PDF(Pubmed)
Abstract：
OBJECTIVE: To determine characteristic changes in subjective knee function, kinesiophobia, and psychological readiness to return to sports between scores taken before anterior cruciate ligament reconstruction (ACLR) and those taken 6 months post-ACLR.
METHODS: Thirty-two participants (median age, 20.0 years) were included. Subjective knee function was assessed using the International Knee Documentation Committee Subjective Knee Form (IKDC-SKF). The Tampa Scale for Kinesiophobia (TSK-11) and Anterior Cruciate Ligament Return to Sport after Injury (ACL-RSI) scale were used to evaluate kinesiophobia and psychological readiness to return to sport, respectively. Questionnaires were administered 1 day before surgery and at 6 months post-ACLR. A positive change was defined as an increase in IKDC-SKF and ACL-RSI scores and a decrease in TSK-11 score. The change in each score from pre-ACLR to 6 months post-ACLR was analyzed using a paired t-test. The percentage change in scores was calculated, and the correlations of the percentage change in the TSK-11 and ACL-RSI scores and that in the IKDC-SKF score were analyzed.
RESULTS: All scores differed significantly positively from pre-ACLR to 6 months post-ACLR. The proportion of participants whose scores did not change positively from pre-ACLR to 6 months post-ACLR was higher for the TSK-11 (38.0%) and ACL-RSI (38.0%) than for the IKDC-SKF (6.3%). No correlation was observed between the percentage change in the IKDC-SKF score and that in the TSK-11 or ACL-RSI scores from pre-ACLR to 6 months post-ACLR.
CONCLUSIONS: Changes in subjective knee function and psychological status from pre-ACLR and 6 months post-ACLR may not be interdependent.
METHODS: Thirty-two participants (median age, 20.0 years) were included. Subjective knee function was assessed using the International Knee Documentation Committee Subjective Knee Form (IKDC-SKF). The Tampa Scale for Kinesiophobia (TSK-11) and Anterior Cruciate Ligament Return to Sport after Injury (ACL-RSI) scale were used to evaluate kinesiophobia and psychological readiness to return to sport, respectively. Questionnaires were administered 1 day before surgery and at 6 months post-ACLR. A positive change was defined as an increase in IKDC-SKF and ACL-RSI scores and a decrease in TSK-11 score. The change in each score from pre-ACLR to 6 months post-ACLR was analyzed using a paired t-test. The percentage change in scores was calculated, and the correlations of the percentage change in the TSK-11 and ACL-RSI scores and that in the IKDC-SKF score were analyzed.
RESULTS: All scores differed significantly positively from pre-ACLR to 6 months post-ACLR. The proportion of participants whose scores did not change positively from pre-ACLR to 6 months post-ACLR was higher for the TSK-11 (38.0%) and ACL-RSI (38.0%) than for the IKDC-SKF (6.3%). No correlation was observed between the percentage change in the IKDC-SKF score and that in the TSK-11 or ACL-RSI scores from pre-ACLR to 6 months post-ACLR.
CONCLUSIONS: Changes in subjective knee function and psychological status from pre-ACLR and 6 months post-ACLR may not be interdependent.
摘要：
目的：确定主观膝关节功能的特征性变化，运动恐惧症,以及前交叉韧带重建（ACLR）前得分和ACLR后6个月得分之间恢复运动的心理准备。
方法：32名参与者(平均年龄，20.0年）包括在内。使用国际膝关节文献委员会主观膝关节表格（IKDC-SKF）评估主观膝关节功能。运动恐惧症坦帕量表（TSK-11）和伤后前交叉韧带恢复运动（ACL-RSI）量表用于评估运动恐惧症和恢复运动的心理准备，分别。在手术前1天和ACLR后6个月进行问卷调查。阳性变化定义为IKDC-SKF和ACL-RSI评分增加，TSK-11评分降低。使用配对t检验分析从ACLR前到ACLR后6个月的每个得分的变化。计算了分数的百分比变化，并分析了TSK-11和ACL-RSI评分的百分比变化与IKDC-SKF评分的相关性。
结果：从ACLR前到ACLR后6个月，所有评分均存在显著正差异。TSK-11（38.0%）和ACL-RSI（38.0%）的参与者在ACLR前和ACLR后6个月得分没有积极变化的比例高于IKDC-SKF（6.3%）。从ACLR前到ACLR后6个月，IKDC-SKF评分与TSK-11或ACL-RSI评分的百分比变化之间没有观察到相关性。
结论：ACLR前和ACLR后6个月的主观膝关节功能和心理状态的变化可能不是相互依赖的。
方法：32名参与者(平均年龄，20.0年）包括在内。使用国际膝关节文献委员会主观膝关节表格（IKDC-SKF）评估主观膝关节功能。运动恐惧症坦帕量表（TSK-11）和伤后前交叉韧带恢复运动（ACL-RSI）量表用于评估运动恐惧症和恢复运动的心理准备，分别。在手术前1天和ACLR后6个月进行问卷调查。阳性变化定义为IKDC-SKF和ACL-RSI评分增加，TSK-11评分降低。使用配对t检验分析从ACLR前到ACLR后6个月的每个得分的变化。计算了分数的百分比变化，并分析了TSK-11和ACL-RSI评分的百分比变化与IKDC-SKF评分的相关性。
结果：从ACLR前到ACLR后6个月，所有评分均存在显著正差异。TSK-11（38.0%）和ACL-RSI（38.0%）的参与者在ACLR前和ACLR后6个月得分没有积极变化的比例高于IKDC-SKF（6.3%）。从ACLR前到ACLR后6个月，IKDC-SKF评分与TSK-11或ACL-RSI评分的百分比变化之间没有观察到相关性。
结论：ACLR前和ACLR后6个月的主观膝关节功能和心理状态的变化可能不是相互依赖的。
