preseason 功能测试分数与女性大学生运动员未来的运动损伤有关。

Preseason Functional Test Scores Are Associated With Future Sports Injury in Female Collegiate Athletes.

机构信息

School of Physical Therapy, School of Behavioral and Health Sciences, George Fox University, Newberg, Oregon.

Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, Wisconsin.

出版信息

J Strength Cond Res. 2018 Jun;32(6):1692-1701. doi: 10.1519/JSC.0000000000002243.

DOI:10.1519/JSC.0000000000002243

PMID:28930873

Abstract

Brumitt, J, Heiderscheit, B, Manske, R, Niemuth, PE, Mattocks, A, and Rauh, MJ. Preseason functional test scores are associated with future sports injury in female collegiate athletes. J Strength Cond Res 32(6): 1692-1701, 2018-Recent prospective cohort studies have reported preseason functional performance test (FPT) measures and associations with future risk of injury; however, the findings associated with these studies have been equivocal. The purpose of this study was to determine the ability of a battery of FPTs as a preseason screening tool to identify female Division III (D III) collegiate athletes who may be at risk for a noncontact time-loss injury to the lower quadrant (LQ = low back and lower extremities). One hundred six female D III athletes were recruited for this study. Athletes performed 3 FPTs: standing long jump (SLJ), single-leg hop (SLH) for distance, and the lower extremity functional test (LEFT). Time-loss sport-related injuries were tracked during the season. Thirty-two (24 initial and 8 subsequent) time-loss LQ injuries were sustained during the study. Ten of the 24 initial injuries occurred at the thigh and knee. At-risk athletes with suboptimal FPT measures (SLJ ≤79% ht; (B) SLH ≤64% ht; LEFT ≥118 seconds) had significantly greater rates of initial (7.2 per 1,000 athletic exposures [AEs]) and total (7.6 per 1,000 AEs) time-loss thigh or knee injuries than the referent group (0.9 per 1,000 AEs; 1.0 per 1,000 AEs, respectively). At-risk athletes were 9 times more likely to experience a thigh or knee injury (odds ratio [OR] = 9.7, confidence interval [CI]: 2.3-39.9; p = 0.002) than athletes in the referent group. At-risk athletes with a history of LQ sports injury and lower off-season training habits had an 18-fold increased risk of a time-loss thigh or knee injury during the season (adjusted OR = 18.7, CI: 3.0-118.1; p = 0.002). This battery of FPTs appears useful as a tool for identifying female D III athletes at risk of an LQ injury, especially to the thigh or knee region.

摘要

布鲁米特、海德斯切特、曼斯克、尼莫思、马特克斯和劳。女子大学生运动员的 preseason 功能测试分数与未来的运动损伤有关。J 力量与调节研究 32（6）：1692-1701，2018 年-最近的前瞻性队列研究报告了 preseason 功能性能测试（FPT）措施及其与未来受伤风险的关联；然而，这些研究的结果是有争议的。本研究的目的是确定一组 FPT 作为 preseason 筛查工具的能力，以确定可能发生非接触性时间损失损伤的女性第三分区（D III）大学生运动员下象限（LQ = 下背部和下肢）。这项研究招募了 106 名女性 D III 运动员。运动员进行了 3 项 FPT：站立跳远（SLJ）、单腿跳跃（SLH）距离和下肢功能测试（LEFT）。在赛季中跟踪与运动相关的时间损失伤害。32 名（24 名首发和 8 名后续）时间损失 LQ 损伤在研究期间发生。24 例首发损伤中有 10 例发生在大腿和膝盖处。FPT 测量值不理想（SLJ ≤79% ht；（B）SLH ≤64% ht；LEFT ≥118 秒）的高危运动员初始（7.2 例/1000 例运动员暴露[AE]）和总（7.6 例/1000 例 AE）时间损失大腿或膝盖受伤的发生率明显高于参照组（0.9 例/1000 例 AE；1.0 例/1000 例 AE）。高危运动员发生大腿或膝盖受伤的可能性是参照组的 9 倍（比值比[OR] = 9.7，置信区间[CI]：2.3-39.9；p = 0.002）。有 LQ 运动损伤史和较低的淡季训练习惯的高危运动员在赛季中发生大腿或膝盖时间损失损伤的风险增加 18 倍（调整后的 OR = 18.7，CI：3.0-118.1；p = 0.002）。这组 FPT 似乎可作为识别女性 D III 运动员发生 LQ 损伤风险的工具，特别是大腿或膝盖区域。