Brolinson Per Gunnar, Smolka Michael, Rogers Mark, Sukpraprut Suporn, Goforth Michael W, Tilley Greg, Doolan Keith P
Department of Primary Care Sports Medicine at Edward Via Collegeof Osteopathic Medicine-Virginia Campus (VCOM-Virginia), 2265 Kraft Dr, Blacksburg, VA 24060-6360, USA.
J Am Osteopath Assoc. 2012 Sep;112(9):607-15.
One of the goals of providing manipulative treatment such as osteopathic manipulative treatment (OMT) is to restore maximal, pain-free movement of the musculoskeletal system and to enhance neuromuscular function. Anecdotally, some athletes have reported that their athletic performance improves after manipulative treatment.
To develop preliminary data to gain more understanding about the association between precompetition manipulative treatments provided to Division I football players and their athletic performance during each game for 2 consecutive football seasons.
The study design was a retrospective cohort study. Participants were football athletes at Virginia Polytechnic Institute and State University (Virginia Tech). Board-certified osteopathic physicians who were trained in osteopathic manipulative medicine and sports medicine performed OMT and determined the type of OMT techniques used and the spinal segments treated. One chiropractor provided chiropractic manipulative therapy. Prior to each game, the athletes who elected to receive precompetition manipulative treatment (ie, OMT or chiropractic manipulative therapy) underwent a focused physical examination and received manipulative treatment on the basis of clinical findings. After each game, the coaching staff "graded" the players by using a standard coaching algorithm. Offensive players received a percentile score (0 to 100) and defensive players received a numeric score (> 30 was considered "very good").
A total of 1976 manipulative treatments were provided to 115 football players in 2 consecutive football seasons. Sixty-two offensive players received 985 manipulative treatments, and 53 defensive players received 991 manipulative treatments. Treatments were applied to the affected regions of the spine: cervical, thoracic, lumbar, and sacral sections. Mean (standard deviation) performance scores were 67.8% (22.8%) and 11.1 (9.9) points among offensive and defensive players, respectively. The correlation coefficients between the numbers of the manipulative treatments and the performance scores were 0.107 (P = .407) among the offensive players and 0.218 (P=.117) among the defensive players.
Precompetition manipulative treatment was positively associated with improved performance among both offensive and defensive Virginia Tech football players. Although the associations between these 2 factors were relatively small and not statistically significant, we found positive correlations in performance of the offensive and defensive players.
提供整骨疗法等手法治疗的目标之一是恢复肌肉骨骼系统的最大无痛活动，并增强神经肌肉功能。据传闻，一些运动员报告称手法治疗后他们的运动表现有所提高。
获取初步数据，以更深入了解为一级联盟橄榄球运动员提供的赛前手法治疗与他们在连续两个橄榄球赛季每场比赛中的运动表现之间的关联。
本研究设计为回顾性队列研究。参与者是弗吉尼亚理工学院和州立大学（弗吉尼亚理工大学）的橄榄球运动员。接受过整骨手法医学和运动医学培训的获得委员会认证的整骨医生进行整骨手法治疗，并确定所使用的整骨手法技术类型和治疗的脊柱节段。一名脊椎按摩师提供脊椎按摩疗法。在每场比赛前，选择接受赛前手法治疗（即整骨手法治疗或脊椎按摩疗法）的运动员接受重点体格检查，并根据临床检查结果接受手法治疗。每场比赛后，教练组使用标准教练算法对球员进行“评分”。进攻球员获得百分制评分（0至100），防守球员获得数字评分（>30被认为“非常好”）。
在连续两个橄榄球赛季中，共为115名橄榄球运动员提供了1976次手法治疗。62名进攻球员接受了985次手法治疗，53名防守球员接受了991次手法治疗。治疗应用于脊柱的受影响区域：颈椎、胸椎、腰椎和骶椎部分。进攻球员和防守球员的平均（标准差）表现评分分别为67.8%（22.8%）和11.1（9.9）分。进攻球员中手法治疗次数与表现评分之间的相关系数为0.107（P = 0.407），防守球员中为0.218（P = 0.117）。
赛前手法治疗与弗吉尼亚理工大学橄榄球进攻和防守球员的表现改善呈正相关。尽管这两个因素之间的关联相对较小且无统计学意义，但我们发现进攻和防守球员的表现存在正相关。
