Oslo Sports Trauma Research Center, Norwegian School of Sports Sciences, Oslo, Norway.
Scand J Med Sci Sports. 2010 Jun;20(3):403-10. doi: 10.1111/j.1600-0838.2009.00971.x. Epub 2009 Jun 23.
This prospective cohort study was conducted to identify risk factors for acute ankle injuries among male soccer players. A total of 508 players representing 31 amateur teams were tested during the 2004 pre-season through a questionnaire on previous injury and function score (foot and ankle outcome score; FAOS), functional tests (balance tests on the floor and a balance mat) and a clinical examination of the ankle. Generalized estimating equations were used in univariate analyses to identify candidate risk factors, and factors with a P-value <0.10 were then examined in a multivariate model. During the season, 56 acute ankle injuries, affecting 46 legs (43 players), were registered. Univariate analyses identified a history of previous acute ankle injuries [odds ratio (OR) per previous injury: 1.25, 95% confidence interval (CI) 1.09-1.43] and the FAOS sub-score "Pain" (OR for a 10-point difference in score: 0.81, 95% CI 0.62-1.04) as candidate risk factors. In a multivariate analysis, only the number of previous acute ankle injuries proved to be a significant (adjusted OR per previous injury: 1.23; 95% CI 1.06-1.41, P=0.005) predictor of new injuries. Function scores, functional tests and clinical examination could not independently identify players at an increased risk in this study.
这项前瞻性队列研究旨在确定男性足球运动员急性踝关节损伤的危险因素。共有 508 名代表 31 支业余球队的球员在 2004 年赛季前接受了问卷调查，内容包括既往损伤和功能评分（足部和踝关节结局评分；FAOS）、功能测试（地面和平衡垫上的平衡测试）以及踝关节临床检查。单变量分析采用广义估计方程确定候选危险因素，然后在多变量模型中检查 P 值<0.10 的因素。在赛季中，共记录了 56 例急性踝关节损伤，影响了 46 条腿（43 名球员）。单变量分析确定了既往急性踝关节损伤史（既往损伤每例的比值比：1.25，95%置信区间：1.09-1.43）和 FAOS 子评分“疼痛”（评分每增加 10 分的比值比：0.81，95%置信区间：0.62-1.04）为候选危险因素。在多变量分析中，只有既往急性踝关节损伤的次数被证明是新损伤的显著（调整后每例既往损伤的比值比：1.23；95%置信区间：1.06-1.41，P=0.005）预测因素。在这项研究中，功能评分、功能测试和临床检查均不能独立识别出高风险的运动员。
