有下肢扭伤和拉伤损伤与无下肢扭伤和拉伤损伤的足球运动员核心肌肉耐力和力量的比较研究。
A COMPARATIVE STUDY OF CORE MUSCULATURE ENDURANCE AND STRENGTH BETWEEN SOCCER PLAYERS WITH AND WITHOUT LOWER EXTREMITY SPRAIN AND STRAIN INJURY.
作者信息
Abdallah Amira A, Mohamed Nabil A, Hegazy Mostafa A
机构信息
Cairo University, Giza, Egypt.
Southwest Minnesota State University, Marshall, MN, USA.
出版信息
Int J Sports Phys Ther. 2019 Jul;14(4):525-536.
BACKGROUND
Lower extremity sprain and strain injury constitutes a large percentage of lower extremity injuries experienced by soccer players. Yet, very limited data exists on the association between core strength and endurance and this injury.
PURPOSE
The purpose of this study was to compare core muscle endurance and hip muscle strength between soccer players who experienced non-contact lower extremity sprain and/or strain injury during their season and those who did not. Additionally, the frequency of injury was correlated with core muscle endurance and hip strength, and endurance was used for predicting the risk for injury.
STUDY DESIGN
Prospective cohort.
METHODS
Twenty-one (35.59%) athletes experienced non-contact lower extremity sprain and/or strain injury during the season. Fifty-nine male athletes (mean age 20.92 ± 4.08 years, mass 77.34 ± 12.02 kg and height 1.79 ± 0.06m) were tested. Prior to the start of the season, prone-bridge, side-bridge, trunk flexion and horizontal back extension hold times were recorded for endurance assessment and peak hip abductor and external rotator isokinetic torques for strength assessment.
RESULTS
Prone-bridge and side-bridge hold times were significantly longer in the non-injured players when compared with the times of the injured players (p=0.043 & 0.008 for the prone-bridge and side-bridge, respectively). There were significant negative correlations between the frequency of injury and both prone-bridge (r=-0.324, p=0.007) and side-bridge (r=-0.385, p=0.003) hold times. Logistic regression analysis revealed that side-bridge hold time was a significant predictor of injury (OR=0.956, CI=0.925-0.989).
CONCLUSION
Soccer players with non-contact lower extremity sprain and/or strain have less core endurance than non-injured players. Reduced core endurance is associated with increased incidence of injury. Improving side-bridge hold time, specifically, may reduce the risk for injury.
LEVEL OF EVIDENCE
1b.
背景
下肢扭伤和拉伤在足球运动员所经历的下肢损伤中占很大比例。然而，关于核心力量和耐力与这种损伤之间关联的数据非常有限。
目的
本研究的目的是比较在赛季中经历过非接触性下肢扭伤和/或拉伤的足球运动员与未经历过此类损伤的足球运动员之间的核心肌肉耐力和髋部肌肉力量。此外，将损伤频率与核心肌肉耐力和髋部力量进行关联，并使用耐力来预测损伤风险。
研究设计
前瞻性队列研究。
方法
21名（35.59%）运动员在赛季中经历了非接触性下肢扭伤和/或拉伤。对59名男性运动员（平均年龄20.92±4.08岁，体重77.34±12.02千克，身高1.79±0.06米）进行了测试。在赛季开始前，记录俯卧桥、侧桥、躯干前屈和水平后伸的保持时间以进行耐力评估，并记录髋外展肌和外旋肌的等速峰值扭矩以进行力量评估。
结果
与受伤运动员相比，未受伤运动员的俯卧桥和侧桥保持时间明显更长（俯卧桥和侧桥的p值分别为0.043和0.008）。损伤频率与俯卧桥（r = -0.324，p = 0.007）和侧桥（r = -0.385，p = 0.003）保持时间之间存在显著负相关。逻辑回归分析显示，侧桥保持时间是损伤的显著预测因素（比值比=0.956，置信区间=0.925 - 0.989）。
结论
经历非接触性下肢扭伤和/或拉伤的足球运动员的核心耐力低于未受伤的运动员。核心耐力降低与损伤发生率增加有关。具体而言，提高侧桥保持时间可能会降低损伤风险。
证据水平
1b。
Zotero 插件