前十字韧带重建后单腿侧跌落着地测试中三维运动分析的可靠性:活体运动分析研究

Pub Date : 2022-06-01 Epub Date: 2022-05-30 DOI:10.1142/S1013702522500081
Johnson Chun Yiu Pang, Rachel Suet Wai Tsang
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引用次数: 0

摘要

背景:前交叉韧带(ACL)损伤是一种常见的运动损伤,对着地生物力学的研究有助于损伤的预防和康复。最近的研究发现,侧向单腿下落着地测试导致最高的膝外翻角度峰值(PKVA),但其对接受前交叉韧带重建(ACLR)患者的可靠性尚不清楚:本研究旨在调查接受前交叉韧带重建术后下肢归一化垂直地面反作用力(NVGRF)和运动学在日内和日间的可靠性。研究结果可作为进一步研究前交叉韧带损伤患者侧向起跳和落地生物力学的基础:这是一项重复测试可靠性研究。招募了 12 名接受前交叉韧带修复术的患者(4 名女性和 8 名男性),他们的平均年龄为 29.4 岁(SD ± 1.66)。受试者被要求从 30 厘米高处横向跳下,单腿着地 5 次。为便于比较,受试者双腿均进行了此操作。分析所有三个平面在最初 100 毫秒内的 NVGRF 以及髋关节、膝关节和踝关节角度的局部最大值。测量由同一评估者进行,以评估时段内的可靠性,一周后重复整个过程,以评估时段间的可靠性。采用类内相关系数(ICC)检验分别以ICC(3,1)和ICC(3,K)来评估时段内和时段间的信度:NVGRF的会话内信度[ICC (3, 1)]为0.899-0.936,会话间信度[ICC (3, K)]为0.947-0.923。运动学的会话内总体信度[ICC (3, 1)]为0.948-0.988,会话间信度[ICC (3, K)]为0.618-0.982。在大多数结果测量中,侧向单腿下蹲着地测试在会内和会间期的可靠性都达到了良好到极佳的水平。前交叉韧带损伤腿NVGRF的ICC值低于良好腿,这可能与前交叉韧带损伤腿的神经肌肉控制能力低于良好腿有关:本研究结果支持使用侧向单腿下落着地测试来评估前交叉韧带损伤的下肢生物力学。
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Reliability of three-dimensional motion analysis during single-leg side drop landing test after anterior cruciate ligament reconstruction: An in vivo motion analysis study.

Background: Anterior cruciate ligament (ACL) injury is a common sport injury and investigation of landing biomechanics is helpful in injury prevention and rehabilitation. Recent study found a lateral single-leg drop landing test resulted in the highest peak knee valgus angle (PKVA), but its reliability on patients who received ACL reconstruction (ACLR) is unknown.

Objective: This study aimed to investigate the reliability in both within and between days on the normalized vertical ground reaction force (NVGRF) and kinematics of lower limbs after receiving ACLR. The findings can form the cornerstone for further study related to lateral jumping-and-landing biomechanics in patients with ACLR.

Methods: This was a test-retest reliability study. Twelve patients (four females and eight males) who received ACLR with mean age of 29.4 (SD ± 1.66) were recruited. The subjects were instructed to jump laterally from 30 cm height and landed with single-leg for five times. The procedure was conducted on both legs for comparison. The NVGRF and local maxima of the hip, knee and ankle angles during the first 100 ms in all three planes were analyzed. The measurement was conducted by the same assessor to evaluate the within-session reliability, and the whole procedure was repeated one week later for the evaluation of the between-session reliability. Intra-class correlation coefficient (ICC) test was used to assess the within- and between-session reliability by ICC (3, 1) and ICC (3, K) respectively.

Results: The within-session reliability of NVGRF [ICC (3, 1)] was 0.899-0.936, and its between-session reliability [ICC (3, K)] was 0.947-0.923. Overall reliability for kinematics within-session [ICC (3, 1)] was 0.948-0.988, and the between-session reliability [ICC (3, K)] was 0.618-0.982, respectively. Good to excellent reliability for the lateral single-leg drop landing test was observed in most of the outcome measures for within- and between-session. The ICC value of NVGRF of ACLR leg was lower than that of the good leg in the within-session which may associate with lower neuromuscular control in ACLR leg than that of the good leg.

Conclusion: The results of this study support the use of a lateral single-leg drop landing test to evaluate lower limb biomechanics for ACLR.

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