膝前十字靭帯再建術後のSingle leg hopの基準値について 性別・年代別の評価
【目的】膝前十字靭帯（Anterior Cruciate Ligament：以下，ACL）再建術後症例におけるSingle leg hop（以下，SLH）の性別・年代別の基準値を検討すること。【方法】ACL再建術を施行した687症例を対象とした。スポーツ復帰時のACL非損傷側（以下，健側）と再建側（以下，患側）のSLHの跳躍距離と身長で正規化した値（以下，身長比）を調査し，性別・年代別（10代 20代 30代 40代 50代）の平均値 ± 標準偏差をカルテより後ろ向きに調査した。また，男女別に年代毎のSLH基準値の違いも検討した。【結果】SLHの跳躍距離と身長比の健側および患側の性別・年代別の...
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| Published in | 総合理学療法学 Vol. 2; pp. 25 - 33 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 大阪府理学療法士会生涯学習センター
2022
大阪府理学療法士会生涯学習センター |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2436-3871 2436-388X |
| DOI | 10.50918/cptr.2022-001 |
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| Abstract | 【目的】膝前十字靭帯（Anterior Cruciate Ligament：以下，ACL）再建術後症例におけるSingle leg hop（以下，SLH）の性別・年代別の基準値を検討すること。【方法】ACL再建術を施行した687症例を対象とした。スポーツ復帰時のACL非損傷側（以下，健側）と再建側（以下，患側）のSLHの跳躍距離と身長で正規化した値（以下，身長比）を調査し，性別・年代別（10代 20代 30代 40代 50代）の平均値 ± 標準偏差をカルテより後ろ向きに調査した。また，男女別に年代毎のSLH基準値の違いも検討した。【結果】SLHの跳躍距離と身長比の健側および患側の性別・年代別の基準値が明らかとなった。年代別のSLH基準値は，男女ともに10代 20代で高値であり，30代 40代 50代にかけて小さくなる傾向にあった。【結論】SLHの性別・年代別基準値が明らかとなり，健患比評価が困難な両側ACL同時再建症例や反対側ACL損傷症例に対しての指標になると考える。 |
|---|---|
| AbstractList | 「要旨」【目的】膝前十字靭帯(Anterior Cruciate Ligament: 以下, ACL)再建術後症例におけるSingle leg hop(以下, SLH)の性別・年代別の基準値を検討すること. 【方法】ACL再建術を施行した687症例を対象とした. スポーツ復帰時のACL非損傷側(以下, 健側)と再建側(以下, 患側)のSLHの跳躍距離と身長で正規化した値(以下, 身長比)を調査し, 性別・年代別(10代20代30代40代50代)の平均値±標準偏差をカルテより後ろ向きに調査した. また, 男女別に年代毎のSLH基準値の違いも検討した. 【結果】SLHの跳躍距離と身長比の健側および患側の性別・年代別の基準値が明らかとなった. 年代別のSLH基準値は, 男女ともに10代20代で高値であり, 30代40代50代にかけて小さくなる傾向にあった. 【結論】SLHの性別・年代別基準値が明らかとなり, 健患比評価が困難な両側ACL同時再建症例や反対側ACL損傷症例に対しての指標になると考える. 【目的】膝前十字靭帯（Anterior Cruciate Ligament：以下，ACL）再建術後症例におけるSingle leg hop（以下，SLH）の性別・年代別の基準値を検討すること。【方法】ACL再建術を施行した687症例を対象とした。スポーツ復帰時のACL非損傷側（以下，健側）と再建側（以下，患側）のSLHの跳躍距離と身長で正規化した値（以下，身長比）を調査し，性別・年代別（10代 20代 30代 40代 50代）の平均値 ± 標準偏差をカルテより後ろ向きに調査した。また，男女別に年代毎のSLH基準値の違いも検討した。【結果】SLHの跳躍距離と身長比の健側および患側の性別・年代別の基準値が明らかとなった。年代別のSLH基準値は，男女ともに10代 20代で高値であり，30代 40代 50代にかけて小さくなる傾向にあった。【結論】SLHの性別・年代別基準値が明らかとなり，健患比評価が困難な両側ACL同時再建症例や反対側ACL損傷症例に対しての指標になると考える。 |
| Author | 出水, 精次 稲田, 竜太 安浦, 優佳 井上, 裕貴 |
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| References | 4) Gokeler A, Welling W, et al.: Development of a test battery to enhance safe return to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2017; 25: 192–199. 21) Gokeler A, Welling W, et al.: A critical analysis of limb symmetry indices of hop tests in athletes after anterior cruciate ligament reconstruction: A case control study. Orthop Traumatol Surg Res. 2017; 103: 947–951. 9) Toole AR, Ithurburn MP, et al.: Young athletes cleared for sports participation after anterior cruciate ligament reconstruction: How many actually meet recommended return to sport criterion cutoffs? J Orthop Sports Phys Ther. 2017; 47: 825–833. 20) 稲田, 竜太，谷内 政俊，他：両側ACL同時再建術後スポーツ復帰に至った一症例―片側ACL再建症例のHop test健側値を基準として―．日本臨床スポーツ医学会誌．2020; 28: 496–500. 12) Barber SD, Noyes FR, et al.: Quantitative assessment of functional limitations in normal and anterior cruciate ligament-deficient knees. Clin Orthop Relat Res. 1990; 255: 204–214. 13) Grindem H, Logerstedt D, et al.: Single-legged hop tests as predictors of self-reported knee function in nonoperatively treated individuals with anterior cruciate ligament injury. Am J Sports Med. 2011; 39: 2347–2354. 15) Grindem H, Snyder-Mackler L, et al.: Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: The Delaware-Oslo ACL cohort study. Br J Sports Med. 2016; 50: 804–808. 19) Jari S, Shelbourne KD: Simultaneous bilateral anterior cruciate ligament reconstruction. Am J Sports Med. 2002; 30: 891–895. 28) Brumitt J, Heiderscheit B, et al.: Off-season training habits and preseason functional test measures of division iii collegiate athletes: A descriptive report. Int J Sports Phys Ther. 2014; 9: 447–455. 16) Ericsson YB, Root EM, et al.: Lower extremity performance following ACL rehabilitation in the KANON-trial: Impact of reconstruction and predictive value at 2 and 5 years. Br J Sports Med. 2013; 47: 980–985. 7) van Melick N, van Cingel RE, et al.: Evidence-based clinical practice update: Practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus. Br J Sports Med. 2016; 24: 1506–1515. 1) Ardern CL, Taylor NF, et al.: Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: An updated systematic review and metanalysis including aspects of physical functioning and contextual factors. Br J Sports Med. 2014; 48: 1543–1552. 26) Myers BA, Jenkins WL, et al.: Normative date for hop tests in high school and collegiate basketball and soccer players. Int J Sports Phys Ther. 2014; 9: 596–603. 18) Wellsandt E, Failla MJ, et al.: Limb symmetry indexes can overestimate knee function after anterior cruciate ligament injury. J Orthop Sports Phys Ther. 2017; 47: 334–338. 30) Cristiani R, Mikkelsen C, et al.: Only patient out of five achives symmetrical knee function 6 months after primary anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2019; 27: 3461–3470. 6) Beischer S, Gastavsson L, et al.: Young athletes who return to sport before 9 months after anterior cruciate ligament reconstruction have a rate of new injury 7 times that of those who delay return. J Orthop Sports Phys Ther. 2020; 50: 83–93. 24) Ohji S, Aizawa J, et al.: Single-leg hop distance normalized to body height is associated with the return to sports after anterior cruciate ligament reconstruction. J Exp Orthop. 2021; 8: 26. 17) Patterson B, Culvenor AG, et al.: Poor functional performance 1 year after ACL reconstruction increase the risk of early osteoarthritis progression. Br J Sports Med. 2020; 54: 546–553. 29) 稲田, 竜太，瀧上 順誠，他：高校生における膝前十字靭帯再建術後6ヵ月の下肢機能的運動能力―移植腱の違いによる比較―．日本整形外科スポーツ医学会雑誌．2019; 39: 255–260. 2) Wright RW, Magnussen RA, et al.: Ipsilateral graft and contralateral ACL rupture at five years or more following ACL reconstruction: A systematic review. J Bone Joint Surg Am. 2011; 93: 1159–1165. 10) Fitzgerald GK, Lephart SM, et al.: Hop tests as predictors of dynamic knee stability. J Orthop Sports Phys Ther. 2001; 31: 588–597. 3) Barber-Westin SD, Noyes FR: Factors used determine return to unrestricted sports activities after anterior cruciate ligament reconstruction. Arthroscopy. 2011; 27: 1697–1705. 23) Welling W, Benjaminse A, et al.: Passing return to sports tests after ACL reconstruction is associated with greater lilkelihood for return to sport but fail to identify second injury risk. Knee. 2020; 27: 947–957. 25) Brosky JA Jr, Nitz AJ, et al.: Intrarater reliability of selected clinical outcome measures following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 1999; 29: 39–48. 27) Ageberg E, Zatterstrom R, et al.: Individual factors affecting stabilometry and one-leg hop test in 75 healthy subjects, aged 15–44 years. Scand J Med Sci Sports. 2001; 11: 47–53. 14) Thomee R, Kaplan Y, et al.: Muscle strength and hop performance criteria prior to return to sports after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2011; 19: 1798–1805. 11) Abrams GD, Harris JD, et al.: Functional performance testing after anterior cruciate ligament reconstruction: A systematic review. Orthop J Sports Med. 2014; 21: 2325967113518305. 22) Sugimoto D, Heyworth BE, et al.: Effect of graft type on balance and hop tests in adolescent male following anterior cruciate ligament reconstruction. J Sport Rehabil. 2019; 28: 468–475. 8) Welling W, Benjaminse A, et al.: Low rates of patients meeting return to sport criteria 9 months after anterior cruciate ligament reconstruction: A prospective longitudinal study. Knee Surg Sports Traumatol Arthrosc. 2018; 26: 3636–3644. 5) Webster KE, Hewett TE: What is the evidence for and validity of return-to-sport testing after anterior cruciate ligament reconstruction surgery? A systematic review and meta-analysis. Sports Med. 2019; 49: 917–929. |
| References_xml | – reference: 22) Sugimoto D, Heyworth BE, et al.: Effect of graft type on balance and hop tests in adolescent male following anterior cruciate ligament reconstruction. J Sport Rehabil. 2019; 28: 468–475. – reference: 19) Jari S, Shelbourne KD: Simultaneous bilateral anterior cruciate ligament reconstruction. Am J Sports Med. 2002; 30: 891–895. – reference: 7) van Melick N, van Cingel RE, et al.: Evidence-based clinical practice update: Practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus. Br J Sports Med. 2016; 24: 1506–1515. – reference: 24) Ohji S, Aizawa J, et al.: Single-leg hop distance normalized to body height is associated with the return to sports after anterior cruciate ligament reconstruction. J Exp Orthop. 2021; 8: 26. – reference: 4) Gokeler A, Welling W, et al.: Development of a test battery to enhance safe return to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2017; 25: 192–199. – reference: 3) Barber-Westin SD, Noyes FR: Factors used determine return to unrestricted sports activities after anterior cruciate ligament reconstruction. Arthroscopy. 2011; 27: 1697–1705. – reference: 23) Welling W, Benjaminse A, et al.: Passing return to sports tests after ACL reconstruction is associated with greater lilkelihood for return to sport but fail to identify second injury risk. Knee. 2020; 27: 947–957. – reference: 14) Thomee R, Kaplan Y, et al.: Muscle strength and hop performance criteria prior to return to sports after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2011; 19: 1798–1805. – reference: 26) Myers BA, Jenkins WL, et al.: Normative date for hop tests in high school and collegiate basketball and soccer players. Int J Sports Phys Ther. 2014; 9: 596–603. – reference: 15) Grindem H, Snyder-Mackler L, et al.: Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: The Delaware-Oslo ACL cohort study. Br J Sports Med. 2016; 50: 804–808. – reference: 17) Patterson B, Culvenor AG, et al.: Poor functional performance 1 year after ACL reconstruction increase the risk of early osteoarthritis progression. Br J Sports Med. 2020; 54: 546–553. – reference: 8) Welling W, Benjaminse A, et al.: Low rates of patients meeting return to sport criteria 9 months after anterior cruciate ligament reconstruction: A prospective longitudinal study. Knee Surg Sports Traumatol Arthrosc. 2018; 26: 3636–3644. – reference: 11) Abrams GD, Harris JD, et al.: Functional performance testing after anterior cruciate ligament reconstruction: A systematic review. Orthop J Sports Med. 2014; 21: 2325967113518305. – reference: 29) 稲田, 竜太，瀧上 順誠，他：高校生における膝前十字靭帯再建術後6ヵ月の下肢機能的運動能力―移植腱の違いによる比較―．日本整形外科スポーツ医学会雑誌．2019; 39: 255–260. – reference: 5) Webster KE, Hewett TE: What is the evidence for and validity of return-to-sport testing after anterior cruciate ligament reconstruction surgery? A systematic review and meta-analysis. Sports Med. 2019; 49: 917–929. – reference: 18) Wellsandt E, Failla MJ, et al.: Limb symmetry indexes can overestimate knee function after anterior cruciate ligament injury. J Orthop Sports Phys Ther. 2017; 47: 334–338. – reference: 2) Wright RW, Magnussen RA, et al.: Ipsilateral graft and contralateral ACL rupture at five years or more following ACL reconstruction: A systematic review. J Bone Joint Surg Am. 2011; 93: 1159–1165. – reference: 27) Ageberg E, Zatterstrom R, et al.: Individual factors affecting stabilometry and one-leg hop test in 75 healthy subjects, aged 15–44 years. Scand J Med Sci Sports. 2001; 11: 47–53. – reference: 1) Ardern CL, Taylor NF, et al.: Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: An updated systematic review and metanalysis including aspects of physical functioning and contextual factors. Br J Sports Med. 2014; 48: 1543–1552. – reference: 20) 稲田, 竜太，谷内 政俊，他：両側ACL同時再建術後スポーツ復帰に至った一症例―片側ACL再建症例のHop test健側値を基準として―．日本臨床スポーツ医学会誌．2020; 28: 496–500. – reference: 10) Fitzgerald GK, Lephart SM, et al.: Hop tests as predictors of dynamic knee stability. J Orthop Sports Phys Ther. 2001; 31: 588–597. – reference: 9) Toole AR, Ithurburn MP, et al.: Young athletes cleared for sports participation after anterior cruciate ligament reconstruction: How many actually meet recommended return to sport criterion cutoffs? J Orthop Sports Phys Ther. 2017; 47: 825–833. – reference: 13) Grindem H, Logerstedt D, et al.: Single-legged hop tests as predictors of self-reported knee function in nonoperatively treated individuals with anterior cruciate ligament injury. Am J Sports Med. 2011; 39: 2347–2354. – reference: 6) Beischer S, Gastavsson L, et al.: Young athletes who return to sport before 9 months after anterior cruciate ligament reconstruction have a rate of new injury 7 times that of those who delay return. J Orthop Sports Phys Ther. 2020; 50: 83–93. – reference: 28) Brumitt J, Heiderscheit B, et al.: Off-season training habits and preseason functional test measures of division iii collegiate athletes: A descriptive report. Int J Sports Phys Ther. 2014; 9: 447–455. – reference: 30) Cristiani R, Mikkelsen C, et al.: Only patient out of five achives symmetrical knee function 6 months after primary anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2019; 27: 3461–3470. – reference: 16) Ericsson YB, Root EM, et al.: Lower extremity performance following ACL rehabilitation in the KANON-trial: Impact of reconstruction and predictive value at 2 and 5 years. Br J Sports Med. 2013; 47: 980–985. – reference: 25) Brosky JA Jr, Nitz AJ, et al.: Intrarater reliability of selected clinical outcome measures following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 1999; 29: 39–48. – reference: 12) Barber SD, Noyes FR, et al.: Quantitative assessment of functional limitations in normal and anterior cruciate ligament-deficient knees. Clin Orthop Relat Res. 1990; 255: 204–214. – reference: 21) Gokeler A, Welling W, et al.: A critical analysis of limb symmetry indices of hop tests in athletes after anterior cruciate ligament reconstruction: A case control study. Orthop Traumatol Surg Res. 2017; 103: 947–951. |
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| Snippet | 【目的】膝前十字靭帯（Anterior Cruciate Ligament：以下，ACL）再建術後症例におけるSingle leg... 「要旨」【目的】膝前十字靭帯(Anterior Cruciate Ligament: 以下, ACL)再建術後症例におけるSingle leg hop(以下, SLH)の性別・年代別の基準値を検討すること. 【方法】ACL再建術を施行した687症例を対象とした. スポーツ復帰時のACL非損傷側(以下,... |
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| SubjectTerms | Single leg hop スポーツ復帰基準 前十字靭帯 基準値 |
| Subtitle | 性別・年代別の評価 |
| Title | 膝前十字靭帯再建術後のSingle leg hopの基準値について |
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