膝前十字韧带重建术后重返运动的研究进展
The Research Progress for Return to Play after Anterior Cruciate Ligament Reconstruction
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摘要: 前十字韧带(Anterior Cruciate Ligament,ACL)损伤的运动员和反复膝关节不稳的普通患者都倾向接受十字韧带重建术,但何时安全重返运动仍存在争议。旨在对ACLR后(Anterior Cruciate Ligament Reconstruction,ACLR)重返运动的时间、评估方法进行系统综述,为ACLR患者安全重返运动提供参考。研究发现,术后时间、等速肌力测试和神经肌肉控制测试是ACLR患者重返运动前必不可少的决策指标;下肢功能测试和运动学、动力学指标的研究正在逐渐兴起,并被证明与运动员安全重返赛场的关系较为密切;心理评估的研究未见到较为权威的评价方法和结论;现有文献中大部分缺少对客观指标和测试结果的详细阐述。Abstract: The athletes with the injury of the anterior cruciate ligament(ACL) and the general patients whose knee joints are instable tend to accept reconstruction surgery.However,there is still a controversy when it is safe to return to play(RTP).Through literature analysis,the paper aims to systematically review the literature researches on the time to return to play and evaluation measures after ACL reconstruction,which would provide a reference for the study of safe return to play or sports of ACLR patients.The conclusions are as follows:the time after ACLR and outcome Measures of isokinetic strength and neuromuscular test are essential for ACLR to return to play;The research of lower extremity function test and kinematics and dynamics index is gradually increasing,and it has been proved to be closely related to the safety of the athletes to return to match;A more authoritative evaluation method and conclusion of psychological evaluation study has not been found;The most of The literature is generally lack of detailed description of the objective indicators and test results.