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Citation
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Shi Z, Li Y, Yu Y, Wang G, Ning Z, He R, Tang W, Wang K. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2023; 37(4): 495-501. |
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Abstract
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OBJECTIVE: To summarize the evaluation methods of return to sports (RTS) after anterior cruciate ligament reconstruction (ACLR) in recent years, in order to provide reference for clinical practice.
METHODS: The literature related to the RTS after ACLR was searched from CNKI, Wanfang, PubMed, and Foreign Medical Information Resources Retrieval Platform (FMRS) databases. The retrieval range was from 2010 to 2023, and 66 papers were finally included for review. The relevant literature was summarized and analyzed from the aspects of RTS time, objective evaluation indicators, and psychological evaluation.
RESULTS: RTS is the common desire of patients with ACL injury and doctors, as well as the initial intention of selecting surgery. A reasonable and perfect evaluation method of RTS can not only help patients recover to preoperative exercise level, but also protect patients from re-injury. At present, the main criterion for clinical judgement of RTS is time. It is basically agreed that RTS after 9 months can reduce the re-injury. In addition to time, it is also necessary to test the lower limb muscle strength, jumping, balance, and other aspects of the patient, comprehensively assess the degree of functional recovery and determine the different time of RTS according to the type of exercise. Psychological assessment plays an important role in RTS and has a good clinical predictive effect.
CONCLUSION: RTS is one of the research hotspots after ACLR. At present, there are many related evaluation methods, which need to be further optimized by more research to build a comprehensive and standardized evaluation system.
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目的: 总结近年前交叉韧带（anterior cruciate ligament，ACL）重建术后患者重返运动的评估方法，以期为临床提供参考。.
方法: 于CNKI、万方、PubMed、外文医学信息资源检索平台（FMRS）数据库，检索与ACL重建术后重返运动评估指标相关文献，检索范围 2010 年--2023年，最终纳入66篇文献进行综述。从重返运动时间、客观评估指标以及心理评估等方面进行总结分析。.
结果: 重返运动是ACL损伤患者和医生共同的愿望，合理完善的重返运动评估方法不仅能帮助患者恢复至伤前运动水平，还能避免患者再次损伤。目前，临床判断患者能否重返运动的主要标准为时间，术后9个月重返运动可以降低再次损伤发生风险已基本达成共识。除时间外，还需要对患者下肢肌力、跳跃、平衡性等方面进行测试，以全面评估患者功能恢复程度，以及结合运动类型确定不同的重返运动时间。此外，研究表明部分患者因心理因素影响导致术后无法恢复至伤前运动水平，因此心理评估在重返运动中有着重要意义，需要在评估时完善相关项目。.
结论: 重返运动是ACL重建术后研究热点之一，目前相关评估方法较多，有待更多研究进一步优化，以构建一个全面、标准化综合评估体系。.
Language: zh |