年轻女性舞蹈演员的单侧和双侧髌股疼痛:相关因素。
Unilateral and bilateral patellofemoral pain in young female dancers: Associated factors.
机构信息
Faculty of Health, University of Canberra, Canberra, Australia.
Wingate Academic College of Physical Education and Sports Sciences, Wingate Institute, Netanya, Israel.
出版信息
J Sports Sci. 2020 Apr;38(7):719-730. doi: 10.1080/02640414.2020.1727822. Epub 2020 Feb 12.
Aiming to evaluate the prevalence of unilateral/bilateral patellofemoral pain (PFP) among young dancers, and to investigate whether different factors are associated with PFP in young dancers, 132 dancers aged 12-14 years were assessed for PFP. Anthropometric parameters, proprioception ability, dynamic postural balance (DPB), and muscle strength were measured. PFP was found in 64.1% of the dancers. No significant differences in the prevalence of dancers with no, unilateral, bilateral PFP at different ages were found. Significant were found for anthropometric and developmental measurements, and for intensity of training. was found for DPB asymmetry, ankle proprioception, and leg-length %height. A higher hip abductor/adductor ratio was associated with PFP in 14-year-old dancers. Binomial logistic regression showed that increased number of hours per day (h/day) and decreased number of hours per week (h/week), low proprioception scores, greater leg length as %height, and more anterior DPB asymmetry were significant predictors of PFP. : unilateral/bilateral PFP is common among young dancers. Body morphology, reduced ankle proprioception ability, DPB asymmetry, and increased h/day of practice are associated with PFP. Dance teachers should start monitoring the impact of training and implement injury modification/prevention strategies when their students are at a young age.
目的
评估青少年舞者中单侧/双侧髌股关节疼痛(PFP)的患病率,并探讨不同因素是否与青少年舞者的 PFP 相关。方法:评估了 132 名 12-14 岁的舞者的 PFP。测量了人体测量参数、本体感觉能力、动态姿势平衡(DPB)和肌肉力量。结果:64.1%的舞者存在 PFP。不同年龄组无、单侧、双侧 PFP 舞者的患病率无显著差异。在人体测量和发育测量以及训练强度方面存在显著差异。DPB 不对称、踝关节本体感觉和腿长%身高存在显著差异。在 14 岁的舞者中,较高的髋关节外展/内收比与 PFP 相关。二项逻辑回归显示,每天(h/d)增加的小时数和每周(h/w)减少的小时数、本体感觉评分降低、腿长%身高增加以及 DPB 不对称更明显是 PFP 的显著预测因素。结论:单侧/双侧 PFP 在青少年舞者中很常见。身体形态、踝关节本体感觉能力降低、DPB 不对称和每日练习时间增加与 PFP 有关。舞蹈教师应在学生年龄较小时开始监测训练的影响,并实施损伤监测/预防策略。