Age-, Sex-, and Graft-Specific Reference Values From 783 Adolescent Patients at 5 to 7 Months After ACL Reconstruction: IKDC, Pedi-IKDC, KOOS, ACL-RSI, Single-Leg Hop, and Thigh Strength

被引：9

作者：

Kuenze, Christopher ^{[1
,14
]}

Weaver, Adam ^{[2
]}

Grindstaff, Terry L. ^{[3
]}

Ulman, Sophia ^{[4
]}

Norte, Grant E. ^{[5
]}

Roman, Dylan P. ^{[2
]}

Giampetruzzi, Nicholas ^{[2
]}

Lisee, Caroline M. ^{[6
]}

Birchmeier, Thomas ^{[6
]}

Triplett, Ashley ^{[7
]}

Farmer, Brooke ^{[3
]}

Hopper, Haleigh ^{[1
]}

Sherman, David A. ^{[5
]}

Ness, Brandon M. ^{[8
]}

Collins, Katherine ^{[7
]}

Walaszek, Michelle ^{[1
]}

Baez, Shelby E. ^{[6
]}

Harkey, Matthew S. ^{[7
]}

Tulchin-Francis, Kirsten ^{[9
]}

Ellis, Henry ^{[4
,10
]}

Wilson, Philip L. ^{[4
]}

Chang, Edward S. ^{[11
]}

Wilcox, C. Luke ^{[12
]}

Schorfhaar, Andrew ^{[12
]}

Shingles, Michael ^{[12
]}

Hart, Joseph M. ^{[13
]}

机构：

[1] Univ Virginia, Dept Kinesiol, Charlottesville, VA 22904 USA

[2] Connecticut Childrens, Dept Sports Phys Therapy, Farmington, CT USA

[3] Creighton Univ, Dept Phys Therapy, Omaha, NE USA

[4] Scottish Rite Children, Frisco, TX USA

[5] Univ Toledo, Dept Exercise & Rehabil Sci, Toledo, OH USA

[6] Univ North Carolina Chapel Hill, Mot Sci Inst, Dept Exercise & Sport Sci, Chapel Hill, NC USA

[7] Michigan State Univ, Dept Kinesiol, E Lansing, MI USA

[8] Tufts Univ, Sch Med, Doctor Phys Therapy Program, Boston, MA USA

[9] Nationwide Childrens Hosp, Columbus, OH USA

[10] UT Southwestern Med Ctr, Dallas, TX USA

[11] Inova Sports Med, Fairfax, VA USA

[12] Sparrow, Orthopaed & Sports Med, Lansing, MI USA

[13] Univ North Carolina Chapel Hill, Sch Med, Dept Orthopaed, Chapel Hill, NC USA

[14] Univ Virginia, Dept Kinesiol, Charlottesville, VA 22904 USA

来源：

JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY | 2023年 / 53卷 / 04期

关键词：

adolescent athlete; isokinetic knee extension and flexion; limb symmetry indices; return to sport; activity; single-leg hopping; CRUCIATE LIGAMENT RECONSTRUCTION; OSTEOARTHRITIS OUTCOME SCORE; KNEE EVALUATION FORM; LYSHOLM SCORE; INJURY; RELIABILITY; VALIDITY; RESPONSIVENESS; INDIVIDUALS; VALIDATION;

D O I：

10.2519/jospt.2023.11389

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

OBJECTIVE: To describe age-, sex-, and graft source-specific reference values for patient-reported, physical function, and strength outcome measures in adolescents at 5 to 7 months after anterior cruciate ligament reconstruction. DESIGN: Cross-sectional study.METHODS: Data were collected at 3 universities and 2 children's hospitals. The participants completed at least one of the International Knee Documentation Committee (IKDC) Subjective Evaluation Form, Pedi-atric IKDC (Pedi-IKDC), Knee Injury and Osteoarthritis Outcomes Score (KOOS), and Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) Scale. Participants also completed single-leg hop tests and/ or isokinetic quadriceps and hamstrings strength assessments (at 60 & DEG;/s). Reference values were summarized using descriptive statistics and stratified for age, sex, and graft source.RESULTS: Reference values were reported for common patient-reported outcomes and measures of physical function and strength from 783 participants (56% females, age = 16. 4 & PLUSMN; 2.0 years) who were in early adolescence (12-14 years, N = 183, 52% females), middle adolescence (15-17 years, N = 456, 58% females), or late adolescence (18-20 years, N = 144, 55% females). Three hundred seventy-nine partici-pants (48.4%) received a bone-patellar tendon-bone autograft, 292 participants (37.3%) received hamstring tendon autograft, and 112 participants (14.3%) received autograft or allograft from an alternative source.CONCLUSION: Reference values for common patient-reported outcomes and measures of physical function and strength differed depending on a patient's age, sex, and graft source. Using patient-specific reference values, in addition to previously described age-appropriate cutoff values, may help clinicians monitor and progress patients through rehabilitation and return to physical activity after anterior cruci-ate ligament reconstruction. J Orthop Sports Phys Ther 2023;53(4):194-201. Epub: 23 January 2023. doi:10.2519/jospt.2023.11389

引用

页码：194 / 201

页数：8

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