Sport Science, University of Innsbruck, Austria.
Int J Sports Med. 2011 Aug;32(8):618-22. doi: 10.1055/s-0031-1275355. Epub 2011 May 11.
The aim of this study was to investigate the interaction of potential intrinsic and extrinsic risk factors in ACL injured recreational female skiers. 93 female recreational skiers who had suffered a non-contact ACL injury and 93 age-matched controls completed a self-reported questionnaire relating to intrinsic risk factors (menstrual history, BMI, previous knee injuries, self reported weekly sports participation) and extrinsic risk factors (type of ski used, time of last binding adjustment, snow condition, weather and slope difficulty). A logistic regression model revealed the following independent ACL injury risk factors for female recreational skiers: icy snow conditions (odds ratio, 24.33; 95% confidence interval, 6.8-86.5, P<0.001), skiing during snowfall (odds ratio, 16.63; 95% confidence interval, 1.8-152.1, P=0.013), use of traditional skis (odds ratio, 10.49; 95% confidence interval, 2.0-54.5, P=0.005), and preovulatory phase of menstrual cycle (odds ratio, 2.59; 95% confidence interval, 1.2-5.5, P=0.013). In conclusion, ACL injuries in female recreational skiers are the result of a complex interaction of intrinsic and extrinsic risk factors.
本研究旨在探讨 ACL 损伤的女性休闲滑雪者中潜在的内在和外在风险因素的相互作用。93 名曾遭受非接触性 ACL 损伤的女性休闲滑雪者和 93 名年龄匹配的对照组完成了一份与内在风险因素（月经史、BMI、既往膝关节损伤、自我报告的每周运动参与情况）和外在风险因素（使用的滑雪板类型、最后一次绑定调整的时间、雪况、天气和坡度难度）相关的自我报告问卷。逻辑回归模型显示，女性休闲滑雪者 ACL 损伤的独立风险因素如下：冰状雪况（优势比，24.33；95%置信区间，6.8-86.5，P<0.001）、下雪天滑雪（优势比，16.63；95%置信区间，1.8-152.1，P=0.013）、使用传统滑雪板（优势比，10.49；95%置信区间，2.0-54.5，P=0.005）和月经周期的排卵前期（优势比，2.59；95%置信区间，1.2-5.5，P=0.013）。总之，女性休闲滑雪者的 ACL 损伤是内在和外在风险因素复杂相互作用的结果。
