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在有无脑震荡史的个体进行急停变向动作时的运动学差异。

Kinematic differences during a jump cut maneuver between individuals with and without a concussion history.

机构信息

NeuroTrauma Research Laboratory, University of Michigan, United States.

Rehabilitation Biomechanics Laboratory, University of Michigan, United States.

出版信息

Int J Psychophysiol. 2018 Oct;132(Pt A):93-98. doi: 10.1016/j.ijpsycho.2017.08.003. Epub 2017 Aug 14.

Abstract

Recent evidence suggests that athletes are at a higher risk of lower-body injuries in the months and years following a concussion. However, little is known about how people modify their movements post-concussion. This study examined kinematics during a jump cut motion in young adults with a concussion history (n=9; 4 males, 5 females; 3.1years' post-injury) and 10 controls (6 males, 4 females). Peak center of mass and peak knee angles during the landing phase of a jump-cut maneuver were evaluated. Participants with a concussion history demonstrated decreased knee varus (left: M=-0.5±1.0°, M=3.6±1.0°; right: M=5.1±1.2°, M=7.8±1.12°) and external rotation (left: M=2.5±1.6°, M=13.0±1.5°; right: M=7.7±1.6°, M=12.8±1.5°) regardless of whether the cut was oriented towards to the left or right. The kinematic patterns demonstrated in individuals with a concussion history may be suggestive of increased knee injury risk. This study adds to the growing body of literature linking orthopedic injury in those no longer displaying the acute signs and symptoms of concussion.

摘要

最近的证据表明,运动员在脑震荡后的数月和数年内下肢受伤的风险更高。然而,人们对脑震荡后如何改变运动方式知之甚少。本研究检查了有脑震荡病史的年轻人(n=9;4 名男性,5 名女性;受伤后 3.1 年)和 10 名对照者(6 名男性,4 名女性)在进行急停变向跳跃时的运动学。评估了急停跳跃动作着陆阶段的质心峰值和膝关节峰值角度。有脑震荡病史的参与者表现出膝关节内翻(左侧:M=-0.5±1.0°,M=3.6±1.0°;右侧:M=5.1±1.2°,M=7.8±1.12°)和外旋(左侧:M=2.5±1.6°,M=13.0±1.5°;右侧:M=7.7±1.6°,M=12.8±1.5°)减少,无论急停变向是向左还是向右。有脑震荡病史的个体表现出的运动模式可能表明膝关节受伤的风险增加。本研究增加了越来越多的文献链接,将那些不再表现出脑震荡急性症状和体征的人的骨科损伤。

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