Brophy R H, Chiaia T A, Maschi R, Dodson C C, Oh L S, Lyman S, Allen A A, Williams R J
Washington University School of Medicine, St. Louis, United States.
Int J Sports Med. 2009 Sep;30(9):663-7. doi: 10.1055/s-0029-1225328. Epub 2009 Jul 7.
Gender differences in hip and core strength and range of motion may contribute to the gender based variance in injury risk. This study was designed to test the primary hypothesis that hip and core strength, flexibility and lower extremity dynamic alignment differ in male and female soccer athletes. Ninety-eight collegiate soccer players (54 male, 44 female) participated in this study. Athletes were evaluated for hip range of motion, and hip and abdominal strength. Both male and female soccer players demonstrated limited hip rotation, with less hip internal rotation in males (p<0.0001), and poor abdominal core control, although the males are stronger (p=0.02). Overall hip ROM is shifted towards internal rotation in females compared to males. Female soccer players also have a significant side-to-side disparity in hip abductor strength (p<0.0001), not present in males. The shift in hip ROM towards internal rotation combined with the hip abductor imbalance may be associated with a position of ACL risk with internally rotated hips and valgus knees in female soccer players. Limitations in hip and core strength and range of motion may play a role in the disparity between the male and female rate of ACL injury.
髋部和核心力量以及活动范围的性别差异可能导致基于性别的受伤风险差异。本研究旨在检验主要假设,即男女足球运动员在髋部和核心力量、柔韧性以及下肢动态对线方面存在差异。98名大学足球运动员(54名男性,44名女性)参与了本研究。对运动员的髋部活动范围以及髋部和腹部力量进行了评估。男女足球运动员均表现出髋部旋转受限,男性的髋部内旋较少(p<0.0001),并且腹部核心控制较差,尽管男性更强壮(p=0.02)。与男性相比,女性的总体髋部活动范围向内部旋转偏移。女足球运动员在髋外展肌力量方面也存在显著的左右差异(p<0.0001),而男性不存在这种差异。髋部活动范围向内部旋转的偏移以及髋外展肌不平衡可能与女足球运动员髋部内旋和膝外翻时的前交叉韧带(ACL)损伤风险位置有关。髋部和核心力量以及活动范围的限制可能在男女ACL损伤发生率的差异中起作用。