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赛季前肌肉骨骼筛查和功能测试与优秀女性篮球运动员运动损伤的关联。

Association of pre-season musculoskeletal screening and functional testing with sports injuries in elite female basketball players.

机构信息

Department of Sports Medicine, Medical Academy, Lithuanian University of Health Sciences, Tilžės street 18, Kaunas, 47181, Lithuania.

Sports Trauma and Arthroscopic Unit, Hospital of Lithuanian University of Health Sciences, Eivenių street 2, Kaunas, 50161, Lithuania.

出版信息

Sci Rep. 2019 Jun 26;9(1):9286. doi: 10.1038/s41598-019-45773-0.

Abstract

Basketball is one of the most popular sports in Lithuania, and participation in women's basketball is on the rise. Pre-participation examinations, including musculoskeletal screening and functional performance testing, is an essential part of a multidisciplinary approach to prevent future injuries. Because the lower extremities are the most commonly-injured body area in basketball players. Assessing fundamental movement qualities is of utmost importance. The aim of our study was to determine if functional tests can predict sports injuries in elite female basketball players. A total of 351 records for professional female basketball players were screened during 2013-2016 season. We analysed functional characteristics before the season and used functional performance tests for injury risk assessment: the Functional Movement Screen (FMS), the lower quarter Y Balance test (YBT-LQ) and the Landing Error Scoring System (LESS). Data from 169 players' records were analysed: 77 of them made it to the end of season without injury, making up the non-injured group, while 92 of them suffered lower limb sport injuries during the sport season (injury group). Student's t-test and the Mann-Whitney U-test were used to determine differences between groups. The most commonly encountered sports injuries in our population were those of knee 40.2% and ankle 38%. The injury group had a lower total FMS score (p = 0.0001) and higher total LESS score (p = 0.028) than non-injury group. The dynamic balance of lower limbs was similar in both groups. Imperfect functional movement patterns and poor jump-landing biomechanics during pre-season screening were associated with lower extremity injuries in elite female basketball players. Impairments of dynamic stability in the lower extremities were not associated with injury rates in our population. A combination of functional tests can be used for injury risk evaluation in female basketball players.

摘要

篮球是立陶宛最受欢迎的运动之一,女子篮球的参与度也在上升。参与前检查,包括肌肉骨骼筛查和功能表现测试,是预防未来受伤的多学科方法的重要组成部分。因为下肢是篮球运动员最常见的受伤部位。评估基本运动质量至关重要。我们的研究目的是确定功能测试是否可以预测精英女子篮球运动员的运动损伤。在 2013-2016 赛季期间,筛选了 351 名职业女子篮球运动员的记录。我们分析了赛季前的功能特征,并使用功能表现测试进行损伤风险评估:功能性运动筛查(FMS)、下肢 Y 平衡测试(YBT-LQ)和着陆错误评分系统(LESS)。对 169 名运动员记录的数据进行了分析:其中 77 名运动员在赛季末没有受伤,构成未受伤组,而 92 名运动员在赛季中遭受了下肢运动损伤(损伤组)。使用学生 t 检验和曼-惠特尼 U 检验来确定组间差异。在我们的人群中最常见的运动损伤是膝关节 40.2%和踝关节 38%。损伤组的 FMS 总评分较低(p=0.0001),LESS 总评分较高(p=0.028)。两组下肢的动态平衡相似。在赛季前筛查中存在不完善的功能性运动模式和较差的跳跃着陆生物力学与精英女子篮球运动员下肢损伤有关。下肢动态稳定性的损伤与我们人群中的损伤率无关。功能测试的组合可用于女性篮球运动员的损伤风险评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb68/6595006/69fc51ea1618/41598_2019_45773_Fig1_HTML.jpg

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