative Change of Direction Movement Assessment in ACL Injury Risk Evaluation.

Anterior cruciate ligament (ACL) injuries are complex and influenced by numerous internal and external risk factors that should be considered to effectively mitigate injury and facilitate informed return to sport decision-making. Among these risk factors, movement quality exhibited during sport-specific tasks has been identified as a significant predictor of injury occurrence. Particularly, change of direction (COD) movements, when performed with sub-optimal movement quality, such as knee valgus and lateral trunk flexion, are prominent mechanisms of ACL injury in multidirectional sports. Unfortunately, the formal and objective assessment of COD movement quality is underutilized in clinical and sports practice, with existing methods often confined to expensive, sophisticated laboratory settings impractical for everyday clinicians. The purpose of this clinical commentary is to demonstrate the necessity of integrating COD movement assessments to screen for potential ACL injury risk, particularly among higher-risk populations. The authors will review cost-effective and clinic-friendly objective tests used to qualitatively screen COD movements, such as the Cutting Movement Assessment Score and The Expanded Cutting Alignment Tool. Additionally, this commentary will discuss key considerations when assessing COD movement.

Level of evidence: 5.

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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
期刊最新文献
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