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半职业澳式橄榄球运动员比赛后膝关节屈曲力量显著降低:对损伤预防计划的启示

Knee flexion strength is significantly reduced following competition in semi-professional Australian Rules football athletes: Implications for injury prevention programs.

作者信息

Charlton Paula C, Raysmith Benjamin, Wollin Martin, Rice Simon, Purdam Craig, Clark Ross A, Drew Michael K

机构信息

Department of Physical Therapies, Australian Institute of Sport (AIS), Canberra, Australia.

Department of Physical Therapies, Australian Institute of Sport (AIS), Canberra, Australia.

出版信息

Phys Ther Sport. 2018 May;31:9-14. doi: 10.1016/j.ptsp.2018.01.001. Epub 2018 Feb 2.

DOI:10.1016/j.ptsp.2018.01.001
PMID:29505833
Abstract

OBJECTIVES

To evaluate strength and flexibility measures pre- and post- Australian Football (AF) competition to determine their potential utility as secondary prevention measures.

DESIGN

Cohort study.

SETTING

Semi-professional AF club.

PARTICIPANTS

Ten male AF athletes (mean ± SD; age, 21.3 ± 2.2 years; height, 186.1 ± 6.3 cm; weight, 83.5 ± 8.6 kg).

MAIN OUTCOME MEASURES

Maximal unilateral isometric knee flexion strength performed in 45 degrees of hip flexion and 30 degrees of knee flexion, flexibility measures of hip and knee extension and ankle dorsiflexion. All outcome measures were evaluated pre-match to determine baseline measurements and repeated acutely post-match and at 26, 50 and 74 h following. Comparisons were made between baseline measures and all other time points.

RESULTS

Knee flexion strength was significantly reduced at a group level acutely (-122.8N, 95%CI -156.2 to -89.4, p = 0.000) and at 26 h (-89.6N, 95%CI -122.9 to -56.2, p = 0.000) following competition. Hamstring flexibility was significantly reduced at all time periods following competition (all p < 0.05), however these values were not clinically meaningful.

CONCLUSIONS

Knowledge that unilateral isometric knee flexion strength returns to pre-competition levels by 50 h following match-play in AF athletes is valuable for planning recovery time frames and may inform implementation of secondary prevention strategies.

摘要

目的

评估澳大利亚式足球(AF)比赛前后的力量和柔韧性指标,以确定其作为二级预防措施的潜在效用。

设计

队列研究。

地点

半职业AF俱乐部。

参与者

10名男性AF运动员(均值±标准差;年龄,21.3±2.2岁;身高,186.1±6.3厘米;体重,83.5±8.6千克)。

主要观察指标

在髋关节屈曲45度和膝关节屈曲30度时进行的最大单侧等长膝关节屈曲力量,髋关节和膝关节伸展以及踝关节背屈的柔韧性指标。所有观察指标在比赛前进行评估以确定基线测量值,并在比赛后即刻以及之后的26、50和74小时重复测量。对基线测量值与所有其他时间点进行比较。

结果

比赛后即刻(-122.8N,95%置信区间-156.2至-89.4,p = 0.000)以及比赛后26小时(-89.6N,95%置信区间-122.9至-56.2,p = 0.000),膝关节屈曲力量在组水平上显著降低。比赛后所有时间段的腘绳肌柔韧性均显著降低(所有p < 0.05),然而这些值在临床上并无意义。

结论

了解AF运动员在比赛后50小时内单侧等长膝关节屈曲力量恢复到比赛前水平,对于规划恢复时间框架具有重要价值,并且可能为二级预防策略的实施提供依据。

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