Boesen Morten Ilum, Boesen Anders, Koenig Merete Juhl, Bliddal Henning, Torp-Pedersen Soren
The Parker Institute, Frederiksberg, Denmark.
Am J Sports Med. 2006 Dec;34(12):2013-21. doi: 10.1177/0363546506290188. Epub 2006 Jul 26.
The most frequent injuries in badminton players are in the lower extremities, especially in the Achilles tendon.
The game of badminton may be related to abnormal intratendinous flow in the Achilles tendon as detected by color Doppler ultrasound. To a certain extent, this blood flow might be physiological, especially when examined after match.
Cohort study (prevalence); Level of evidence, 3.
Seventy-two elite badminton players were interviewed regarding Achilles tendon pain (achillodynia) in the preceding 3 years. Color Doppler was used to examine the tendons of 64 players before their matches and 46 players after their matches. Intratendinous color Doppler flow was graded from 0 to 4. The Achilles tendon was divided into dominant (eg, right side for right-handed players and vice versa) and nondominant side and classified as midtendon, preinsertional, and calcaneal areas.
Of 72 players, 26 had experienced achillodynia in 34 tendons, 18 on the dominant side and 16 on the nondominant side. In 62% of the players with achillodynia, the problems had begun slowly, and the median duration of symptoms was 4 months (range, 0-36 months). Thirty-five percent had ongoing pain in their tendons for a median duration of 12 months (range, 0-12 months). Achillodynia was not associated with the self-reported training load or with sex, age, weight, singles or doubles players, or racket side. Forty-six players were scanned before and after match. At baseline, color Doppler flow was present in the majority of players, and only 7 (16%) players had no color Doppler flow in either tendon. After match, all players had some color Doppler flow in 1 or both tendons. Achillodynia and color Doppler flow were related in the nondominant Achilles tendon (chi-square, P = .008). The grades of Doppler flow also increased significantly after match in the preinsertional area in both the nondominant (P = .0002) and dominant (P = .005) side tendons.
A large proportion of the players had experienced achillodynia and habitually played with a degree of pain that demanded medication. The self-reported pain was associated with increased intratendinous color Doppler flow in the nondominant Achilles tendon. Doppler flow was found in most players before and in all players after the match and therefore may in part be a physiological response to activity.
羽毛球运动员最常见的损伤部位是下肢，尤其是跟腱。
羽毛球运动可能与彩色多普勒超声检测到的跟腱内血流异常有关。在一定程度上，这种血流可能是生理性的，尤其是在比赛后进行检查时。
队列研究（患病率）；证据等级，3级。
对72名精英羽毛球运动员进行访谈，了解他们在过去3年中是否有跟腱疼痛（跟腱痛）。对64名运动员在比赛前和46名运动员在比赛后使用彩色多普勒检查其肌腱。跟腱内彩色多普勒血流分为0至4级。将跟腱分为优势侧（如右利手运动员的右侧，反之亦然）和非优势侧，并分为肌腱中部、插入前和跟骨区域。
72名运动员中，26名在34条肌腱上出现过跟腱痛，优势侧18条，非优势侧16条。在62%有跟腱痛的运动员中，问题是逐渐出现的，症状的中位持续时间为4个月（范围0至36个月）。35%的运动员肌腱持续疼痛，中位持续时间为12个月（范围0至12个月）。跟腱痛与自我报告的训练负荷、性别、年龄、体重、单打或双打运动员以及球拍侧无关。46名运动员在比赛前后接受了扫描。基线时，大多数运动员的肌腱存在彩色多普勒血流，只有7名（16%）运动员的两条肌腱均无彩色多普勒血流。比赛后，所有运动员的一条或两条肌腱均有一些彩色多普勒血流。非优势侧跟腱的跟腱痛与彩色多普勒血流有关（卡方检验，P = 0.008）。比赛后，非优势侧（P = 0.0002）和优势侧（P = 0.005）肌腱插入前区域的多普勒血流分级也显著增加。
很大一部分运动员经历过跟腱痛，并且习惯在一定程度的疼痛下打球，需要药物治疗。自我报告的疼痛与非优势侧跟腱内彩色多普勒血流增加有关。大多数运动员在比赛前以及所有运动员在比赛后均发现有多普勒血流，因此这可能部分是对活动的生理反应。
