en تأثیر استراتژی های درمان بر عملکرد زانو، سلامت جسمانی و روانی ورزشکاران با سابقه پارگی ACL ارتوپدی و بيومکانيک Orthopedics and Biomechanics پژوهشی Original <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">هدف</span></span></b><b><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.1pt">:</span></span></span></b> <span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">هدف از مطالعه‌ی حاضر مقایسه‌ی عملکرد زانو و سلامت جسمانی و روانی ورزش‌کارانی است که تحت درمان محافظه‌کارانه‌ی </span></span><span dir="LTR" style="font-size:8.0pt">ACL</span><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:"> قرار گرفتند.</span></span><span dir="LTR" style="font-size:8.0pt"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">مواد و روش ها</span></span></b><b><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.1pt">:</span></span></span></b> <span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">پژوهش حاضر از نوع </span></span><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">پس‌رویدادی</span></span> <span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">است</span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">. </span></span><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">آزمودنی‌های مطالعه‌ی حاضر را 31 ورزش‌کار با سابقه‌ی پارگی</span></span><span dir="LTR" style="font-size:7.0pt">ACL</span><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:"> یک‌طرفه تشکیل می‌دهند که در دو گروه</span></span> <span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">بازسازی </span></span><span dir="LTR" style="font-size:7.0pt">ACL</span> <span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">(</span></span><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">18 نفر) </span></span><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">و </span></span><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">درمان </span></span><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">محافظه‌کارانه (13</span></span><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:"> نفر) </span></span><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">قرار گرفتند. </span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">به‌منظور بررسی عملکرد عینی و ذهنی زانو، به‌ترتیب از آزمون‌های هاپ و مقیاس پیامد آسیب‌های زانو و استئوآرتریت (</span></span><span dir="LTR" style="font-size:7.0pt">KOOS</span><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">) استفاده شد. سلامت جسمانی و روانی ورزش‌کاران نیز با پرسش‌نامه&shy;ی پرومیس29 (</span></span><span dir="LTR" style="font-size:7.0pt">PROMIS</span><span dir="LTR" style="font-size:8.0pt">&ndash;</span><span dir="LTR" style="font-size:7.0pt">29</span><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">) ارزیابی شد. تجزیه‌وتحلیل داده‌ها با آزمون تحلیل کوواریانس چندمتغیره (</span></span><span dir="LTR" style="font-size:7.0pt">MANCOVA</span><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">) صورت گرفت. </span></span><span dir="LTR" style="font-size:8.0pt"></span></span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">یافته‌ها:</span></span></b> <span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">نتایج نشان داد که بازسازی </span></span><span dir="LTR" style="font-size:7.0pt">ACL</span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">نسبت به درمان محافظه‌کارانه، عملکرد جسمانی و ظرفیت مشارکت اجتماعی بهتر و اضطراب و افسردگی کمتری را برای ورزشکاران به همراه دارد (05/0 </span></span><em><span dir="LTR" style="font-size:8.0pt">P</span></em><span dir="LTR" style="font-size:8.0pt"> <</span><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">). علاوه بر این، بازسازی </span></span><span dir="LTR" style="font-size:7.0pt">ACL</span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">با </span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">عملکرد تفریحی و ورزشی و</span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">کیفیت زندگی بهتر و شدت علائم و سفتی زانوی کمتر نیز همراه است (05/0 </span></span><em><span dir="LTR" style="font-size:8.0pt">P</span></em><span dir="LTR" style="font-size:8.0pt"> <</span><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">). </span></span><span dir="LTR" style="font-size:8.0pt"></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">نتیجه گیری:</span></span></b> <span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">بر این اساس، می‌توان گفت که بازسازی</span></span><span dir="LTR" style="font-size:7.0pt">ACL</span> <span lang="FA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">می‌تواند عملکرد زانو، عملکرد ورزشی و سلامت روانی و جسمانی ورزش‌کار را تحت‌تأثیر قرار دهد. بااین‌حال، لازم است بدانیم </span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" nazanin="" style="font-family:">که مطالعه‌ی حاضر از نوع گذشته‌نگر است و محدودیت‌هایی دارد که باید در نظر گرفته شوند.</span></span><span dir="LTR" style="font-size:8.0pt"></span></span></span></span></span><br> &nbsp; <span new="" roman="" times=""><b><span style="background:#8a8c8e"><span calibri=""><span style="letter-spacing:-.15pt"><span style="background-color:#ffffff;">Aims</span></span></span></span></b><b><span style="background-color:#ffffff;"> </span></b><span calibri=""><span style="background-color:#ffffff;">T</span></span><span lang="EN"><span calibri=""><span style="background-color:#ffffff;">he 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.</span></span></span></span><br> <span new="" roman="" times=""><b><span style="background:#8a8c8e"><span calibri=""><span style="letter-spacing:-.15pt"><span style="background-color:#ffffff;">Methods & Materials</span></span></span></span></b><b><span style="background-color:#ffffff;"> </span></b><span lang="EN"><span calibri=""><span style="background-color:#ffffff;">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 t</span></span></span><span calibri=""><span style="background-color:#ffffff;">riple hop tests for distance</span></span><span lang="EN"><span calibri=""><span style="background-color:#ffffff;"> 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. </span></span></span><span calibri=""><span style="background-color:#ffffff;">Multivariate analysis of covariance </span></span><span lang="EN"><span calibri=""><span style="background-color:#ffffff;">was used to analyze the data at a significance level of P&le;0.05.</span></span></span></span><br> <span new="" roman="" times=""><b><span style="background:#8a8c8e"><span calibri=""><span style="letter-spacing:-.1pt"><span style="background-color:#ffffff;">Findings</span></span></span></span></b><b><span style="background-color:#ffffff;"> </span></b><span lang="EN"><span calibri=""><span style="background-color:#ffffff;">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, </span></span></span><span calibri=""><span style="background-color:#ffffff;">activities of </span><em><span calibri=""><span style="background-color:#ffffff;">daily living</span></span></em></span><span lang="EN"><span calibri=""><span style="background-color:#ffffff;">, sports performance, quality of life, and </span></span></span><em><span calibri=""><span style="background-color:#ffffff;">limb symmetry index</span></span></em><span calibri=""><span style="background-color:#ffffff;"> in </span><em><span calibri=""><span style="background-color:#ffffff;">hop</span></span></em><span style="background-color:#ffffff;"> distance</span></span><span lang="EN"><span calibri=""><span style="background-color:#ffffff;"> (P<0.05).</span></span></span><span style="font-family:"Calibri",sans-serif"></span></span><br> <span new="" roman="" times=""><b><span style="background:#8a8c8e"><span calibri=""><span style="letter-spacing:-.25pt"><span style="background-color:#ffffff;">Conclusion</span></span></span></span></b><span lang="EN"><span calibri=""><span style="background-color:#ffffff;"> It can be stated that selective treatment after an ACL injury can affect athletes&#39; knee function, sports performance, as well as physical and psychological health.</span></span></span><span lang="EN"><span calibri=""><span style="background-color:#ffffff;"> Nonetheless, </span></span></span><span lang="EN"><span calibri=""><span style="background-color:#ffffff;">it is necessary to know that the current study is retrospective and has many limitations that should be considered</span></span></span><span calibri=""><span style="background-color:#ffffff;">.</span></span></span><br> <span style="background-color:#ffffff;">&nbsp;</span> آسیب دیدگی زانو, بهداشت روان, بهداشت جسمانی, بازسازی ACL, , درمان محافظه‌کارانه Knee function, Psychological health, Physical health, ACL reconstruction, Conservative treatment 9 17 http://imtj.gmu.ac.ir/browse.php?a_code=A-10-2023-2&slc_lang=en&sid=1 Aynollah Naderi عین اله نادری ay.naderi@yahoo.com 8000319475328460037218 8000319475328460037218 Yes Associate Professor, Faculty of Sport Science, Shahrood University of Technology, Shahrood, Semnan, Iran. گروه علوم زیستی، دانشکده علوم ورزشی، دانشگاه صنعتی شاهرود، سمنان، ایران. Narges Manafi Anvar نرگس منافی انور 8000319475328460037219 0009-0001-9517-2643 No MSc student of sports injuries and corrective exercises, University Colleague Omran and Tosee, Hamadan, Iran. موسسه عمران و توسعه، همدان، ایران