曲棍球头盔面罩摘除。

Lacrosse helmet facemask removal.

机构信息

Lynchburg College, VA 24501, USA.

出版信息

J Athl Train. 2013 Jan-Feb;48(1):47-56. doi: 10.4085/1062-6050-48.1.02.

DOI:10.4085/1062-6050-48.1.02

PMID:23672325

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3554032/

Abstract

CONTEXT

Facemask removal (FMR) is required to access the airway of a catastrophically injured football or ice hockey athlete. However, the best method of caring for the helmeted lacrosse athlete with suspected catastrophic injury remains unclear.

OBJECTIVE

To evaluate the effects of sex and grip strength on the speed and ease of use of various FMR methods across different lacrosse helmet types.

DESIGN

Cross-sectional study. Setting : Athletic training laboratory.

PATIENTS OR OTHER PARTICIPANTS

Fourteen athletic trainers (7 men, 7 women).

INTERVENTION(S): Removal method (cordless screwdriver [CSD], Face Mask Extractor 2 [FMX], pruner, Trainer's Angel [TA]), helmet type (Cascade CPX, Cascade Pro7, Riddell Revolution, Brine Triumph, Warrior Venom), and sex.

MAIN OUTCOME MEASURE(S): Facemask removal time and participant-reported ease of use of the removal method (6-point Likert scale).

RESULTS

We found a 2-way interaction for removal method and sex only for the ease-of-use scores (F3,246 = 4.67, P = .01). A main effect for removal method for time (F3,200 = 19.41, P < .001) and ease of use (F3,200 = 53.78, P < .001) was seen. The fastest times (32.32 ± 11.70 seconds) and highest ease-of-use scores (4.94 ± 0.30) were recorded for the CSD. We noted a main effect for helmet type only for time (F4,200 = 5.34, P < .001), with the fastest removal times (72.75 ± 74.67 seconds) recorded for the CPX. We discovered a main effect for sex only for time (F1,200 = 17.57, P < .001), with slower times recorded for women (115.51 ± 110.80 seconds) than men (75.71 ± 83.87 seconds). We found correlations between FMR time and grip strength only when using the FMX (r = -0.40, P = .001), pruner (r = -0.26, P = .04), and TA (r = -0.26, P = .047).

CONCLUSIONS

Based on our results, FMR of lacrosse helmets should be attempted with a CSD. We recommend carrying a pruner as a backup cutting tool in case the CSD fails, practicing FMR regularly, and inspecting helmets for faulty hardware to reduce the chance of CSD failure.

摘要

背景

在对遭遇灾难性损伤的橄榄球或曲棍球运动员进行气道处理时，需要移除面罩。然而，对于疑似遭遇灾难性损伤的戴盔曲棍球运动员，最佳的头盔处理方法仍不明确。

目的

评估不同曲棍球头盔类型下，性别和握力对各种面罩移除方法的速度和易用性的影响。

设计

横断面研究。设置：运动训练实验室。

患者或其他参与者

14 名运动训练师（7 名男性，7 名女性）。

干预措施

移除方法（无绳螺丝刀[CSD]、Face Mask Extractor 2 [FMX]、修枝剪、Trainer's Angel [TA]）、头盔类型（Cascade CPX、Cascade Pro7、Riddell Revolution、Brine Triumph、Warrior Venom）和性别。

主要观察指标

面罩移除时间和参与者报告的移除方法易用性（6 分李克特量表）。

结果

我们仅发现移除方法和性别的 2 因素交互作用对易用性评分有影响（F3,246 = 4.67，P =.01）。我们还观察到移除方法对时间（F3,200 = 19.41，P <.001）和易用性（F3,200 = 53.78，P <.001）均有主效应。CSD 的最快时间（32.32 ± 11.70 秒）和最高易用性评分（4.94 ± 0.30）。我们仅发现头盔类型对时间有主效应（F4,200 = 5.34，P <.001），CPX 的移除时间最快（72.75 ± 74.67 秒）。我们仅发现性别的主效应仅对时间有影响（F1,200 = 17.57，P <.001），女性的时间较慢（115.51 ± 110.80 秒），而男性的时间较快（75.71 ± 83.87 秒）。我们仅发现使用 FMX（r = -0.40，P =.001）、修枝剪（r = -0.26，P =.04）和 TA（r = -0.26，P =.047）时，面罩移除时间与握力呈负相关。