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大学生运动员功能性动作筛查与损伤发生之间的关联

Association between the functional movement screen and injury development in college athletes.

作者信息

Garrison Michael, Westrick Richard, Johnson Michael R, Benenson Jonathan

机构信息

US Army-Baylor Sports Medicine Physical Therapy Doctoral Program, United States Military Academy, West Point, NY USA.

Senior Actuarial Analyst, United States Military Academy, West Point, NY USA.

出版信息

Int J Sports Phys Ther. 2015 Feb;10(1):21-8.

Abstract

BACKGROUND

As the number of sports participants continues to rise, so does the number of sports injuries. Establishing a valid method of identifying athletes at elevated risk for injury could lead to intervention programs that lower injury rates and improve overall athlete performance. The Functional Movement Screen (FMS)™ is an efficient and reliable method to screen movement patterns during the performance of specific tasks. The purpose of this study is to explore the association between pre-season FMS TM scores and the development of injury in a population of collegiate athletes.

STUDY DESIGN

Descriptive epidemiology study.

METHODS

FMS™ scores were obtained for 160 collegiate athletes and injury development was tracked throughout the season. These athletes were both male and female and participated in contact and non-contact sports. Redundancies were utilized with injury data collection, including medical record reviews and interviews with team athletic trainers, to ensure that all injuries requiring medical attention were captured. At the conclusion of the season, a logistic regression analysis was performed to determine which combination of factors best predicted injury.

RESULTS

Athletes with an FMS™ composite score at 14 or below combined with a self-reported past history of injury were at 15 times increased risk of injury. A positive likelihood ratio of 5.8 was calculated which improved the probability of predicting injury from 33% pretest to 74% posttest.

CONCLUSIONS

This study adds to the growing body of evidence demonstrating a predictive relationship between FMS™ composite scores and past history of injury with the development of future injury.

LEVEL OF EVIDENCE

3, Non-random prospective cohort design.

摘要

背景

随着体育参与者数量持续增加,运动损伤的数量也在上升。建立一种有效的方法来识别受伤风险较高的运动员,可能会带来降低受伤率并提高运动员整体表现的干预计划。功能性动作筛查(FMS)™是一种在执行特定任务时筛查动作模式的有效且可靠的方法。本研究的目的是探讨大学运动员群体中季前FMS™评分与损伤发生之间的关联。

研究设计

描述性流行病学研究。

方法

获取了160名大学运动员的FMS™评分,并在整个赛季跟踪损伤的发生情况。这些运动员包括男性和女性,参与接触性和非接触性运动。在损伤数据收集过程中采用了冗余措施,包括病历审查和与团队运动训练师的访谈,以确保所有需要医疗关注的损伤都被记录下来。在赛季结束时,进行了逻辑回归分析,以确定哪些因素组合能最好地预测损伤。

结果

FMS™综合评分在14分及以下且自我报告有既往损伤史的运动员,受伤风险增加了15倍。计算出的阳性似然比为5.8,这将预测损伤的概率从测试前的33%提高到了测试后的74%。

结论

本研究为越来越多的证据增添了内容,这些证据表明FMS™综合评分与既往损伤史和未来损伤发生之间存在预测关系。

证据水平

3,非随机前瞻性队列设计。

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