跳起来前交叉韧带重建后跳跃表现的系统回顾和纵向元分析

IF 9.3 1区医学 Q1 SPORT SCIENCES Sports Medicine Pub Date : 2024-10-16 DOI:10.1007/s40279-024-02121-1

Michael A. Girdwood, Kay M. Crossley, Ebonie K. Rio, Brooke E. Patterson, Melissa J. Haberfield, Jamon L. Couch, Benjamin F. Mentiplay, Michael Hedger, Adam G. Culvenor

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引用次数: 0

摘要

背景临床医生广泛使用跳跃测试来监测康复情况，并决定前交叉韧带重建（ACLR）后何时恢复运动；然而，长期跳跃表现的轨迹尚未得到总结。数据来源MEDLINE、EMBASE、CINAHL、Scopus、Cochrane CENTRAL和SPORTDiscus，截止日期为2023年2月28日。资格标准研究参与者人数≥50人，接受过初级前交叉韧带重建术，平均年龄为18-40岁，报告了跳跃表现的量化指标（如单次前跳距离）。结果我们纳入了 136 项研究，共 23,360 名参与者。不同跳跃测试的表现相似，人内对称性的初始改善幅度较大，但在 18-24 个月后逐渐减弱。术后1年，ACLR肢体的跳跃能力比对侧肢体低5%-10%，垂直跳跃的缺陷最大[对侧肢体为87.0%（95% CI 85.3-88.8），而单次前跳为93.8%（95% CI 92.8-94.9）]。3-5年后，ACLR和对侧肢体的结果相似。人与人之间的比较数据有限（n = 17 项研究）。探索性分析表明，所有前跳测试中的缺陷之间都有很强的相关性[例如，单次前跳和三次前跳的rho = 0.96 (95% CI 0.90-0.99)]，但单次前跳和垂直跳跃成绩之间的关系并不一致[rho = 0.结论ACLR术后3-5年，跳跃表现与未受伤肢体相当，垂直和侧向跳跃测试中人体内对称性的缺陷最大。对多个平面的跳跃进行评估，并与未受伤的对照组进行比较，可以对功能表现进行最全面的评估。

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Hop to It! A Systematic Review and Longitudinal Meta-analysis of Hop Performance After ACL Reconstruction

Background

Hop testing is widely used by clinicians to monitor rehabilitation and decide when to return to sport following anterior cruciate ligament reconstruction (ACLR); however, the trajectory of long-term hop performance has not been summarised.

Objective

To investigate hop performance change over time after ACLR.

Design

Systematic review with longitudinal meta-analysis.

Data Sources

MEDLINE, EMBASE, CINAHL, Scopus, Cochrane CENTRAL and SPORTDiscus to 28 February 2023.

Eligibility Criteria

Studies with ≥ 50 participants following primary ACLR, with mean participant age of 18–40 years, reporting a quantitative measure of hop performance (e.g. single forward hop distance). Results had to be reported for the ACLR limb and compared with (1) the contralateral limb (within person) and/or (2) an uninjured control limb (between person).

Results

We included 136 studies of 23,360 participants. Performance was similar across different hop tests, with steep initial improvements in within-person symmetry, tailing off after 18–24 months. ACLR limb hop performance was 5–10% lower compared with the contralateral limb at 1 year post-surgery, with largest deficits observed for vertical hop [87.0% contralateral limb (95% CI 85.3–88.8) compared with single forward hop 93.8% (95% CI 92.8–94.9)]. By 3–5 years, results were similar between ACLR and contralateral limbs. There were limited data for between-person comparisons (n = 17 studies). Exploratory analyses showed deficits in all forward hopping tests to be very strongly correlated with each other [e.g. single forward and triple hop rho = 0.96 (95% CI 0.90–0.99)], though there was discordance in the relationship between single forward hop and vertical hop performance [rho = 0.27 (95% CI − 0.53 to 0.79)].

Conclusions

Hop performance is comparable to the uninjured limb by 3–5 years post-ACLR, with the greatest deficits in within-person symmetry present in vertical and side hop tests. Assessment of hopping in multiple planes and comparison with uninjured controls, may provide the most complete evaluation of functional performance.

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来源期刊

Sports Medicine 医学-运动科学

CiteScore

18.40

自引率

5.10%

发文量

165

审稿时长

6-12 weeks

期刊介绍： Sports Medicine focuses on providing definitive and comprehensive review articles that interpret and evaluate current literature, aiming to offer insights into research findings in the sports medicine and exercise field. The journal covers major topics such as sports medicine and sports science, medical syndromes associated with sport and exercise, clinical medicine's role in injury prevention and treatment, exercise for rehabilitation and health, and the application of physiological and biomechanical principles to specific sports. Types of Articles: Review Articles: Definitive and comprehensive reviews that interpret and evaluate current literature to provide rationale for and application of research findings. Leading/Current Opinion Articles: Overviews of contentious or emerging issues in the field. Original Research Articles: High-quality research articles. Enhanced Features: Additional features like slide sets, videos, and animations aimed at increasing the visibility, readership, and educational value of the journal's content. Plain Language Summaries: Summaries accompanying articles to assist readers in understanding important medical advances. Peer Review Process: All manuscripts undergo peer review by international experts to ensure quality and rigor. The journal also welcomes Letters to the Editor, which will be considered for publication.