使用功能性动作筛查评估的澳大利亚精英青少年足球运动员中，功能失调、不对称和疼痛性动作的发生率很高。
High prevalence of dysfunctional, asymmetrical, and painful movement in elite junior Australian Football players assessed using the Functional Movement Screen.
作者信息
Fuller Joel T, Chalmers Samuel, Debenedictis Thomas A, Townsley Samuel, Lynagh Matthew, Gleeson Cara, Zacharia Andrew, Thomson Stuart, Magarey Mary
机构信息
Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, University of South Australia, Australia.
Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, University of South Australia, Australia; Sport and Exercise Science, School of Science and Health, Western Sydney University, Australia.
出版信息
J Sci Med Sport. 2017 Feb;20(2):134-138. doi: 10.1016/j.jsams.2016.05.003. Epub 2016 May 21.
OBJECTIVES
The purpose of this study was to describe the prevalence of dysfunctional, asymmetrical, and painful movement in junior Australian Football players using the Functional Movement Screen (FMS).
DESIGN
Cross-sectional study.
METHODS
Elite junior male Australian Football players (n=301) aged 15-18 years completed pre-season FMS testing. The FMS consists of 7 sub-tests: deep squat, hurdle step, in-line lunge, shoulder mobility, active straight leg raise, trunk stability push-up (TSPU) and rotary stability. The shoulder mobility, TSPU, and rotary stability tests were combined with an accompanying clearing test to assess pain. Each sub-test was scored on an ordinal scale from 0 to 3 and summed to give a composite score out of 21. Composite scores ≤14 were operationally defined as indicating dysfunctional movement. Players scoring differently on left and right sides were considered asymmetrical. Players reported whether they missed any games due to injury in the preceding 22 game season.
RESULTS
Sixty percent of players (n=182) had composite scores ≤14, 65% of players (n=196) had at least one asymmetrical sub-test, and 38% of players (n=113) had at least one painful sub-test. Forty-two percent of players (n=126) missed at least one game in the previous season due to injury. Previous injury did not influence composite score (p=0.951) or asymmetry (p=0.629). Players reporting an injury during the previous season were more likely to experience pain during FMS testing (odds ratio 1.97, 95% confidence interval 1.23-3.18; p=0.005).
CONCLUSIONS
Junior Australian Football players demonstrate a high prevalence of dysfunctional, asymmetrical, and painful movement during FMS testing.
目的
本研究旨在使用功能性动作筛查（FMS）描述澳大利亚青少年足球运动员功能失调、不对称和疼痛性动作的发生率。
设计
横断面研究。
方法
15 - 18岁的精英澳大利亚青少年男子足球运动员（n = 301）完成季前FMS测试。FMS由7项子测试组成：深蹲、跨栏步、直线弓箭步蹲、肩部灵活性、主动直腿抬高、躯干稳定性俯卧撑（TSPU）和旋转稳定性。肩部灵活性、TSPU和旋转稳定性测试结合伴随的清除测试来评估疼痛。每个子测试按0至3的顺序评分，总分21分。综合得分≤14在操作上被定义为表示动作功能失调。左右两侧得分不同的球员被认为是不对称的。球员报告他们在前一个22场比赛赛季中是否因伤错过任何比赛。
结果
60%的球员（n = 182）综合得分≤14，65%的球员（n = 196）至少有一项子测试不对称，38%的球员（n = 113）至少有一项子测试疼痛。42%的球员（n = 126）在上个赛季因伤至少错过一场比赛。既往损伤不影响综合得分（p = 0.951）或不对称性（p = 0.629）。在前一个赛季报告有损伤的球员在FMS测试中更有可能经历疼痛（优势比1.97，95%置信区间1.23 - 3.18；p = 0.005）。
结论
澳大利亚青少年足球运动员在FMS测试中表现出功能失调、不对称和疼痛性动作的高发生率。
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