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关节过度活动与运动损伤。

Hypermobility and sports injury.

作者信息

Nathan Joseph Alexander, Davies Kevin, Swaine Ian

机构信息

Brighton and Sussex Medical School, Rheumatology, BSMS Teaching Building, University of Sussex, Brighton, UK.

Faculty of Engineering and Science, Life and Sports Sciences, University of Greenwich, London, UK.

出版信息

BMJ Open Sport Exerc Med. 2018 Oct 18;4(1):e000366. doi: 10.1136/bmjsem-2018-000366. eCollection 2018.

Abstract

OBJECTIVE

To determine whether there is an association between hypermobility and sports injury.

METHODS

A quantitative observational approach using a cross-sectional survey was adopted. Individuals were identified as hypermobile or not. All participants were asked to complete two questionnaires: one asking demographic information and the other injury-specific. Fisher's exact test was used for statistical analysis.

RESULTS

114 individuals participated in the study, 62 women and 52 men. 26% of the participants were hypermobile. There was no significant association between hypermobility and sports injury (p=0.66). There was a significant increase in joint and ligament sprain among the non-hypermobile (NH) group covering all sports (p=0.03). Joint dislocation was found exclusively among hypermobile individuals. The duration of injury in hypermobile individuals was higher than NH. The use of oral painkillers or anti-inflammatories in the semiprofessional group was greater than the general population.

CONCLUSION

Hypermobility is relatively common among individuals, and there is a lot of anecdotal evidence associating it with increased rates of injuries. This project finds that NH individuals are more likely to sustain a ligament or joint sprain in sports. This is due to increased joint laxity and flexibility preventing injury. There were important limitations to this study which will be addressed in further work. These include assessing for pauciarticular hypermobility and focusing on one sport to investigate its association with sports injury in those who are hypermobile or not. It would also be important to focus on one specific joint, assessing its flexibility and association with injury.

摘要

目的

确定关节活动过度与运动损伤之间是否存在关联。

方法

采用横断面调查的定量观察方法。确定个体是否为关节活动过度。所有参与者都被要求完成两份问卷:一份询问人口统计学信息,另一份询问特定损伤情况。采用Fisher精确检验进行统计分析。

结果

114人参与了该研究,其中62名女性和52名男性。26%的参与者有关节活动过度。关节活动过度与运动损伤之间无显著关联(p = 0.66)。在涵盖所有运动项目的非关节活动过度(NH)组中,关节和韧带扭伤显著增加(p = 0.03)。关节脱位仅在关节活动过度的个体中发现。关节活动过度个体的损伤持续时间高于NH组。半职业组中口服止痛药或抗炎药的使用量高于普通人群。

结论

关节活动过度在个体中相对常见,并且有很多轶事证据将其与受伤率增加联系起来。该项目发现,NH个体在运动中更有可能发生韧带或关节扭伤。这是由于关节松弛度和灵活性增加可预防损伤。本研究存在重要局限性,将在进一步的工作中解决。这些局限性包括评估少关节型关节活动过度,并专注于一项运动来研究其与关节活动过度与否的个体的运动损伤之间的关联。专注于一个特定关节,评估其灵活性以及与损伤的关联也很重要。

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