PDF(Pubmed)
Abstract：
UNASSIGNED: Comprehensive understanding of force plate parameters distinguishing individuals postprimary anterior cruciate ligament reconstruction (ACLR) from healthy controls during countermovement jumps (CMJ) and/or drop jumps (DJ) is lacking. This review addresses this gap by identifying discriminative force plate parameters and examining changes over time in individuals post-ACLR during CMJ and/or DJ.
UNASSIGNED: We conducted a systematic review and meta analyses following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. Nine databases were searched from inception to March 2022. We included cross-sectional papers comparing post-ACLR with healthy controls or longitudinal studies of individuals at least 6 months postprimary ACLR while performing CMJ and/or DJ on force plates. The methodological quality was appraised using the Modified Downs and Black Checklist.
UNASSIGNED: Thirty-three studies including 1185 (50.38%) participants post-ACLR, and 1167 (49.62%) healthy controls, were included. Data were categorised into single-leg CMJ, double-leg CMJ, single-leg DJ, and double-leg DJ. Jump height was reduced in both single (mean difference [MD] = -3.13; p < 0.01; 95% confidence interval [CI]: [-4.12, -2.15]) and double-leg (MD = -4.24; p < 0.01; 95% CI: [-5.14, -3.34]) CMJs amongst individuals with ACLR. Similarly, concentric impulse and eccentric/concentric impulse asymmetry could distinguish between ACLR (MD = 3.42; p < 0.01; 95% CI: [2.19, 4.64]) and non-ACLR (MD = 5.82; p < 0.01; 95% CI: [4.80, 6.80]) individuals. In double-leg DJs, peak vertical ground reaction forces were lower in the involved side (MD = -0.10; p = 0.03; 95% CI: [-0.18, -0.01]) but higher in the uninvolved side (MD = 0.15; p < 0.01; 95% CI: [0.10, 0.20]) when compared to controls and demonstrated significant changes between 6 months and 3 years post-ACLR.
UNASSIGNED: This study identified discriminative kinetic parameters when comparing individuals with and without ACLR and also monitored neuromuscular function post-ACLR. Due to heterogeneity, a combination of parameters may be required to better identify functional deficits post-ACLR.
UNASSIGNED: Level III.
UNASSIGNED: We conducted a systematic review and meta analyses following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. Nine databases were searched from inception to March 2022. We included cross-sectional papers comparing post-ACLR with healthy controls or longitudinal studies of individuals at least 6 months postprimary ACLR while performing CMJ and/or DJ on force plates. The methodological quality was appraised using the Modified Downs and Black Checklist.
UNASSIGNED: Thirty-three studies including 1185 (50.38%) participants post-ACLR, and 1167 (49.62%) healthy controls, were included. Data were categorised into single-leg CMJ, double-leg CMJ, single-leg DJ, and double-leg DJ. Jump height was reduced in both single (mean difference [MD] = -3.13; p < 0.01; 95% confidence interval [CI]: [-4.12, -2.15]) and double-leg (MD = -4.24; p < 0.01; 95% CI: [-5.14, -3.34]) CMJs amongst individuals with ACLR. Similarly, concentric impulse and eccentric/concentric impulse asymmetry could distinguish between ACLR (MD = 3.42; p < 0.01; 95% CI: [2.19, 4.64]) and non-ACLR (MD = 5.82; p < 0.01; 95% CI: [4.80, 6.80]) individuals. In double-leg DJs, peak vertical ground reaction forces were lower in the involved side (MD = -0.10; p = 0.03; 95% CI: [-0.18, -0.01]) but higher in the uninvolved side (MD = 0.15; p < 0.01; 95% CI: [0.10, 0.20]) when compared to controls and demonstrated significant changes between 6 months and 3 years post-ACLR.
UNASSIGNED: This study identified discriminative kinetic parameters when comparing individuals with and without ACLR and also monitored neuromuscular function post-ACLR. Due to heterogeneity, a combination of parameters may be required to better identify functional deficits post-ACLR.
UNASSIGNED: Level III.
摘要：
■缺乏对在反运动跳跃（CMJ）和/或跌落跳跃（DJ）期间将初级前交叉韧带重建（ACLR）与健康对照区分开来的力板参数的全面理解。这篇评论通过确定区分力板参数并检查CMJ和/或DJ期间ACLR后个体随时间的变化来解决这一差距。
我们遵循系统评价和荟萃分析（PRISMA）指南的首选报告项目进行了系统评价和荟萃分析。从成立到2022年3月，共检索了9个数据库。我们纳入了横断面论文，将ACLR后与健康对照进行比较，或对ACLR后至少6个月的个体进行纵向研究，同时在力板上进行CMJ和/或DJ。使用修改的Downs和黑色清单评估了方法学质量。
■33项研究，包括1185名（50.38%）ACLR后参与者，和1167名（49.62%）健康对照，包括在内。数据被分类为单腿CMJ，双腿CMJ,单腿DJ,双腿DJ.在患有ACLR的个体中，单腿（平均差[MD]=-3.13；p<0.01；95％置信区间[CI]：[-4.12，-2.15]）和双腿（MD=-4.24；p<0.01；95％CI：[-5.14，-3.34]）CMJ的跳高均降低。同样，同心冲动和偏心/同心冲动不对称性可以区分ACLR(MD=3.42;p<0.01;95%CI:[2.19,4.64])和非ACLR(MD=5.82;p<0.01;95%CI:[4.80,6.80])个体。在双腿DJ中，与对照组相比,受累侧的峰值垂直地面反作用力较低(MD=-0.10;p=0.03;95%CI:[-0.18,-0.01]),但未受累侧的峰值垂直地面反作用力较高(MD=0.15;p<0.01;95%CI:[0.10,0.20]),并且在ACLR后6个月至3年之间表现出显著变化。
■该研究在比较有和没有ACLR的个体时确定了判别动力学参数，并且还监测了ACLR后的神经肌肉功能。由于异质性，可能需要参数组合来更好地识别ACLR后的功能缺陷.
■三级。
我们遵循系统评价和荟萃分析（PRISMA）指南的首选报告项目进行了系统评价和荟萃分析。从成立到2022年3月，共检索了9个数据库。我们纳入了横断面论文，将ACLR后与健康对照进行比较，或对ACLR后至少6个月的个体进行纵向研究，同时在力板上进行CMJ和/或DJ。使用修改的Downs和黑色清单评估了方法学质量。
■33项研究，包括1185名（50.38%）ACLR后参与者，和1167名（49.62%）健康对照，包括在内。数据被分类为单腿CMJ，双腿CMJ,单腿DJ,双腿DJ.在患有ACLR的个体中，单腿（平均差[MD]=-3.13；p<0.01；95％置信区间[CI]：[-4.12，-2.15]）和双腿（MD=-4.24；p<0.01；95％CI：[-5.14，-3.34]）CMJ的跳高均降低。同样，同心冲动和偏心/同心冲动不对称性可以区分ACLR(MD=3.42;p<0.01;95%CI:[2.19,4.64])和非ACLR(MD=5.82;p<0.01;95%CI:[4.80,6.80])个体。在双腿DJ中，与对照组相比,受累侧的峰值垂直地面反作用力较低(MD=-0.10;p=0.03;95%CI:[-0.18,-0.01]),但未受累侧的峰值垂直地面反作用力较高(MD=0.15;p<0.01;95%CI:[0.10,0.20]),并且在ACLR后6个月至3年之间表现出显著变化。
■该研究在比较有和没有ACLR的个体时确定了判别动力学参数，并且还监测了ACLR后的神经肌肉功能。由于异质性，可能需要参数组合来更好地识别ACLR后的功能缺陷.
■三级。
