THE NEW INJURIES’ RISK AFTER ACL RECONSTRUCTION MIGHT BE REDUCED WITH FUNCTIONAL TRAINING

ABSTRACT Objective: The objective of our study was to evaluate if functional training with the Functional Movement Screen (FMS) can reduce the risk of a new injury for patients that underwent an anterior cruciate ligament reconstruction (ACLR). Our hypothesis was that the functional training might reduce the risk of a new injury. Methods: Our training protocol consisted of six phases, each one lasting six weeks. It began two months after surgery. The study group was composed of 10 individuals that completed our protocol after ACLR. The control group consisted of 10 people that completed a regular ACLR rehabilitation protocol. The FMS was used to compare the study and control group performance. Patients with a score of 14 or less on the FMS were considered more likely to suffer an injury than those with a score higher than 14. Results: The study group average FMS score was 16.6 compared to the control group at 12.3. Functional training for ACLR rehabilitation added a statistically significant benefit (p < 0.0002) to reduce the risk of a new injury compared to regular protocol. Conclusion: Functional training may be considered an alternative to the regular ACLR rehabilitation to reduce the risk of a new injury before returning to sports. Level of Evidence III, Case control study.

摘要 目的：本研究旨在评估基于动作功能筛查量表（Functional Movement Screen, FMS）的功能训练，是否能够降低前交叉韧带重建（Anterior Cruciate Ligament Reconstruction, ACLR）患者的新发损伤风险，研究假设为该功能训练可降低新发损伤风险。方法：本训练方案共设六个阶段，每阶段持续六周，于术后两个月启动。研究组纳入10名完成本方案的ACLR术后患者，对照组纳入10名完成常规ACLR术后康复方案的受试者。本研究采用FMS量表对比两组的运动功能表现，其中FMS评分≤14分的受试者，其损伤风险显著高于评分＞14分者。结果：研究组平均FMS评分为16.6，对照组为12.3。相较于常规康复方案，用于ACLR术后康复的功能训练可显著降低新发损伤风险，差异具有统计学意义（p < 0.0002）。结论：综上，在重返体育运动前，该功能训练可作为常规ACLR术后康复方案的替代手段，以降低新发损伤风险。证据等级：Ⅲ级，病例对照研究。