Blokland Donna, Thijs Karin M, Backx Frank J G, Goedhart Edwin A, Huisstede Bionka M A
Rudolf Magnus Institute of Neurosciences, Department of Rehabilitation, Physical Therapy & Sports, University Medical Center Utrecht, Utrecht, the Netherlands.
FIFA Medical Center, Royal Netherlands Football Association, Zeist, the Netherlands.
Am J Sports Med. 2017 Feb;45(2):286-293. doi: 10.1177/0363546516676051. Epub 2016 Dec 14.
Although it has been suggested that generalized joint hypermobility (GJH) is a risk factor for injury in soccer players, it remains unclear whether this applies to elite female soccer players.
To investigate whether GJH is a risk factor for injury in elite female soccer players.
Cohort study; Level of evidence, 2.
Elite female soccer players in the Netherlands were screened at the start of the 2014-2015 competitive season. GJH was assessed using the Beighton score. Soccer injuries and soccer exposure were registered throughout the entire season. Poisson regression was performed to calculate incidence risk ratios (IRRs) using different cutoff points of the Beighton score (≥3, ≥4, and ≥5) to indicate GJH.
Of the 114 players included in the study, 20 were classified as hypermobile (Beighton score ≥4). The mean (±SD) injury incidence per player was 8.40 ± 9.17 injuries/1000 hours of soccer, with no significant difference between hypermobile and nonhypermobile players. GJH was not a risk factor for injuries when using Beighton score cutoff points of ≥3 (IRR = 1.06 [95% CI, 0.74-1.50]; P = .762), ≥4 (IRR = 1.10 [95% CI, 0.72-1.68]; P = .662), or ≥5 (IRR = 1.15 [95% CI, 0.68-1.95]; P = .602). Similarly, GJH was not a significant risk factor for thigh, knee, or ankle injuries evaluated separately.
This study indicates that GJH is not a risk factor for injuries in elite female soccer players, irrespective of Beighton score cutoff point. Hypermobile players at this elite level might have improved their active stability and/or used braces to compensate for joint laxity.
尽管有人认为全身关节过度活动（GJH）是足球运动员受伤的一个风险因素，但这是否适用于精英女子足球运动员仍不清楚。
调查GJH是否是精英女子足球运动员受伤的风险因素。
队列研究；证据等级，2级。
在2014 - 2015赛季开始时，对荷兰的精英女子足球运动员进行筛查。使用贝顿评分评估GJH。在整个赛季中记录足球运动损伤和足球运动暴露情况。采用泊松回归分析，使用贝顿评分的不同临界值（≥3、≥4和≥5）来表示GJH，计算发病风险比（IRR）。
在纳入研究的114名运动员中，20名被归类为关节过度活动（贝顿评分≥4）。每名运动员的平均（±标准差）损伤发生率为8.40±9.17次损伤/1000小时足球运动时间，关节过度活动和非关节过度活动的球员之间无显著差异。当使用贝顿评分临界值≥3（IRR = 1.06 [95% CI，0.74 - 1.50]；P = 0.762）、≥4（IRR = 1.10 [95% CI，0.72 - 1.68]；P = 0.662）或≥5（IRR = 1.15 [95% CI，0.68 - 1.95]；P = 0.602）时，GJH不是受伤的风险因素。同样，单独评估时，GJH也不是大腿、膝盖或脚踝受伤的显著风险因素。
本研究表明，无论贝顿评分临界值如何，GJH都不是精英女子足球运动员受伤的风险因素。处于这一精英水平的关节过度活动球员可能已经改善了他们的主动稳定性和/或使用了护具来补偿关节松弛。
