Volume 29, Issue 1 (Winter 2022)
Intern Med Today 2022, 29(1): 9-17 |
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Naderi A, Manafi Anvar N. The impact of treatment strategy on the knee function, and physical and psychological health of athletes with an ACL tear. Intern Med Today 2022; 29 (1) :9-17
URL: http://imtj.gmu.ac.ir/article-1-3969-en.html
URL: http://imtj.gmu.ac.ir/article-1-3969-en.html
1- Associate Professor, Faculty of Sport Science, Shahrood University of Technology, Shahrood, Semnan, Iran. , ay.naderi@yahoo.com
2- MSc student of sports injuries and corrective exercises, University Colleague Omran and Tosee, Hamadan, Iran.
2- MSc student of sports injuries and corrective exercises, University Colleague Omran and Tosee, Hamadan, Iran.
Abstract: (412 Views)
Aims The present study aimed to compare knee function, as well as physical and psychological health, of athletes who underwent conservative treatment with those who underwent anterior cruciate ligament (ACL) reconstruction.
Methods & Materials This cross-sectional study was conducted on 31 athletes with a history of unilateral ACL tear who were placed in two groups: ACL reconstruction (18 people) and conservative treatment (13 people). Single and triple hop tests for distance and knee injury and osteoarthritis outcome score (KOOS) were used for objective and subjective evaluation of knee function, respectively. The physical and psychological health of the athletes was also evaluated by the Patient-Reported Outcomes Measurement Information System 29 (PROMIS-29) questionnaire. Multivariate analysis of covariance was used to analyze the data at a significance level of P≤0.05.
Findings Based on the result, the ACL treatment strategy (reconstruction or conservative treatment) had a significant effect on physical performance, ability to participate in social activities, anxiety, and depression of athletes (P<0.05). Regarding the knee function, the obtained results pinpointed that the ACL treatment strategy had a significant effect on knee symptoms and stiffness, activities of daily living, sports performance, quality of life, and limb symmetry index in hop distance (P<0.05).
Conclusion It can be stated that selective treatment after an ACL injury can affect athletes' knee function, sports performance, as well as physical and psychological health. Nonetheless, it is necessary to know that the current study is retrospective and has many limitations that should be considered.
Methods & Materials This cross-sectional study was conducted on 31 athletes with a history of unilateral ACL tear who were placed in two groups: ACL reconstruction (18 people) and conservative treatment (13 people). Single and triple hop tests for distance and knee injury and osteoarthritis outcome score (KOOS) were used for objective and subjective evaluation of knee function, respectively. The physical and psychological health of the athletes was also evaluated by the Patient-Reported Outcomes Measurement Information System 29 (PROMIS-29) questionnaire. Multivariate analysis of covariance was used to analyze the data at a significance level of P≤0.05.
Findings Based on the result, the ACL treatment strategy (reconstruction or conservative treatment) had a significant effect on physical performance, ability to participate in social activities, anxiety, and depression of athletes (P<0.05). Regarding the knee function, the obtained results pinpointed that the ACL treatment strategy had a significant effect on knee symptoms and stiffness, activities of daily living, sports performance, quality of life, and limb symmetry index in hop distance (P<0.05).
Conclusion It can be stated that selective treatment after an ACL injury can affect athletes' knee function, sports performance, as well as physical and psychological health. Nonetheless, it is necessary to know that the current study is retrospective and has many limitations that should be considered.
Keywords: Knee function, Psychological health, Physical health, ACL reconstruction, Conservative treatment
Type of Study: Original |
Subject:
Orthopedics and Biomechanics
Received: 2023/02/9 | Accepted: 2023/12/11 | Published: 2023/03/28
Received: 2023/02/9 | Accepted: 2023/12/11 | Published: 2023/03/28
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