van der Does H T D, Brink M S, Benjaminse A, Visscher C, Lemmink K A P M
School of Sports Studies, Hanze University of Applied Sciences, Groningen, Netherlands.
University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, Netherlands.
Int J Sports Med. 2016 Mar;37(3):251-6. doi: 10.1055/s-0035-1559688. Epub 2015 Nov 17.
The aim of this study is to investigate the predictive value of landing stability and technique to gain insight into risk factors for ankle and knee injuries in indoor team sport players. Seventy-five male and female basketball, volleyball or korfball players were screened by measuring landing stability after a single-leg jump landing and landing technique during a repeated counter movement jump by detailed 3-dimensional kinematics and kinetics. During the season 11 acute ankle injuries were reported along with 6 acute and 7 overuse knee injuries by the teams' physical therapist. Logistic regression analysis showed less landing stability in the forward and diagonal jump direction (OR 1.01-1.10, p≤0.05) in players who sustained an acute ankle injury. Furthermore landing technique with a greater ankle dorsiflexion moment increased the risk for acute ankle injury (OR 2.16, p≤0.05). A smaller knee flexion moment and greater vertical ground reaction force increased the risk of an overuse knee injury (OR 0.29 and 1.13 respectively, p≤0.05). Less one-legged landing stability and suboptimal landing technique were shown in players sustaining an acute ankle and overuse knee injury compared to healthy players. Determining both landing stability and technique may further guide injury prevention programs.
本研究旨在探讨落地稳定性和技术的预测价值，以深入了解室内团队运动运动员踝关节和膝关节损伤的风险因素。通过详细的三维运动学和动力学测量，对75名男女篮球、排球或考夫球运动员进行了单腿跳跃落地后的落地稳定性和重复反向运动跳跃时的落地技术筛查。在赛季期间，球队的物理治疗师报告了11例急性踝关节损伤，以及6例急性和7例过度使用性膝关节损伤。逻辑回归分析显示，发生急性踝关节损伤的运动员在向前和对角跳跃方向上的落地稳定性较低（比值比1.01 - 1.10，p≤0.05）。此外，踝关节背屈力矩较大的落地技术增加了急性踝关节损伤的风险（比值比2.16，p≤0.05）。较小的膝关节屈曲力矩和较大的垂直地面反作用力增加了过度使用性膝关节损伤的风险（分别为比值比0.29和1.13，p≤0.05）。与健康运动员相比，发生急性踝关节损伤和过度使用性膝关节损伤的运动员单腿落地稳定性较差，落地技术也不理想。确定落地稳定性和技术两者可能会进一步指导损伤预防计划。
