بررسي پيامدها و بازگشت به بازي در فوتباليست هاي داراي ACL باز سازي شده طي 1 سال بعد از جراحي

با توجه به اهمیت مفصل زانو در ایجاد پایداری و تحمل وزن، هرگونه درد، ضایعه و یا ناهنجاری اسكلتی- عضلانی، موجب تسریع تغییرات فرسایشی مفصل می شود (اریك، 2005). هدف بازتوانی بعد از ضایعات زانو، برگشت تدریجی به سطح فعالیت قبل از ضایعه می باشد (تكنر، 1986). در این پژوهش، پیامدها و میزان بازگشت به بازی در فوتبالیست های دارای ACL بازسازی شده در طی 1 سال كه در یكی از پاهایشان جراحی بازسازی ACL داشته اند، مورد ارزیابی قرار گرفته است.

Introduction: With respect to knee jointʹs importance in stability and weight bearing, any pain, injury, or musculoskeletal abnormality will accelerate the process of eroding degenerative changes in the joint (Erik 2005). The purpose of rehabilitation after the knee injuries is a gradual recovery to the level of pre-injury activities (Tegner 1986). In this study, Outcomes and level return to the game in soccer players with ACL reconstruction during 1 year of which undergone ACL operation in one leg has been evaluated. Methods: 32 soccer players Kermanshah level of football clubs who undergone reconstruction of ACL via BPTB (Technique Modified Clancy) selected and randomly divided in two 16 subjects traditional and accelerated groups. The accelerated group performed the accelerated rehabilitation protocol (Immediate ROM training, weight bearing, and returning to sports within 4-6 months) (Kvist, 2004) for 24 weeks and the traditional group were performed a traditional rehabilitation program for a period of 36 weeks. At the end of the 4th, 6th, 9th and 12th months, the knee muscular function was evaluated by single leg hop for distance and 1RM test. At the end of the course 6th and 12th months the Lysholm scale and anterior knee pain scales have been used to evaluate individualʹs subjective performance and the Cincinatti Knee Rating System scale has been used for evaluation of returning to sport competitions level. Also at each stage of the test clinical tests the range of motion (ROM), knee laxity, walking and ... Was performed. A Repeated measure ANOVA and T test was used for data analyzing at 0.05 levels. Results: In both accelerated rehabilitation and traditional groups, the muscular function of operated extremity was less than healthy ones. The function of the operated knee in accelerated group was significantly better than the traditional group (p<0.05). In both scales, the subjective performance of accelerated group was higher than traditional group (p≤0.05). Accelerated group, return to 3 and 4 competition levels whereas this level in traditional group was significantly lower (1 and 2), (p≤0.02). Discussion and conclusion: The results showed that after the surgery and performing rehabilitation protocols, quadriceps muscle muscular performance does not fully meet and this deficit in strength has a strong relationship with failure in soccer player’s athletic performance and causes a decline in individual’s subjective function. The results also showed that the balance exercise programs (neuromuscular)play a significant role in a more safely return of the soccer players to the competition.