Schuermans Joke, Van Tiggelen Damien, Witvrouw Erik
Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium.
Int J Sports Med. 2017 Sep;38(9):696-706. doi: 10.1055/s-0043-103016. Epub 2017 Jul 13.
'Core stability' is considered essential in rehabilitation and prevention. Particularly with respect to hamstring injury prevention, assessment and training of lumbo-pelvic control is thought to be key. However, supporting scientific evidence is lacking. To explore the importance of proximal neuromuscular function with regard to hamstring injury susceptibility, this study investigated the association between the Prone Hip Extension (PHE) muscle activation pattern and hamstring injury incidence in amateur soccer players. 60 healthy male soccer players underwent a comprehensive clinical examination, comprising a range of motion assessments and the investigation of the posterior chain muscle activation pattern during PHE. Subsequently, hamstring injury incidence was recorded prospectively throughout a 1.5-season monitoring period. Players who were injured presented a PHE activation pattern that differed significantly from those who did not. Contrary to the controls, hamstring activity onset was significantly delayed (p=0.018), resulting in a shifted activation sequence. Players were 8 times more likely to get injured if the hamstring muscles were activated after the lumbar erector spinae instead of vice versa (p=0.009). Assessment of muscle recruitment during PHE demonstrated to be useful in injury prediction, suggesting that neuromuscular coordination in the posterior chain influences hamstring injury vulnerability.
“核心稳定性”在康复和预防中被认为至关重要。特别是在预防腘绳肌损伤方面，腰骨盆控制的评估和训练被认为是关键。然而，缺乏支持性的科学证据。为了探讨近端神经肌肉功能对腘绳肌损伤易感性的重要性，本研究调查了业余足球运动员俯卧位伸髋（PHE）时肌肉激活模式与腘绳肌损伤发生率之间的关联。60名健康男性足球运动员接受了全面的临床检查，包括一系列活动范围评估以及对PHE期间后链肌肉激活模式的调查。随后，在1.5个赛季的监测期内前瞻性记录腘绳肌损伤发生率。受伤球员的PHE激活模式与未受伤球员有显著差异。与对照组相反，腘绳肌活动开始明显延迟（p = 0.018），导致激活顺序改变。如果腘绳肌在竖脊肌之后而非相反顺序被激活，球员受伤的可能性会高出8倍（p = 0.009）。PHE期间肌肉募集的评估在损伤预测中被证明是有用的，这表明后链中的神经肌肉协调会影响腘绳肌损伤的易感性。
