力量测试是前交叉韧带重建(ACLR)后足球运动员康复和重返运动(RTS)决策的关键部分。几十年来,等速测试一直是强度测量的黄金标准,但是缺乏统一的方案和测试结果的临床意义。因此,本研究旨在1)根据ACL康复领域专家的知识和经验,为足球运动员制定统一方案;2)阐明不同等速测试结果的临床解释.在结构化的Delphi共识程序中,42位专家(完整回复率为98%)完成了三轮调查,每轮的内容分析和匿名反馈报告。调查涉及等速协议,ACLR后足球运动员力量评估的等速测试评估报告和扭矩-角度曲线。最终方案包括同心膝关节屈曲和伸展等速测试,以60°/秒重复5次,在组之间以180°/秒重复20次,以300°/秒和60秒重复15次。所有参数被认为是有价值的,峰值扭矩,最大代表总工作,总工作,运动范围和激动剂与拮抗剂之比被认为是临床解释的关键。对于定性评估,建议评估形状,当然,volume,潜在的下跌,峰值,积累到抛物线的顶峰。这项Delphi共识研究为ACLR后足球运动员等速力量测试的数据收集和临床解释提供了指导。
Strength testing is a key part of rehabilitation and return to sport (RTS) decision making for
football players after anterior cruciate ligament reconstruction (ACLR). Isokinetic testing has been the gold standard for strength measurement for decades, but a uniform protocol and clinical implications of test results are lacking. Therefore, this study aimed to 1) develop a uniform protocol for
football players based on knowledge and experience from experts in the field of ACL rehabilitation and 2) clarify the clinical interpretation of different isokinetic test outcomes. In a structured Delphi
consensus procedure 42 experts (98% full response rate) fulfilled three rounds that involved a survey, content analysis and anonymised feedback report for each round. Surveys addressed the isokinetic protocol, evaluation report and torque-angle curve of the isokinetic test for strength evaluation in football players after ACLR. The final protocol consisted of concentric knee flexion and extension isokinetic testing with 5 repetitions at 60°/sec, 20 repetitions at 180°/sec and 15 repetitions at 300°/sec and 60 seconds rest between sets. All parameters were deemed valuable, with Peak Torque, Max Rep Total Work, Total Work, Range of Motion and Agonist to Antagonist ratio being considered key for clinical interpretation. For qualitative assessment, it was advised to assess the shape, course, volume, potential dips, peak, and build-up to the peak of the parabola. This Delphi
consensus study provided a
guideline for data collection and clinical interpretation of isokinetic strength testing in
football players after ACLR.