J Orthop Sports Phys Ther. 2020 May;50(5):234-242. doi: 10.2519/jospt.2020.9022. Epub 2019 Sep 17.
DESIGN: Prospective cohort. OBJECTIVE: To explore the association between preseason assessments of (1) isometric hip adductor and abductor strength using a novel field test and (2) the Copenhagen Hip and Groin Outcome Score (HAGOS) and subsequent hip/groin injury in male professional soccer players. METHODS: In total, 204 male elite soccer players from 10 professional A-League and English Football League Championship clubs underwent assessments of hip adductor and abductor strength and completed the HAGOS in the 2017-2018 preseason. All subsequent hip/groin injuries were reported by team medical staff. Data reduction was conducted using principal-component analysis. The principal component for the HAGOS and 3 principal components for strength and imbalance measures were entered, with age and prior hip/groin injury, into a multivariable logistic regression model to determine their association with prospectively occurring hip/groin injury. RESULTS: Twenty-four players suffered at least 1 hip/groin injury throughout the 2017-2018 season. The principal component for between-limb abduction imbalance (peak strength in the preferred kicking limb - nonpreferred limb) (odds ratio [OR] = 0.58; 95% confidence interval [CI]: 0.38, 0.90; = .011), the principal component for peak adduction and abduction strength (OR = 0.71; 95% CI: 0.51, 1.00; = .045), and the principal component for the HAGOS (OR = 0.77; 95% CI: 0.62, 0.96; = .022) were independently associated with a reduced risk of future hip/groin injury. Receiver operating characteristic curve analysis of the whole model revealed an area under the curve of 0.76, which indicates a fair combined sensitivity and specificity of the included variables but an inability to correctly identify all subsequently injured players. CONCLUSION: Hip abduction imbalance favoring the preferred kicking limb, higher levels of hip adductor and abductor strength, and superior HAGOS values were associated with a reduced likelihood of future hip/groin injury in male professional soccer players. .
设计:前瞻性队列研究。
目的:探讨男性职业足球运动员 preseason 时(1)使用新型场测评估等速髋关节内收肌和外展肌力量,以及(2)哥本哈根髋关节和腹股沟结局评分(HAGOS)与随后髋关节/腹股沟损伤之间的关系。
方法:共纳入来自 10 家澳大利亚职业足球甲级联赛和英格兰足球冠军联赛俱乐部的 204 名男性精英足球运动员,他们接受了髋关节内收肌和外展肌力量的评估,并在 2017-2018 赛季前完成了 HAGOS 测试。随后由队医报告所有髋关节/腹股沟损伤。使用主成分分析进行数据简化。将 HAGOS 评分的主成分和力量及不平衡测量的 3 个主成分,与年龄和既往髋关节/腹股沟损伤一起,纳入多变量逻辑回归模型,以确定它们与前瞻性髋关节/腹股沟损伤的关系。
结果:24 名运动员在整个 2017-2018 赛季至少发生了 1 次髋关节/腹股沟损伤。髋关节外展不平衡的主成分(优势腿-非优势腿的最大髋关节外展力)(比值比[OR] = 0.58;95%置信区间[CI]:0.38,0.90; =.011)、髋关节内收和外展最大力量的主成分(OR = 0.71;95% CI:0.51,1.00; =.045)和 HAGOS 的主成分(OR = 0.77;95% CI:0.62,0.96; =.022)与未来髋关节/腹股沟损伤风险降低独立相关。整个模型的受试者工作特征曲线分析显示曲线下面积为 0.76,这表明纳入变量的综合敏感性和特异性均为中等,但无法正确识别所有随后受伤的运动员。
结论:优势腿髋关节外展优势、较高的髋关节内收肌和外展肌力量以及更优的 HAGOS 值与男性职业足球运动员未来髋关节/腹股沟损伤的可能性降低相关。
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