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实施预防下肢损伤的运动训练计划:制定随机对照试验干预实施计划的考虑因素。

Implementing an exercise-training programme to prevent lower-limb injuries: considerations for the development of a randomised controlled trial intervention delivery plan.

机构信息

Australian Centre for Research into Injury in Sport and its Prevention, Monash Injury Research Institute, Monash University, Melbourne, Victoria 3800, Australia.

出版信息

Br J Sports Med. 2011 Aug;45(10):791-6. doi: 10.1136/bjsm.2010.081406. Epub 2011 Mar 9.


DOI:10.1136/bjsm.2010.081406
PMID:21393258
Abstract

OBJECTIVE: To identify important considerations for the delivery of an exercise training intervention in a randomised controlled trial to maximise subsequent participation in that randomised controlled trial and intervention uptake. DESIGN: A cross-sectional survey, with a theoretical basis derived from the Health Belief Model (HBM) and the Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework. PARTICIPANTS: 374 male senior Australian Football players, aged 17-38 years. MAIN OUTCOME MEASUREMENTS: Beliefs about lower-limb injury causation/prevention, and the relative value of exercise training for performance and injury prevention. The data are interpreted within HBM constructs and implications for subsequent intervention implementation considered within the RE-AIM framework. Ordinal logistic regression compared belief scores across player characteristics. RESULTS: 74.4% of players agreed that doing specific exercises during training would reduce their risk of lower-limb injury and would be willing to undertake them. However, 64.1% agreed that training should focus more on improving game performance than injury prevention. Younger players (both in terms of age and playing experience) generally had more positive views. Players were most supportive of kicking (98.9%) and ball-handling (97.0%) skills for performance and warm-up runs and cool-downs (both 91.5%) for injury prevention. Fewer than three-quarters of all players believed that balance (69.2%), landing (71.3%) or cutting/stepping (72.8) training had injury-prevention benefits. CONCLUSIONS: Delivery of future exercise training programmes for injury prevention aimed at these players should be implemented as part of routine football activities and integrated with those as standard practice, as a means of associating them with training benefits for this sport.

摘要

目的:确定在随机对照试验中实施运动训练干预的重要考虑因素,以最大限度地提高随后对该随机对照试验和干预措施的参与度。 设计:横断面调查,理论基础源自健康信念模型(HBM)和实施、效果/有效性、采用、实施和维持(RE-AIM)框架。 参与者:374 名年龄在 17-38 岁的澳大利亚足球甲级联赛男性老年球员。 主要观察指标:对下肢损伤病因/预防的信念,以及运动训练对表现和损伤预防的相对价值。数据根据 HBM 结构进行解释,并根据 RE-AIM 框架考虑对后续干预措施实施的影响。使用有序逻辑回归比较了不同球员特征的信念得分。 结果:74.4%的球员认为在训练中进行特定的练习会降低下肢受伤的风险,并愿意进行这些练习。然而,64.1%的球员认为训练应该更注重提高比赛表现而不是预防损伤。年龄较小的球员(无论是年龄还是比赛经验)通常有更积极的观点。球员最支持的是用于表现的踢球(98.9%)和控球(97.0%)技能,以及用于预防损伤的热身跑和冷却(均为 91.5%)。不到四分之三的球员认为平衡(69.2%)、落地(71.3%)或变向/跨步(72.8%)训练具有预防损伤的益处。 结论:未来针对这些球员的预防损伤运动训练计划的实施应作为足球常规活动的一部分,并与标准实践相结合,将其与该运动的训练益处联系起来。

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