摘要
【目的】探讨健康心理控制源对前交叉韧带重建术后早期康复的影响,为临床医生制定个性化康复方案提供参考。【方法】对自2019年7月至2019年10月的155例前交叉韧带重建患者进行前瞻性队列研究,其中男性124例,女性31例。明确多维度健康状况心理控制源量表C与Tegner活动等级评分、IKDC评分、Lysholm评分、YBalance检验之间的关系。采用Wilcoxon符号秩检验、相关分析和Logistics回归分析,探讨健康心理控制源对前交叉韧带重建术后早期康复效果的影响。【结果】内控型得分与术后3月及6月IKDC评分(r_(3m)=0.77,r_(6m)=0.70,P<0.001)、Lysholm评分(r_(3m)=0.68,r_(6m)=0.64,P<0.001)及Tegner评分(r_(3m)=0.24,r_(6m)=0.46,P<0.05)呈正相关,内控型得分越高Y-Balance Test测试结果为差的风险越小[OR 95%CI为0.86(0.76,0.97),P=0.016];机遇型得分与术后3月及6月IKDC评分(r_(3m)=-0.71,r_(6m)=-0.67,P<0.001)、Lysholm评分(r_(3m)=-0.49,r_(6m)=-0.43,P<0.001)及Tegner评分(r_(3m)=-0.22,r_(6m)=-0.35,P<0.05)呈负相关,机遇型得分越高Y-Balance Test测试结果为差的风险越大[OR 95%CI为1.26(1.12,1.41),P<0.001];有势力的他人型得分与术后3月及6月的IKDC评分(r_(3m)=-0.51,r_(6m)=-0.50,P<0.001)及Lysholm评分(r_(3m)=-0.36,r_(6m)=-0.40,P<0.001)呈负相关,与术后Tegner评分不存在相关性(P>0.05),有势力的他人型得分越高YBalance Test测试结果为差的风险越大[OR 95%CI为1.74(1.29,2.34),P<0.001]。【结论】健康心理控制源与前交叉韧带重建术后早期康复效果密切相关,其中内控型得分越高前交叉韧带重建术后康复效果越好,而外控型得分越高前交叉韧带重建术后康复效果差的风险越高。
【Objective】To explore the effect of health locus of control on the early rehabilitation after anterior cruciate ligament(ACL)reconstruction.【Methods】From July 2019 to October 2019,a prospective cohort study of 155 ACL pa-tients receiving reconstruction(male=124 and female=31)in our hospital was conducted.The general data questionnaire,MHLC-C,Tegner activity score,IKDC Score,Lysholm Score and Y-Balance Test were used for further analysis.The cor-relation between HLC and early rehabilitation after ACL reconstruction was explored by Wilcoxon signed-rank tests,corre-lation analysis and Logistics regression analysis.【Results】Positive correlations were found between the internality health locus of control(IHLC)and the IKDC score(r_(3m)=0.77,r_(6m)=0.70,P<0.001),as well as the Lysholm scores(r_(3m)=0.68,r_(6m)=0.64,P<0.001)and the Tegner activity score(r_(3m)=0.24,r_(6m)=0.46,P<0.05)in 3 and 6 months after surgery,and higher IHLC score indicated a better y-balance test outcome[OR 95%CI=0.86(0.76,0.97),P=0.016].Chance health locus of control(CHLC)was negatively correlated with the IKDC score(r_(3m)=-0.71,r_(6m)=-0.67,P<0.001),the Lysholm score(r_(3m)=-0.49,r_(6m)=-0.43,P<0.001)and the Tegner activity score(r_(3m)=-0.22,r_(6m)=-0.35,P<0.05)in 3 and 6 months after sur-gery,and higher CHLC score indicated worse outcome of y-balance test[OR 95%CI=1.26(1.12,1.41),P<0.001].There was a negative correlation between the Powerful others health locus of control(PHLC)and the IKDC score(r_(3m)=-0.51,r_(6m)=-0.50,P<0.001),the Lysholm scores(r_(3m)=-0.36,r_(6m)=-0.40,P<0.001),but there was no correlation with the Tegner ac-tivity score in 3 and 6 months after surgery(P>0.05).The risk of poor y-balance test increased by higher score of PHLC[OR 95%CI=1.74(1.29,2.34),P<0.001].【Conclusion】A significant correlation was found between the health locus of control and the early rehabilitation effect after ACL reconstruction.Higher internality health locus of control scores indicat-ed a better rehabilitation outcome,while higher
作者
徐玥
李卫平
宋斌
蔡华妹
杨婉婷
江川
张正政
陈仲
XU Yue;LI Wei-ping;SONG Bin;CAI Hua-mei;YANG Wan-ting;JIANG Chuan;ZHANG Zheng-zheng;CHEN Zhong(Department of Sports Medicine,Sun Yat-sen Memorial Hospital,Guangzhou 510120,China;Zhongshan School of Medicine,Sun Yat-sen University,Guangzhou 510080,China;Department of Psychology,Sun Yat-sen University,Guangzhou 510006,China)
出处
《中山大学学报（医学科学版）》
CAS
CSCD
北大核心
2022年第6期1028-1034,共7页
Journal of Sun Yat-Sen University:Medical Sciences
基金
广东省基础与应用基础研究基金(2019A1515011684,2020A1515011322,2021A1515012337)
广东省体育科技协同创新中心项目(2019B110210004)
国家自然科学基金(82172416)。
关键词
前交叉韧带
内外心理控制源
康复
anterior cruciate ligament
internal-external control
rehabilitation
