نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری پردیس بین الملل کیش دانشگاه تهران
2 دانشیار گروه طب ورزشی دانشگاه تهران
3 استاد گروه آسیب شناسی ورزشی و حرکات اصلاحی دانشگاه گیلان
4 دانشیار آسیب شناسی دانشگاه شهید بهشتی
چکیده
بازگشت ورزشکاران به ورزش، نیازمند ارزیابی کامل عوامل عملکردی میباشد. هدف از این پژوهش، بررسی ارتباط بین آزمونها (چهار آزمون هاپ، پرش عمودی تک‌‌پا و آزمون تی) و شاخصهای عملکردی در ورزشکاران با سابقۀ ترمیم رباط صلیبی قدامی زانو جهت بازگشت به ورزش میباشد. آزمودنی‌‌ها، 40 فوتبالیست (با میانگین سنی 4/28 سال، قد 2/175 سانتی‌‌متر و وزن 4/75 کیلوگرم) با سابقۀ جراحی ترمیمی بودند. شش آزمون عملکردی با شاخصهای قدرت ، دامنه حرکتی و حس عمقی مفصل زانو جهت بررسی حساسیت هر یک از آزمونها و شاخص‌ها باروش ضریب همبستگی پیرسون ارزیابی شد. یافتهها بیانگر این است که ارتباط معناداری بین آزمونها و شاخصهای عملکرد در نمونه‌ها وجود ندارد. بر مبنای یافتهها پیشنهاد می‌شود که آزمون‌های عملکردی و شاخصهای قدرت، دامنۀ حرکتی و حس عمقی، هریک به‌صورت مجزا در ارزیابی بازگشت به ورزش ورزشکاران مورد‌توجه قرار گیرد.
کلیدواژه‌ها
عنوان مقاله [English]
A Comparison Between Test and Repair Some Performance Indicators in Athletes with a History of Anterior Cruciate Ligament of the Knee
نویسندگان [English]
- Mohammad Hosein Nasermelli 1
- Mohammad Hosein Alizadeh 2
- Hasan Daneshmandi 3
- Amir Hosein Barati 4
1 Ph.D. Student, University of Tehran International campus kish-Island
2 Associate Professor of Sport Medicine, University of Tehran
3 Professor of Sport Injury & Corrective Exercise, University of Guilan
4 Associate Professor of Sport Injury, Shahid Beheshti University
چکیده [English]
Athletes return to sport requires a complete assessment of performance. The aim of this study was to investigate the relationship between test (four hop tests, single leg vertical jump and T test) and performance indicators in athletes with a history of knee anterior cruciate ligament repair to return to the sport. Subjects 40 football players with an average age of 28.4, height 175.2 and the weight of 75.4 were last at of reconstruction surgery. Six criteria for the functional test of strength, range of motion and knee proprioception and indicators to evaluate the sensitivity of each test method was evaluated by Pearson correlation coefficient. Assessing between test and indicator showing significant correlation between the tests and there are no performance indicators in the samples. In return to sport phase, functional tests and indexes, range of motion and proprioception, Each individual must be considered in evaluating the athletes return to sport.
کلیدواژه‌ها [English]
- ACLR
- Tests and Functional Indexes
- Return to Sport
- Kruse L M, Gray B, Wright R W. Rehabilitation after anterior cruciate ligament reconstruction. J Bone Joint Surg Am. 2012; 94: 1737-48.
- Moksnes H, Mackler L, Risberg M. Individuals with an anterior cruciate ligament-deficient knee classified as noncopers may be candidates for nonsurgical rehabilitation. J Orthop Sports Phys ther. 2008; 38(10): 586–95.
- Jung H, Fisher M , Woo S. Role of biomechanics in the understanding of normal, injured and healing ligaments and tendons. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology. 2009, 1: 9.
- Wright R, Magnussen R, Dunn W, Spindler R. Ipsilateral graft and contralateral acl rupture at five years or more following acl reconstruction. J Bone Joint Surg Am. 2011; 93: 1159-65.
- Karasel S, Akpinar B, Gülbahar S, Baydar M, El O, Pinar H. Clinical and functional outcomes and proprioception after a modified accelerated rehabilitation program following anterior cruciate ligament reconstruction with patellar tendon autograft. Acta Orthop Traumatol Turc. 2010; 44(3): 220-8.
- Costa-Paz M, Ayerza MA, Tanoira G, Astoul J, Muscol OL. Spontaneous healing in complete ACL ruptures. The Association of Bone and Joint Surgeons1; 2011.
- White K, L Di Stasi S. Smith AH, Snyder-Mackler L1. Anterior cruciate ligament- specialized post-operative return-to-sports (ACL-SPORTS) training. BMC Musculoskeletal Disorders. 2013; 14: 108.
- Noel M, Goodstadt P T Hunter-Giordano A, Michael J. Snyder-Meckler L. Functional testing to determine readiness to discontinue brace use, one year after ACL reconstruction. The International Journal of Sports Physical Therapy. 2013; 8(2).
- Garrison JG, Shanley E, Thigpen C, Geary R, Osler M, DelGiorno J. The reliability of the vail sport tests as a measure of physical performance following anterior cruciate ligament reconstruction. The International Journal of Sports Physical Therapy. 2012; 7(1).
- Chaipinyo K, Karoonsupcharoen O. No difference between home-based strength training and home-based balance training on pain in patients with knee osteoarthritis: A randomised trial. Aust J Physiother. 2009; 55(1): 25-30.
- Hartigan EH, Michael J, Snyder-Mackler A. Time line for noncopers to pass return-to-sports criteria after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2010; 40(3): 141–54.
- Benazzo F , Zanon G , Pederzini L, Modonesi F , Cardile C , Falez F . Effects of biophysical stimulation in patients undergoing arthroscopic reconstruction of anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2008; 16: 595–601.
- Chris G. Functional testing and return to sport. OrthoCarolina Sports Performance 22.-2011. 32
- Reid A, Birmingham B, Stratford P, Alcock G, Giffin J. Hop testing provides a reliable and valid outcome measure during rehabilitation after anterior cruciate ligament reconstruction. Phys Ther. 2007; 87: 337–49.
- Basmajian J V, De Luca C J. Description and analysis of the EMG signal, in muscles alive. Their functions revealed by electromyography. 5th ed. J. Butler (Ed.). Baltimore: Williams and Wilkins; 1985. p. 65-100
- Stasi S, Logerstedt D, S.Gardinier E, Snyder-Meckler L. Gait patterns differ between ACL-reconstructed athletes whopass return-to-sport criteria and those who fail. Am J Sports Med. 2013; 41(6): 1310–18.
- Sun L, Lin D E, Fan J, Gill T J, Med T. Functional testing in the assessment of return to sports after anterior cruciate ligament reconstruction. 2015; 3(16): 225.
- Razi M, Sarzaeem M M, Kazemian GH, Najafi F, Najafi M A. Reconstruction of the anterior cruciate ligament: Acomparison between bone-patellar tendon-bone grafts and four- strand hamstring grafts. Med J Islam Repub Iran. 2014; 28: 134. (In Persian).
- Elias A R, Kinney A E, Mizner R L. High repetition jump training coupled with body weight support in a patient with knee pain and prior history of anterior cruciate ligament reconstruction: A case report. J Sports Phys Ther. 2015Dec;.10(7):1035-49.PMID26672476.206
)