Department of Physical Therapy and Athletic Training, Northern Arizona University, Flagstaff, Arizona.
Smith Performance Center, Tucson, Arizona.
J Strength Cond Res. 2020 Aug;34(8):2302-2311. doi: 10.1519/JSC.0000000000003004.
Warren, M, Lininger, M, Smith, CA, Copp, A, and Chimera, NJ. Association of functional screening tests and noncontact injuries in Division I women student-athletes. J Strength Cond Res 34(8): 2302-2311, 2020-To determine the association between functional screening tests and lower-body, noncontact injuries in Division I women basketball, soccer, and volleyball student-athletes (SA). Sixty-eight injury-free women SA (age: 19.1 ± 1.1 years, height: 171.3 ± 8.7 cm, and mass: 68.4 ± 9.5 kg) were tested preseason with single hop (SH), triple hop (TH), and crossover hop (XH) for distance, and isometric hip strength (abduction, extension, and external rotation) in randomized order. The first lower-body (spine and lower extremity), noncontact injury requiring intervention by the athletic trainer was abstracted from the electronic medical record. Receiver operating characteristic and area under the curve (AUC) were calculated to determine cut-points for each hopping test from the absolute value of between-limb difference. Body mass-adjusted strength was categorized into tertiles. Logistic regression determined the odds of injury with each functional screening test using the hopping tests cut-points and strength categories, adjusting for previous injury. Fifty-two SA were injured during the sport season. The cut-point for SH was 4 cm (sensitivity = 0.77, specificity = 0.43, and AUC = 0.53), and for TH and XH was 12 cm (sensitivity = 0.75 and 0.67, specificity = 0.71 and 0.57, AUC = 0.59 and 0.41, respectively). A statistically significant association with TH and injuries (adjusted odds ratio = 6.50 [95% confidence interval: 1.69-25.04]) was found. No significant overall association was found with SH or XH, nor with the strength tests. Using a clinically relevant injury definition, the TH showed the strongest predictive ability for noncontact injuries. This hopping test may be a clinically useful tool to help identify increased risk of injury in women SA participating in high-risk sports.
沃伦、利宁格、史密斯、科普和奇梅拉。I 级女子学生运动员的功能性筛选测试与非接触性损伤的关联。J 力量与调节研究 34(8)：2302-2311，2020-为了确定 I 级女子篮球、足球和排球学生运动员（SA）的功能性筛选测试与下肢非接触性损伤之间的关联。68 名无损伤的女性 SA（年龄：19.1±1.1 岁，身高：171.3±8.7cm，体重：68.4±9.5kg）在赛季前进行了单腿跳跃（SH）、三腿跳跃（TH）和交叉跳跃（XH）的距离测试，以及随机顺序的等长髋关节力量（外展、伸展和外旋）测试。从电子病历中提取第一个下肢（脊柱和下肢）非接触性损伤，需要由运动训练员进行干预。计算每个跳跃测试的绝对腿间差异的受试者工作特征曲线和曲线下面积（AUC），以确定每个测试的截断值。调整体重后的力量分为三分位。使用跳跃测试的截断值和力量分类，通过逻辑回归确定每个功能性筛选测试的损伤可能性，同时调整先前的损伤。52 名 SA 在运动赛季中受伤。SH 的截断值为 4cm（敏感性=0.77，特异性=0.43，AUC=0.53），TH 和 XH 的截断值为 12cm（敏感性=0.75 和 0.67，特异性=0.71 和 0.57，AUC=0.59 和 0.41）。TH 与受伤（调整后的优势比=6.50[95%置信区间：1.69-25.04]）有统计学显著关联。SH 或 XH 以及力量测试均未发现与损伤有显著总体关联。使用临床相关的损伤定义，TH 显示出对非接触性损伤最强的预测能力。该跳跃测试可能是一种有用的临床工具，有助于识别参加高风险运动的女性 SA 受伤的风险增加。
