较高的神经肌肉损伤预防计划依从性可降低男性足球运动员的总体损伤率。
Higher compliance to a neuromuscular injury prevention program improves overall injury rate in male football players.
机构信息
Biomechanics and Movement Science Program, University of Delaware, Newark, DE, USA.
Velocity Physical Therapy, 11611 San Vicente Boulevard, GF-1, Los Angeles, CA, 90049, USA.
出版信息
Knee Surg Sports Traumatol Arthrosc. 2018 Jul;26(7):1975-1983. doi: 10.1007/s00167-018-4895-5. Epub 2018 Mar 19.
PURPOSE
The 11+ injury prevention program has been shown to decrease injury rate. However, few studies have investigated compliance and if it is correlated to time loss. The purpose of this study was to (1) analyze how differences in compliance may impact injury rate and (2) if compliance may impact time loss due to injury.
METHODS
This study was a Level 1 prospective cluster randomized controlled trial conducted in NCAA men's football (soccer) teams that examined the efficacy of the 11+ injury prevention program. The two outcome variables examined were number of injuries and number of days missed from competition. Twenty-seven teams (n = 675 players) used the 11+ program. Compliance, injuries and time loss were recorded. There were three compliance categories, low (LC, 1-19 doses/season), moderate (MC, 20-39 doses/season), and high (HC, > 40 doses/season).
RESULTS
There was a significant difference among the groups for injuries, p = 0.04, η = 0.23. The LC group [mean (M) = 13.25, 95% confidence interval (CI) 9.82-16.68, injury rate (IR) = 10.35 ± 2.21] had a significantly higher injury rate than the HC group (M = 8.33, 95%CI 6.05-10.62, IR = 10.35 ± 2.21), p = 0.02. The MC group (M = 11.21, 95%CI 9.38-13.05, IR = 8.55 ± 2.46) was not significantly different than the LC group, p = 0.29, but was significantly greater than the HC group, p = 0.05. When examined as a continuous variable, compliance was significantly negatively related to injury rate (p = 0.004). It was also significantly negatively related to number of days missed (p = 0.012).
CONCLUSIONS
When compliance was high, there was a significant reduction in injury and time loss. This evidence reinforces the importance of consistent injury prevention program utilization. Clinically, these findings have important implications when discussing the importance of consistent utilization of an injury prevention protocol in sport.
LEVEL OF EVIDENCE
Level 1-Randomized controlled trial (RCT).
目的
11+ 损伤预防计划已被证明可以降低损伤率。然而，很少有研究调查其依从性，以及依从性是否与伤病损失时间相关。本研究的目的是：(1)分析依从性的差异如何影响损伤率；(2) 依从性是否会影响因伤损失的时间。
方法
这是一项在 NCAA 男子足球（英式足球）队伍中进行的 1 级前瞻性聚类随机对照试验，旨在检验 11+ 损伤预防计划的效果。两个检验结果变量是损伤数量和因伤错过比赛的天数。27 支队伍（n=675 名运动员）使用 11+ 方案。记录了依从性、损伤和伤病损失时间。依从性分为三个类别：低（LC，1-19 剂/季）、中（MC，20-39 剂/季）和高（HC，>40 剂/季）。
结果
组间在损伤方面存在显著差异，p=0.04，η=0.23。LC 组[平均值（M）=13.25，95%置信区间（CI）9.82-16.68，损伤率（IR）=10.35±2.21]的损伤率明显高于 HC 组（M=8.33，95%CI 6.05-10.62，IR=10.35±2.21），p=0.02。MC 组（M=11.21，95%CI 9.38-13.05，IR=8.55±2.46）与 LC 组无显著差异，p=0.29，但与 HC 组有显著差异，p=0.05。当作为连续变量进行检查时，依从性与损伤率呈显著负相关（p=0.004）。它与错过的天数也呈显著负相关（p=0.012）。
结论
当依从性较高时，损伤和伤病损失时间显著减少。这一证据强调了持续使用损伤预防计划的重要性。临床上，当讨论在运动中持续使用损伤预防方案的重要性时，这些发现具有重要意义。
证据等级
1 级-随机对照试验（RCT）。
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