School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
Institute for Sport and Health, University College Dublin, Dublin, Ireland.
Scand J Med Sci Sports. 2020 Mar;30(3):515-522. doi: 10.1111/sms.13588. Epub 2020 Feb 3.
Hamstring strains are the most common time-loss injury in elite Gaelic football affecting over 20% of players per season. Thus, there is a need to identify factors contributing to the onset of hamstring injuries in order to inform injury risk management strategies. The current study investigated whether eccentric knee flexor strength and between-limb imbalances were associated with increased risk of sustaining a time-loss hamstring injury in elite Gaelic football players. A total of 185 elite male players (26.9 ± 2.7 years, 86.4 ± 6.2 kg, 183.4 ± 5.6) were prospectively followed for 12 weeks from the day of testing. Injury data were provided by the team medical staff. Twenty-eight players (16%) sustained a time-loss hamstring injury following testing. Players that did not sustain a hamstring injury had greater average between-limb asymmetries (uninjured = 9.1%, 95% CI 7.8-10.1; injured = 5.1%, 95% CI 3.7-6.7; P = .001). Eccentric knee flexor strength profiles were not associated with increased or decreased risk of sustaining a hamstring injury and did not alter the post-test probability of sustaining a hamstring injury across the investigation period. These findings do not support the use of eccentric knee flexor strength metrics in managing hamstring injury risk in elite male Gaelic football players.
腘绳肌拉伤是精英盖尔式足球中最常见的非赛季伤病，影响超过 20%的球员。因此，有必要确定导致腘绳肌拉伤的因素，以便为伤风险管理策略提供信息。本研究调查了离心膝屈肌力量和肢体间失衡是否与精英盖尔式足球运动员发生腘绳肌拉伤的风险增加有关。共有 185 名精英男性球员（26.9±2.7 岁，86.4±6.2 公斤，183.4±5.6）从测试之日起进行了为期 12 周的前瞻性随访。损伤数据由队医提供。28 名球员（16%）在测试后发生了非赛季腘绳肌拉伤。未发生腘绳肌拉伤的球员平均肢体间失衡程度更大（未受伤=9.1%，95%CI 7.8-10.1；受伤=5.1%，95%CI 3.7-6.7；P=0.001）。离心膝屈肌力量特征与发生腘绳肌拉伤的风险增加或降低无关，也不会改变整个调查期间发生腘绳肌拉伤的测试后概率。这些发现不支持在管理精英男性盖尔式足球运动员的腘绳肌拉伤风险时使用离心膝屈肌力量指标。
