Tatar Yasar, Gercek Nejla, Ramazanoglu Nusret, Gulmez Irfan, Uzun Selda, Sanli Goktug, Karagozoglu Cengiz, Cotuk Hasan Birol
Marmara University, School of Medicine, Physical Medicine and Rehabilitation Department, Istanbul, Turkey; Marmara University, Faculty of Sports Sciences, Istanbul, Turkey.
Marmara University, Faculty of Sports Sciences, Istanbul, Turkey.
Gait Posture. 2018 Jul;64:169-173. doi: 10.1016/j.gaitpost.2018.06.008. Epub 2018 Jun 9.
Amputee football is a worldwide popular sport with positive physical and psychological effects on the disabled. Amputee players use their hands dominantly for locomotion. However, the effect of using upper extremity which is not accommodated to loading is not very well known.
The objective of this study was to determine the load distribution of amputee football players during walking, running and kicking the ball.
This study was conducted with 15 certified amputee football players (age 24.5 ± 5.8 years, body weight 62.3 ± 10.9 kg, height 171.6 ± 7.7 cm). The loads on their non-amputated lower extremity were measured with F-Scan mobile system sensors inserted in their shoes, and the loads on their upper extremities were measured with F-Grip system sensors affixed to the gloves. The participants were asked to walk, run and kick the ball using Lofstrand Crutches.
The maximum loading on the upper extremities during walking, running and kicking the ball varied between 111% and 175% of the body weight. While loading during walking and running was similar, the loading on the upper extremity during kicking the ball exceeded that of walking by 58.1% and running by 47.4%. The maximum loading on the non-amputated lower extremity varied between 134% and 196% of the body weight. Loading during running was 46.2% higher than that of walking. The loading on the foot during kicking the ball was 45.7% higher than that of walking. The loading on the foot during running and kicking were similar.
Walking-running-kicking the ball with LC resulted in unusual loading particularly on the upper extremity. During running, the increased loading was transferred to the foot rather than the hands. During kicking, the loading increased extremely and was mainly transferred to the hands. The frequent repetition of kicking during the game may therefore increase the incidence of upper extremity injuries.
截肢者足球是一项在全球广受欢迎的运动，对残疾人有积极的身体和心理影响。截肢球员主要用手进行移动。然而，使用未适应负荷的上肢所产生的影响尚不太为人所知。
本研究的目的是确定截肢者足球运动员在行走、跑步和踢球时的负荷分布。
本研究对15名经认证的截肢者足球运动员进行（年龄24.5±5.8岁，体重62.3±10.9千克，身高171.6±7.7厘米）。他们非截肢下肢的负荷通过插入鞋中的F-Scan移动系统传感器进行测量，而上肢的负荷则通过固定在手套上的F-Grip系统传感器进行测量。参与者被要求使用洛弗斯特兰德拐杖行走、跑步和踢球。
行走、跑步和踢球时上肢的最大负荷在体重的111%至175%之间变化。虽然行走和跑步时的负荷相似，但踢球时上肢的负荷比行走时高出58.1%，比跑步时高出47.4%。非截肢下肢的最大负荷在体重的134%至196%之间变化。跑步时的负荷比行走时高46.2%。踢球时足部的负荷比行走时高45.7%。跑步和踢球时足部的负荷相似。
使用洛弗斯特兰德拐杖行走-跑步-踢球会导致异常负荷，尤其是在上肢。跑步时，增加的负荷转移到了足部而非手部。踢球时，负荷急剧增加，且主要转移到了手部。因此，比赛中频繁重复踢球可能会增加上肢受伤的发生率。
