Comparação da funcionalidade do joelho e aptidão psicológica entre homens e mulheres pós reconstrução de LCA

Abstract

Introduction: ACL injuries are common and, even after reconstruction, can lead to functional limitations and psychosocial impacts that interfere with confidence and return to sport. Objectives: To compare men and women regarding knee functionality and psychological fitness after ACL reconstruction. Methods: An analytical cross-sectional study was conducted with 37 adult participants who underwent anterior cruciate ligament reconstruction. The International Knee Documentation Committee (IKDC) and Anterior Cruciate Ligament – Return to Sport after Injury (ACL-RSI) instruments were applied. Student's t-test and chi-square test were used to compare men and women, with a significance level of 5%. Results: No statistically significant differences were observed between the sexes for either knee functionality (IKDC) (46.57±7.52 vs 45.40±7.07=46.06±7.52, p=0.32) or psychological fitness (ACL-RSI) (61.70±14.57 vs 59.79±27.06=60.87±20.59, p=0.40). However, a higher prevalence of self-reported pain was observed among men compared to women (14 (70%) vs 5 (29.4%), p=0.029). Conclusion: Men and women did not show differences in knee functionality and psychological fitness for return to physical activities after ACL reconstruction. Keywords: Reconstruction Anterior cruciate ligament, ACL, physiotherapy rehabilitation, knee functionality, psychological fitness, sex difference, men and women.