Ortiz Alexis, Trudelle-Jackson Elaine, McConnell Keegan, Wylie Stephanie
University of Puerto Rico-Medical Sciences Campus, School of Health Professions, Physical Therapy Program, San Juan, PR.
P R Health Sci J. 2010 Mar;29(1):40-8.
Incidence of knee injuries in female soccer players is 2-6 times that of male counterparts. The objective was to determine whether an injury prevention program incorporated into the athlete's regular soccer practice is effective for improving landing mechanics.
Two competitive adolescent female soccer teams (n = 30) participated in the study. One team served as the control group while the other team participated in a 6-week injury prevention program. Muscle strength, muscle length, and 3-dimensional kinematics and kinetics during a single legged drop jump and single legged squat task were measured pre and post-intervention. A 2 x 2 repeated measures multivariate analyses of variance (MANOVA's) were used to compare strength and flexibility measures as well as knee joint kinematics and kinetics. Significant multivariate results were followed with appropriate univariate analyses.
Quadriceps strength increased significantly (p = .004) following the injury prevention program while other strength and flexibility measurements were unchanged. Differences in knee joint angles and moments during the drop jump and squat tasks showed varied results with a tendency for improvement in the intervention group.
Flexibility and strength do not appear to be affected by a short injury prevention program. Knee joint injury predisposing factors improved minimally but did not reach statistical significance with a short injury prevention program integrated as warm-up into soccer practice. Further research with a larger sample size is needed to explore the effectiveness of such programs.
女子足球运动员膝盖受伤的发生率是男子足球运动员的2至6倍。目的是确定纳入运动员常规足球训练的预防损伤计划是否对改善落地力学有效。
两支竞技性青少年女子足球队(n = 30)参与了该研究。一支球队作为对照组,而另一支球队参与了为期6周的预防损伤计划。在干预前后测量单腿下蹲跳和单腿深蹲任务期间的肌肉力量、肌肉长度以及三维运动学和动力学。采用2×2重复测量多变量方差分析(MANOVA)来比较力量和柔韧性测量结果以及膝关节运动学和动力学。显著的多变量结果随后进行适当的单变量分析。
预防损伤计划实施后,股四头肌力量显著增加(p = .004),而其他力量和柔韧性测量结果未变。下蹲跳和深蹲任务期间膝关节角度和力矩的差异呈现出不同的结果,干预组有改善的趋势。
短期的预防损伤计划似乎不会影响柔韧性和力量。将短期预防损伤计划作为热身纳入足球训练时,膝关节损伤易感因素仅有轻微改善,但未达到统计学显著性。需要进行更大样本量的进一步研究来探索此类计划的有效性。