前交叉韧带重建后康复训练研究热点的可视化分析

Visualization analysis of current research hotspots on rehabilitation treatment after anterior cruciate ligament reconstruction

背景:前交叉韧带损伤和重建手术的数量逐年增高,前交叉韧带重建后患者恢复活动和运动的安全性、速度,主要取决于科学的康复方案。目的:应用CiteSpace可视化分析软件绘制科学知识图谱并结合相关研究证据,探讨近11年康复训练在前交叉韧带重建后运用的研究现状、研究热点及趋势,以期后续对前交叉韧带重建的研究和临床治疗提供思路和借鉴。方法:以Web of Science核心合集数据库为文献来源,检索2010-2020年以康复训练与前交叉韧带重建研究为主题的相关文献进行CiteSpace知识图谱的绘制及可视化分析。结果与结论:(1)共纳入323篇文献,近11年该领域发文量及总被引频数呈稳步增长。(2)共101种期刊发表了该领域相关文章,收录期刊研究领域集中在运动科学、康复、整形外科及手术领域,其中发文量最高的期刊是《KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY》。(3)发文数量排名前3的国家依次是美国、意大利、中国,排名前3的研究机构为特拉华大学、肯塔基大学、俄亥俄州立大学,其中来自美国的特拉华大学发文量与中心性居于榜首,发文最多的作者及团队是来自该大学的健康科学学院物理治疗系教授LYNN SNYDERMACKLER团队,在该领域具有较高的影响力。(4)共被引文献分析发现,频次前5的文献涉及的主题包括:前交叉韧带重建后回归运动水平的时机、评价指标、膝关节功能状态及影响因素,基于多学科共识的康复实践指南和二次损伤的风险率研究及其相关干预措施等。(5)关键词分析表明,前交叉韧带重建后康复训练方案、回归运动、二次损伤等方面的研究是该领域研究的热点内容。(6)上述结果表明,康复训练在前交叉韧带重建后的相关研究在近11年来呈上升趋势,该领域关注点由关节局部功能情况逐渐向个体社会参与角度转变,研究方向由最初的具体康复方法的探讨逐渐向指导回归运动、避免二次损伤等方向发展,制定安全重返运动的标准/准则的相关研究将成为该领域今后的发展趋势。

BACKGROUND:The incidence of anterior cruciate ligament injury and the need for surgical reco nstruction are increasing year by year. The safety and speed of activity and movement recove ry after anterior cruciate ligament reconstruction mainly depend on a scientific rehabilitation program.OBJECTIVE:To ex plore the research status,hotspots and trends of rehabilitation therapy in anterior cruciate ligament reconstruction in the past 11 yea rs based on the scientific knowledge map ping using the CiteSpace software,attempting to provide ideas and reference for the subsequent research and clinical treatment of anterior cruciate ligament reconstruction.METHODS:The Web of Science(SCI-Expanded,SSCI,CCR-Expanded,IC) core collection database was retrieved for the literature related to reha bilitation treatment and anterior cruciate ligament reconstruction published from 2010 to 2020.Scientific knowledge mapping and visualization analysis using CiteSpace were subsequently conducted.RESULTS AND CONCLUSION:A total of 323 papers were included,and the number of published papers and total citation frequency in this field increased steadily in the past 11 yea rs.A total of 101 journals have published articles related to this field.The research fields of the included journals are concentrated in sports science,rehabilitation, plastic surge ry,and surgery,KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY is the journal that has the most publications.The top three countries with the most publications a re the U nited States,Italy,and China,and the top three institutions with the most publications are Univ Delaware,Ohio State Univ,and Univ G roningen.Univ Delaware in the United States tops the list in terms of article amount and centrality.The team led by Lynn Snydermackler, a professor from the Department of Physical Therapy at the Univ Delaware,that has the most articles published in this field has a greater influence in this field.Literatu re co-citation analysis indicates the topics involved in the top five literatures include the timing of returning to sport level,evaluation indexes,knee joint function status and influencing factors,rehabilitation practice guidelines based on multidisciplinary consensus,risk rate of secondary injury after anterior cruciate ligament reconstruction and rela ted interventions.Keywords analysis indicates that research on rehabilitation training plan,return to sport and secondary injury after anterior cruciate ligament reconstruction is a hot topic in this field.All these findings reveal that relevant research on rehabilitation training after anterior cruciate ligament reconstruction has been on the rise in recent 11 years.The focus in this field has been gra d ually shifted from local function of the knee joint to individual social participation.The research direction has gradually developed from the initial discussion of specific rehabilitation methods to guiding return to sport and avoiding secondary injury.Development of standards/g uidelines for safe return to sport will be a future tre nd in this field.