一项针对女子手球运动员预防训练计划的对照前瞻性病例对照研究：德国的经验。
A controlled prospective case control study of a prevention training program in female team handball players: the German experience.
作者信息
Petersen Wolf, Braun Christoph, Bock Wiebke, Schmidt Kirsten, Weimann Andre, Drescher Wolf, Eiling Elisabeth, Stange Richard, Fuchs Thomas, Hedderich Jürgen, Zantop Thore
机构信息
Department of Trauma, Hand, and Reconstructive Surgery, Westfalian Wilhelms University Münster, Waldeyerstr. 1, 48149 Münster, Germany.
出版信息
Arch Orthop Trauma Surg. 2005 Nov;125(9):614-21. doi: 10.1007/s00402-005-0793-7.
BACKGROUND
Few authors have investigated the effectiveness of preventive intervention in European team handball.
PURPOSE
The aim of the present study was to evaluate the effects of a prevention program on the incidence of injuries in female European team handball players.
STUDY DESIGN
Prospective controlled study.
METHODS
Ten female handball teams (134 players) took part in the prevention program (1. Information about injury mechanism, 2. Balance-board exercises, 3. Jump training) while 10 other teams (142 players) were instructed to train as usual. Over one season all injuries were documented weekly.
RESULTS
Ankle sprain was the most frequent diagnosis in both groups with 11 ankle sprains in the control group and 7 ankle sprains in the intervention group (Odds ratio: 0.55, 95% confidence interval: 0.22-1.43). The knee was the second frequent injury site. In the control group 5 of all knee injuries were anterior cruciate ligament (ACL) ruptures (incidence: 0.21 per 1000 h) in comparison with one in the intervention group (incidence: 0.04 per 1000 h). Odds ratio was 0.17 with 95% confidence interval of 0.02-1.5.
CONCLUSIONS
This study confirms that proprioceptive and neuromuscular training is appropriate for the prevention of knee and ankle injuries among female European team handball players.
背景
很少有作者研究欧洲女子手球运动中预防性干预措施的有效性。
目的
本研究旨在评估一项预防计划对欧洲女子手球运动员受伤发生率的影响。
研究设计
前瞻性对照研究。
方法
十支女子手球队（134名运动员）参与了预防计划（1. 关于损伤机制的信息，2. 平衡板训练，3. 跳跃训练），而另外十支球队（142名运动员）则按常规训练。在一个赛季中，每周记录所有损伤情况。
结果
两组中最常见的诊断均为踝关节扭伤，对照组有11例踝关节扭伤，干预组有7例踝关节扭伤（优势比：0.55，95%置信区间：0.22 - 1.43）。膝关节是第二常见的损伤部位。对照组所有膝关节损伤中有5例为前交叉韧带（ACL）断裂（发生率：每1000小时0.21例），而干预组为1例（发生率：每1000小时0.04例）。优势比为0.17，95%置信区间为0.02 - 1.5。
结论
本研究证实本体感觉和神经肌肉训练适用于预防欧洲女子手球运动员的膝关节和踝关节损伤。
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