中国康复理论与实践2024，Vol.30Issue(8)：948-956,9.DOI:10.3969/j.issn.1006-9771.2024.08.010
基于运动员前交叉韧带重建术后步态数据分析重返运动的风险
Risk assessment of return to sport based on gait data of athletes after anterior cruciate ligament reconstruction
摘要
Abstract
Objective To analyze the risk of return to sport in athletes using their gait data following anterior cruciate ligament re-construction(ACLR). Methods From May to June,2023,39 athletes after ACLR were recruited in Wuhan Sports University.Their data on sta-ble gait and tandem gait were recorded using a three-dimensional motion capture system,surface electromyogra-phy and a three-dimensional ergometer table.Additionally,return-to-sport scores were calculated using the K-STARTS test.The relationship between each gait indicator and the total score of the K-STARTS test was ana-lyzed with Pearson correlation analysis.Furthermore,the key indicators related to the risk of return to sport were analyzed using linear regression. Results In the stable gait test,the step time was negatively correlated with the total score of K-STARTS(r=-0.479,P=0.002),and the peak amplitude symmetry index of rectus femoris(r=0.448,P=0.004)and vastus lateralis(r=0.595,P=0.001)were positively correlated with the total score of K-STARTS.In the tandem gait test,the lateral displacement distance of the center of gravity was negatively correlated with the total score of K-STARTS(r=-0.341,P=0.034),and the time symmetry index of peak amplitude of vastus lateralis was positively correlated with the total score of K-STARTS(r=0.320,P=0.047).Regression analysis showed that the interpretation of the model based on stable gait(F=15.818,P=0.001,R2=0.650)was better than that based on tandem gait(F=7.692,P=0.001,R2=0.397). Conclusion In stable gait,gait rhythm variability and symmetry are correlated with return to sport risk.In tandem gait,gait balance and symmetry indexes are correlated with return-to-sport risk.Compared with tandem gait,the inter-pretation of return-to-sport risk assessment model based on stable gait information is better,and may be more suitable as a simple return-to-sport risk test method.关键词
前交叉韧带重建术/重返运动/步态/风险评估模型/运动员/运动损伤Key words
anterior cruciate ligament reconstruction/return to sport/gait/risk assessment model/athlete/sports injury分类
医药卫生引用本文复制引用
周易文,钟亚平,魏梦力,王海锋,余绍华,桂辉贤..基于运动员前交叉韧带重建术后步态数据分析重返运动的风险[J].中国康复理论与实践,2024,30(8):948-956,9.基金项目
1.湖北省高等学校省级教学研究项目(No.2022395) （No.2022395）
2.国家社科基金后期资助重点项目(No.22FTYA001) Hubei Provincial Education Reform Project(No.2022395)and National Social Science Foundation-later Stage(Key)(No.22FTYA001) （No.22FTYA001）
