当前位置:
X-MOL 学术
›
Med. Sci. Sports Exercise
›
论文详情
Our official English website, www.x-mol.net, welcomes your
feedback! (Note: you will need to create a separate account there.)
Relationships between Patient-Reported Outcomes and Predictors of Second ACL Injuries during Unanticipated Jump Landings.
Medicine & Science in Sports & Exercise ( IF 4.1 ) Pub Date : 2024-11-18 , DOI: 10.1249/mss.0000000000003603
Scott M Monfort,Fatemeh Aflatounian,Patrick D Fischer,James N Becker,Keith A Hutchison,Janet E Simon,Dustin R Grooms
Medicine & Science in Sports & Exercise ( IF 4.1 ) Pub Date : 2024-11-18 , DOI: 10.1249/mss.0000000000003603
Scott M Monfort,Fatemeh Aflatounian,Patrick D Fischer,James N Becker,Keith A Hutchison,Janet E Simon,Dustin R Grooms
Reactive and external visual-cognitive demands are prevalent in sport and likely contribute to ACL injury scenarios. However, these demands are absent in common return-to-sport assessments. This disconnect leaves a blind spot for determining when an athlete can return to sport with mitigated re-injury risk. PurposeTo characterize relationships between patient-reported outcome measures (PROMs) and cognitive-task interference (i.e., cognitive demands exacerbating neuromuscular impairments) for biomechanical predictors of second ACL injuries during jump landings that involved rapid unanticipated decision making. MethodsThirty-six persons following primary ACLR (26F/10M, 19.8±1.8 years; 1.71±0.1 m; 69.6±12.8 kg, 1.5±0.6 years post ACLR; Tegner: 6.8±1.8) participated. PROMs of ACL-RSI, and the Forgotten Joint Score-12 Knee (FJS-12) were selected to assess altered psychological state (e.g., confidence, attention toward knee). Jumping tasks under anticipated and unanticipated secondary jump directions were performed. Biomechanical variables were dual-task changes (unanticipated - anticipated) in 1) uninvolved limb hip rotator impulse (DTC_Uni-HRot_Imp), 2) asymmetry of knee extensor moment at initial contact (DTC_KEM_Asym), and 3) range of involved knee abduction angle (DTC_KAbA_Range). Regression models tested for relationships between PROMs and the dual-task change in biomechanical variables. Results: ACL-RSI (DTC_Uni-HRot_Imp (p < 0.001)) and FJS-12 (DTC_KAbA_Range (p = 0.001)) had significant relationships with dual-task change in the opposite direction as expected (worse PROM ➔ less dual-task change). A follow-up analysis indicated that dual-task change was inversely correlated with the baseline estimates for kinetic biomechanical variables (less risky single-task biomechanics ➔ greater dual-task change for Uni-HRot_Imp and KEM_Asym).Conclusions: The collective results are consistent with higher functioning participants (better PROMs) who also demonstrate desirable biomechanics during single-task conditions being prone to demonstrating the greatest risk-associated DTC in unanticipated scenarios.
中文翻译:
患者报告的结果与意外跳跃着陆期间第二 ACL 损伤预测因子之间的关系。
反应性和外部视觉认知需求在运动中普遍存在,并可能导致 ACL 损伤情况。然而,这些要求在常见的重返运动评估中是不存在的。这种脱节为确定运动员何时可以重返运动并减轻再受伤风险留下了一个盲点。目的描述患者报告的结果测量 (PROM) 与认知任务干扰(即,认知需求加剧神经肌肉损伤)之间的关系,用于涉及快速意外决策的跳跃着陆期间第二 ACL 损伤的生物力学预测因子。方法36 例初次 ACLR 后患者 (26F/10M, 19.8±1.8 岁;1.71±0.1 m;69.6±12.8 kg,ACLR 后 1.5±0.6 年;Tegner: 6.8±1.8) 参与。选择 ACL-RSI 和被遗忘关节评分 12 膝关节 (FJS-12) 的 PROM 来评估心理状态的改变 (例如,信心、对膝关节的关注)。在预期和意外的二次跳跃方向下执行跳跃任务。生物力学变量是 1) 未受累的肢体髋关节旋转冲动 (DTC_Uni-HRot_Imp),2) 初始接触时膝伸肌力矩的不对称性 (DTC_KEM_Asym),以及 3) 受累膝关节外展角范围 (DTC_KAbA_Range)。回归模型检验了 PROM 与生物力学变量的双重任务变化之间的关系。结果:ACL-RSI (DTC_Uni-HRot_Imp (p < 0.001)) 和 FJS-12 (DTC_KAbA_Range (p = 0.001)) 与与预期相反方向的双重任务变化有显著关系 (PROM 更差 ➔ 双重任务变化较少)。 后续分析表明,双重任务变化与动力学生物力学变量的基线估计呈负相关 (风险较低的单任务生物力学 ➔ Uni-HRot_Imp 和 KEM_Asym 的双重任务变化较大)。结论:集体结果与功能更高的参与者(更好的 PROM)一致,他们在单一任务条件下也表现出理想的生物力学,在意想不到的情况下容易表现出最大的风险相关 DTC。
更新日期:2024-11-18
中文翻译:
![](https://scdn.x-mol.com/jcss/images/paperTranslation.png)
患者报告的结果与意外跳跃着陆期间第二 ACL 损伤预测因子之间的关系。
反应性和外部视觉认知需求在运动中普遍存在,并可能导致 ACL 损伤情况。然而,这些要求在常见的重返运动评估中是不存在的。这种脱节为确定运动员何时可以重返运动并减轻再受伤风险留下了一个盲点。目的描述患者报告的结果测量 (PROM) 与认知任务干扰(即,认知需求加剧神经肌肉损伤)之间的关系,用于涉及快速意外决策的跳跃着陆期间第二 ACL 损伤的生物力学预测因子。方法36 例初次 ACLR 后患者 (26F/10M, 19.8±1.8 岁;1.71±0.1 m;69.6±12.8 kg,ACLR 后 1.5±0.6 年;Tegner: 6.8±1.8) 参与。选择 ACL-RSI 和被遗忘关节评分 12 膝关节 (FJS-12) 的 PROM 来评估心理状态的改变 (例如,信心、对膝关节的关注)。在预期和意外的二次跳跃方向下执行跳跃任务。生物力学变量是 1) 未受累的肢体髋关节旋转冲动 (DTC_Uni-HRot_Imp),2) 初始接触时膝伸肌力矩的不对称性 (DTC_KEM_Asym),以及 3) 受累膝关节外展角范围 (DTC_KAbA_Range)。回归模型检验了 PROM 与生物力学变量的双重任务变化之间的关系。结果:ACL-RSI (DTC_Uni-HRot_Imp (p < 0.001)) 和 FJS-12 (DTC_KAbA_Range (p = 0.001)) 与与预期相反方向的双重任务变化有显著关系 (PROM 更差 ➔ 双重任务变化较少)。 后续分析表明,双重任务变化与动力学生物力学变量的基线估计呈负相关 (风险较低的单任务生物力学 ➔ Uni-HRot_Imp 和 KEM_Asym 的双重任务变化较大)。结论:集体结果与功能更高的参与者(更好的 PROM)一致,他们在单一任务条件下也表现出理想的生物力学,在意想不到的情况下容易表现出最大的风险相关 DTC。