Department of Physical Therapies, Australian Institute of Sport, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Australia.
Department of Orthopaedic Surgery, Sports Orthopaedic Research Center, Amager-Hvidovre Hospital, Faculty of Health Sciences, University of Copenhagen, Denmark; Physical Medicine and Rehabilitation-Copenhagen (PMR-C), Amager-Hvidovre Hospital, Copenhagen University Hospital, Denmark.
J Sci Med Sport. 2018 Oct;21(10):988-993. doi: 10.1016/j.jsams.2018.03.004. Epub 2018 Mar 14.
The primary purpose of this study was to describe an early detection and management strategy when monitoring in-season hip and groin strength, health and function in soccer. Secondly to compare pre-season to in-season test results.
Longitudinal cohort study.
Twenty-seven elite male youth soccer players (age: 15.07±0.73years) volunteered to participate in the study. Monitoring tests included: adductor strength, adductor/abductor strength ratio and hip and groin outcome scores (HAGOS). Data were recorded at pre-season and at 22 monthly intervals in-season. Thresholds for alerts to initiate further investigations were defined as any of the following: adductor strength reductions >15%, adductor/abductor strength ratio <0.90, and HAGOS subscale scores <75 out of 100 in any of the six subscales.
Overall, 105 alerts were detected involving 70% of players. Strength related alerts comprised 40% and remaining 60% of alerts were related to HAGOS. Hip adductor strength and adductor/abductor strength ratio were lowest at pre-season testing and had increased significantly by month two (p<0.01, mean difference 0.26, CI95%: 0.12, 0.41N/kg and p<0.01, mean difference 0.09, CI95%: 0.04, 0.13 respectively). HAGOS subscale scores were lowest at baseline with all, except Physical Activity, showing significant improvements at time-point one (p<0.01). Most (87%) time-loss were classified minimal or mild.
In-season monitoring aimed at early detection and management of hip and groin strength, health and function appears promising. Hip and groin strength, health and function improved quickly from pre-season to in-season in a high-risk population for ongoing hip and groin problems.
本研究的主要目的是描述在监测足球赛季中髋关节和腹股沟力量、健康和功能时的早期检测和管理策略。其次，比较赛季前和赛季中的测试结果。
纵向队列研究。
27 名精英男性青年足球运动员（年龄：15.07±0.73 岁）自愿参加了这项研究。监测测试包括：内收肌力量、内收肌/外展肌力量比和髋关节和腹股沟结果评分（HAGOS）。数据在赛季前和赛季中每 22 个月记录一次。定义触发进一步调查的警报阈值为以下任何一种情况：内收肌力量下降>15%，内收肌/外展肌力量比<0.90，以及任何六个子量表中 HAGOS 子量表得分<75 分。
总体而言，共检测到 105 次警报，涉及 70%的运动员。与力量相关的警报占 40%，其余 60%的警报与 HAGOS 相关。髋关节内收肌力量和内收肌/外展肌力量比在赛季前测试中最低，在第二个月显著增加（p<0.01，平均差异 0.26，CI95%：0.12，0.41N/kg 和 p<0.01，平均差异 0.09，CI95%：0.04，0.13）。HAGOS 子量表得分在基线时最低，除身体活动外，所有子量表在第一时间点均显示出显著改善（p<0.01）。大多数（87%）的伤病被归类为轻微或轻度。
针对髋关节和腹股沟力量、健康和功能的早期检测和管理的赛季中监测似乎很有前景。在髋关节和腹股沟问题持续高发的高危人群中，髋关节和腹股沟力量、健康和功能从赛季前到赛季中迅速改善。
