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经验不会影响长跑运动员与损伤相关的关节运动学和动力学。

Experience does not influence injury-related joint kinematics and kinetics in distance runners.

作者信息

Agresta Cristine E, Peacock Jillian, Housner Jeffrey, Zernicke Ronald F, Zendler Jessica Deneweth

机构信息

Central Campus Recreational Building, 401 Washtenaw Avenue, Ann Arbor, MI 48109, USA.

Central Campus Recreational Building, 401 Washtenaw Avenue, Ann Arbor, MI 48109, USA.

出版信息

Gait Posture. 2018 Mar;61:13-18. doi: 10.1016/j.gaitpost.2017.12.020. Epub 2017 Dec 20.

Abstract

PURPOSE

Increased running experience and more time spent running appears to be advantageous in reducing injury risk, although the reason behind this is unclear. It is plausible that more experience results in better running mechanics leading to less injuries. Running mechanics are often screened during clinical assessments and targeted for correction in gait retraining, particularly those thought to be global indicators of injury or those associated with elevated knee joint loading. Examining the biomechanics of runners who are less-injury prone can improve our understanding of the significance of faulty running mechanics in relation to injury. Our goal was to examine if running experience was correlated to differences in kinematics and kinetics associated with increased knee joint loading and running-related injury risk.

METHODS

One hundred runners with varying experience ran on a pressure-sensing treadmill at a self-selected speed. Trunk and lower extremity kinematics, spatiotemporal measures, and ground reaction forces were collected. Multiple linear regression was used to assess the association between experience and three-dimensional hip kinematics, sagittal plane lower-extremity mechanics, and ground reaction forces while controlling for age and speed.

RESULTS

Increased running experience was not significantly associated with running mechanics. Increased age was significantly associated with reduced peak knee flexion and increased contact time. Running speed influenced several spatiotemporal, kinematic, and kinetic variables.

CONCLUSION

Increased years of running experience does not appear to significantly influence running mechanics. However, age and running speed do influence biomechanical variables associated with injury in distance runners. Thus, there may be factors, other than running mechanics, that contribute to less risk in more experienced runners.

摘要

目的

增加跑步经验以及花更多时间跑步似乎有利于降低受伤风险,尽管其背后的原因尚不清楚。一种合理的推测是,更多的经验会带来更好的跑步力学机制,从而减少受伤。在临床评估中,人们经常会筛查跑步力学机制,并在步态再训练中针对其进行纠正,尤其是那些被认为是受伤的整体指标或与膝关节负荷增加相关的指标。研究不易受伤的跑步者的生物力学,有助于我们更好地理解错误的跑步力学机制与受伤之间的关系。我们的目标是研究跑步经验是否与膝关节负荷增加及跑步相关受伤风险所关联的运动学和动力学差异相关。

方法

一百名经验各异的跑步者在压力感应跑步机上以自选速度跑步。收集躯干和下肢的运动学数据、时空参数以及地面反作用力。在控制年龄和速度的同时,使用多元线性回归来评估经验与三维髋关节运动学、矢状面下肢力学以及地面反作用力之间的关联。

结果

跑步经验的增加与跑步力学机制并无显著关联。年龄的增加与膝关节最大屈曲角度的减小以及接触时间的增加显著相关。跑步速度会影响多个时空、运动学和动力学变量。

结论

跑步经验年限的增加似乎并不会显著影响跑步力学机制。然而,年龄和跑步速度确实会影响长跑运动员与受伤相关的生物力学变量。因此,除了跑步力学机制之外,可能还有其他因素导致经验更丰富的跑步者受伤风险更低。

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