Research progress on indicators for evaluating when to return to sport after anterior cruciate ligament reconstruction

doi:10.3877/cma.j.issn.1674-134X.2022.05.011

Abstract

Abstract:

Anterior cruciate ligament reconstruction(ACLR) is the most common treatment for anterior crutiate ligament (ACL) rupture. When to return to sport after ACLR is a common concern for doctors and patients. In the existing literature, there is no consensus on the timing of evaluating patients′ RTS. Common indicators include postoperative time, lower limb muscle strength, functional score and single-leg hop testing. In recent years, researchers have begun to pay more attention to the single-leg hop testing. This article summarized the above measurements and single-leg hop testing, aiming to provide a reference for clinicians to evaluate RTS.

Key words: Anterior cruciate ligament reconstruction, Return to sport, Quadriceps muscle, Muscle strength

Huanyu Xie, Zicai Fu, Yong Huang, Shuyu Liu, Chen Wang, Yijia Sun, Daping Wang, Manyi Wang, Lei Yang, Weimin Zhu. Research progress on indicators for evaluating when to return to sport after anterior cruciate ligament reconstruction[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(05): 599-604.

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References 44

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分级标准	Lovett分级法(级)	Kendall分级法(%)
未见肌肉收缩	0	0
有轻微收缩，但不能完成关节活动	1	10
在减重状态下能做关节全范围活动	2	25
能抗重力做关节全范围活动，但不能抗阻力	3	50
能抗重力和一定阻力，做关节全范围运动	4	75
能抗重力和充分阻力，做关节全范围运动	5	100

分级标准	Lovett分级法(级)	Kendall分级法(%)
未见肌肉收缩	0	0
有轻微收缩，但不能完成关节活动	1	10
在减重状态下能做关节全范围活动	2	25
能抗重力做关节全范围活动，但不能抗阻力	3	50
能抗重力和一定阻力，做关节全范围运动	4	75
能抗重力和充分阻力，做关节全范围运动	5	100

分级标准	MRC分级
没有肌肉收缩	0
有肌肉收缩	1
去重力主动运动	2
抗重力但不能抗阻力主动运动	3
抗重力和阻力主动运动	4
正常肌力	5

分级标准	MRC分级
没有肌肉收缩	0
有肌肉收缩	1
去重力主动运动	2
抗重力但不能抗阻力主动运动	3
抗重力和阻力主动运动	4
正常肌力	5

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