前交叉韧带重建后恢复运动:定性分析

Q4 Medicine Fisioterapia em Movimento Pub Date : 2023-07-24 DOI:10.1590/fm.2023.36124
Laís Menezes Rabelo, V. G. Augusto, Alice Caroline Arnaldo Andrade, V. Cardoso, J. Hornestam, C. F. Aquino
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引用次数: 0

摘要

摘要简介恢复运动是个人提交的前交叉韧带重建(ACLR)的理想结果。目的从患者角度了解影响ACLR术后恢复损伤前水平运动的因素。方法选取在韧带损伤前参加过运动的29例ACLR患者作为样本。这是一种采用定性方法的叙事分析,使用半结构化访谈作为方法论资源。标准化的工具也被应用于评估重返运动的心理准备,通过前十字韧带-损伤后重返运动量表(ACL-RSI);使用国际膝关节文献委员会(IKDC)主观问卷进行自我感知的膝关节功能;参与体育活动的频率与马克思尺度有关。结果访谈分析产生了与aclr后重返体育相关的三个主要主题:自律、对再次受伤的恐惧和社会支持。定性分析中,术前、术后ACL-RSI量表平均得分为59.17(±23.22)分,IKDC问卷平均得分为78.16(±19.03)分,Marx量表平均得分分别为9.62(±4.73)分和7.86(±5.44)分。结论:心理因素影响aclr术后重返运动的决定。因此,物理治疗师应该了解患者的心理方面和期望,并且可能需要其他卫生专业人员帮助这些人做好准备,使其恢复到损伤前的运动水平,并在ACLR后取得更令人满意的结果。
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Return to sport after anterior cruciate ligament reconstruction: a qualitative analysis
Abstract Introduction Return to sport is a desired outcome in individuals submitted to anterior cruciate ligament reconstruction (ACLR). Objective Understand the factors that affect return to pre-injury level sport after ACLR from the patient’s perspective. Methods The sample consisted of 29 individuals submitted to ACLR who participated in sport before the ligament injury. This is a narrative analysis with a qualitative approach, using a semi-structured interview as a methodological resource. Standardized instruments were also applied to evaluate psychological readiness to return to sport, via the Anterior Cruciate Ligament – Return to Sport after Injury Scale (ACL-RSI); self-perceived knee function using the International Knee Documentation Committee (IKDC) subjective questionnaire; and the frequency of participation in sports with the Marx scale. Results Analysis of the interviews produced three main themes related to post-ACLR return to sport: self-discipline, fear of reinjury and social support. In qualitative analysis, the average scores obtained were 59.17 (± 23.22) on the ACL-RSI scale, 78.16 (± 19.03) for the IKDC questionnaire and 9.62 (± 4.73) and 7.86 (± 5.44) for the Marx scale before and after surgery, respectively. Conclusion: Psychological factors influence the decision to return to sport post-ACLR. Physiotherapists should therefore be aware of the psychological aspects and expectations of patients, and that other health professionals may be needed to help prepare these individuals to return to their preinjury sports level and achieve more satisfactory outcomes after ACLR.
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来源期刊
Fisioterapia em Movimento
Fisioterapia em Movimento Health Professions-Complementary and Manual Therapy
CiteScore
0.40
自引率
0.00%
发文量
78
审稿时长
13 weeks
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