Abstract:
CONTEXT:It is well established that autologous chondrocyte implantation (ACI) can require extended recovery postoperatively; however, little information exists to provide clinicians and patients with a timeline for anticipated function during the first year after ACI. OBJECTIVE:To document the recovery of functional performance of activities of daily living after ACI. PATIENTS:ACI patients (n = 48, 29 male; 35.1 ± 8.0 y). INTERVENTION:All patients completed functional tests (weight-bearing squat, walk-across, sit-to-stand, step-up/over, and forward lunge) using the NeuroCom long force plate (Clackamas, OR) and completed patient-reported outcome measures (International Knee Documentation Committee Subjective Knee Evaluation Form, Lysholm, Western Ontario and McMaster Osteoarthritis Index [WOMAC], and 36-Item Short-Form Health Survey) preoperatively and 3, 6, and 12 mo postoperatively. MAIN OUTCOME MEASURES:A covariance pattern model was used to compare performance and self-reported outcome across time and provide a timeline for functional recovery after ACI. RESULTS:Participants demonstrated significant improvement in walk-across stride length from baseline (42.0% ± 8.9% height) at 6 (46.8% ± 8.1%) and 12 mo (46.6% ± 7.6%). Weight bearing on the involved limb during squatting at 30°, 60°, and 90° was significantly less at 3 mo than presurgery. Step-up/over time was significantly slower at 3 mo (1.67 ± 0.69 s) than at baseline (1.49 ± 0.33 s), 6 mo (1.51 ± 0.36 s), and 12 mo (1.40 ± 0.26 s). Step-up/over lift-up index was increased from baseline (41.0% ± 11.3% body weight [BW]) at 3 (45.0% ± 11.7% BW), 6 (47.0% ± 11.3% BW), and 12 mo (47.3% ± 11.6% BW). Forward-lunge time was decreased at 3 mo (1.51 ± 0.44 s) compared with baseline (1.39 ± 0.43 s), 6 mo (1.32 ± 0.05 s), and 12 mo (1.27 ± 0.06). Similarly, forward-lunge impact force was decreased at 3 mo (22.2% ± 1.4% BW) compared with baseline (25.4% ± 1.5% BW). The WOMAC demonstrated significant improvements at 3 mo. All patient-reported outcomes were improved from baseline at 6 and 12 mo postsurgery. CONCLUSIONS:Patients' perceptions of improvements may outpace physical changes in function. Decreased function for at least the first 3 mo after ACI should be anticipated, and improvement in performance of tasks requiring weight-bearing knee flexion, such as squatting, going down stairs, or lunging, may not occur for a year or more after surgery.
journal_name
J Sport Rehabiljournal_title
Journal of sport rehabilitationauthors
Howard JS,Mattacola CG,Mullineaux DR,English RA,Lattermann Cdoi
10.1123/jsr.2013-0094subject
Has Abstractpub_date
2014-08-01 00:00:00pages
223-34issue
3eissn
1056-6716issn
1543-3072pii
2013-0094journal_volume
23pub_type
杂志文章abstract:CONTEXT:There is conflicting evidence in the literature regarding whether women with anterior cruciate ligament reconstruction (ACLR) demonstrate impaired proprioception. This study examined dynamic-position-sense accuracy and central-nervous-system (CNS) processing time between those with and without long-term ACLR. ...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.21.1.44
更新日期:2012-02-01 00:00:00
abstract::Clinical Scenario: Exertional heat stroke (EHS) is a potentially deadly heat illness and poses a significant health risk to athletes; EHS survival rates are near 100% if properly recognized and treated. Whole-body cold water immersion (CWI) is the most effective method for lowering body core temperature. Precooling (P...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,评审
doi:10.1123/jsr.2017-0357
更新日期:2019-07-01 00:00:00
abstract:CONTEXT:Eccentric exercises are increasingly being used to treat lower-limb musculoskeletal conditions such as Achilles tendinopathy. Despite widespread clinical application and documented efficacy, mechanisms underpinning clinical benefit remain unclear. Positive adaptations in motor performance are a potential mechan...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2015-0129
更新日期:2017-04-01 00:00:00
abstract:CONTEXT:Baseline testing is a common strategy for concussion assessment and management. Research continues to evaluate novel measures for potential to improve baseline testing methods. OBJECTIVES:The primary objective was to (1) determine the feasibility of including physiological, neuromuscular, and mood measures as ...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2017-0038
更新日期:2018-07-01 00:00:00
abstract:CONTEXT:To treat anterior cruciate ligament (ACL) injury, ACL reconstruction (ACLR) surgery is currently a standard of the care. However, effect of graft type including bone-patellar tendon-bone (BTB), hamstring tendon, or iliotibial band (ITB) on thigh size, knee range of motion (ROM), and muscle strength are understu...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0272
更新日期:2019-10-18 00:00:00
abstract:CONTEXT:The prevalence and negative consequences of the symptoms surrounding patellar tendinopathy constitute an important problem for sports medicine professionals. The identification of potential pain mediators is, therefore, of major interest to improve both the prevention and management of this injury. OBJECTIVE:T...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0240
更新日期:2020-02-01 00:00:00
abstract:CONTEXT:Pulse rate is commonly measured manually or with commercial wrist or belt monitors. More recently, pulse-rate monitoring has become convenient with the use of mobile technology that allows monitoring through a smartphone camera. This optical technology offers many benefits, although the clinimetric properties h...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2013-0145
更新日期:2015-05-01 00:00:00
abstract:CONTEXT:An accurate assessment of lumbar spine active range of motion (AROM) is clinically important. Dual inclinometry is recommended as the optimal technique for measuring lumbar flexion AROM; however, the procedures differ in the literature. OBJECTIVE:To compare 2 different handheld digital dual inclinometry (HDDI)...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2019-0368
更新日期:2020-06-10 00:00:00
abstract:CONTEXT:Previous literature has theorized that alterations in shoulder physical characteristics are present in wheelchair athletes and contribute to shoulder pain and injury. Limited empirical evidence is present that evaluates the effectiveness of a shoulder injury prevention program focusing on improving these altere...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2017-0011
更新日期:2018-11-01 00:00:00
abstract::Clinical Scenario: Mild traumatic brain injury, or concussion, has been associated with physical, cognitive, and emotional sequelae. Little is understood in regard to many characteristics, such as anxiety, and their effect on post-concussion symptoms. CLINICAL QUESTION:Is state anxiety, trait anxiety, or anxiety sens...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2016-0122
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To compare active hamstring stiffness in female subjects with and without a history of low back pain (LBP) after a standardized 20-min aerobic-exercise session. DESIGN:Case control. SETTING:Laboratory. PARTICIPANTS:12 women with a history of recurrent episodes of LBP (age = 22.4 ± 2.1 y, mass = 67.1 ± 11.8...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.22.1.47
更新日期:2013-02-01 00:00:00
abstract:CONTEXT:Electrically induced muscle cramps (EIMC) do not last long enough to study many cramp treatments. Increasing stimulation frequency lengthens cramp duration; it is unknown which frequency elicits the longest EIMC. OBJECTIVE:To determine which stimulation frequency elicits the longest EIMC and whether cramp dura...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1123/jsr.21.2.182
更新日期:2012-05-01 00:00:00
abstract:CONTEXT:Unstable devices in various forms are used as therapeutic adjuncts for prevention or following an injury. A slip-over-the-shoe design with inflatable domes (STEPRIGHT® Stability Trainer) was developed to improve balance. It is unknown how this unstable device affects muscle activity during a closed-chain exerci...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0296
更新日期:2019-10-18 00:00:00
abstract:CONTEXT:Infrared thermography has been used to detect skeletal muscle overload and fatigue in athletes, but its use in injury prevention in professional soccer has not been studied to date. OBJECTIVES:To establish a novel injury prevention program based on infrared thermography and to determine its influence on the in...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2019-0056
更新日期:2020-11-01 00:00:00
abstract:INTRODUCTION:Long head of biceps (LHB) pathologies are an important cause of pain and dysfunction. As LHB pathologies have specific components from other underlying or related pathologies, the LHB score is designed for an accurate assessment. The aim of this study was to adapt the LHB score into Turkish and to assess i...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2019-0364
更新日期:2020-03-04 00:00:00
abstract:CONTEXT:Hip-adductor strains are among the most common lower-extremity injuries sustained in athletics. Treatment of these injuries involves a variety of exercises used to target the hip adductors. OBJECTIVE:To identify the varying activation levels of the adductor longus during common hip-adductor exercises. DESIGN:...
journal_title:Journal of sport rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1123/jsr.2012-0046
更新日期:2014-05-01 00:00:00
abstract::Clinical Scenario: Health care clinicians are encouraged to practice according to the best available evidence for the purpose of improving patient outcomes. Clinical practice guidelines are one form of evidence that has been developed to enhance the care that patients receive for particular conditions. Low back pain i...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,评审
doi:10.1123/jsr.2015-0185
更新日期:2018-03-01 00:00:00
abstract:CONTEXT:The transtheoretical model has been widely used in the investigation of how people adapt to new behaviors; however, the literature appears to be lacking documentation of any assessment/s administered to injured athletes to determine their readiness for rehabilitation, which depending on the severity of the inju...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.17.3.269
更新日期:2008-08-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: meta分析
doi:10.1123/jsr.2020-0129
更新日期:2020-10-19 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2013-0148
更新日期:2015-05-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2019-0532
更新日期:2020-11-20 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2019-0185
更新日期:2020-02-21 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2016-0030
更新日期:2018-01-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0137
更新日期:2020-02-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0165
更新日期:2020-02-01 00:00:00
abstract:CONTEXT:Prevalence studies have been carried out widely on elite volleyball players. However, the extent to which specific prevention strategies are used and the influence of the sport equipment on the occurrence of injuries have been sparsely investigated. OBJECTIVE:To describe the prevalence of injuries sustained du...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0044
更新日期:2019-11-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0237
更新日期:2020-03-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2016-0053
更新日期:2017-09-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2019-0541
更新日期:2020-12-17 00:00:00
abstract::The aim of this study was to evaluate the acute effect of the use of stable and unstable surfaces on electromyography (EMG) activity and coactivation of the scapular and upper-limb muscles during the push-up plus (with full protraction of the scapula). Muscle activation of anterior deltoid (AD), posterior deltoid (PD)...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2016-0050
更新日期:2017-07-01 00:00:00