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Y 平衡测试能否识别出青少年和大学生盖尔式运动中接触性或非接触性下肢损伤的风险?

Can the Y balance test identify those at risk of contact or non-contact lower extremity injury in adolescent and collegiate Gaelic games?

机构信息

Centre for Injury Prevention and Performance, Athletic Therapy and Training, School of Health and Human Performance, Dublin City University, Ireland.

Centre for Injury Prevention and Performance, Athletic Therapy and Training, School of Health and Human Performance, Dublin City University, Ireland.

出版信息

J Sci Med Sport. 2020 Oct;23(10):943-948. doi: 10.1016/j.jsams.2020.04.017. Epub 2020 Apr 27.

DOI:10.1016/j.jsams.2020.04.017
PMID:32362482
Abstract

OBJECTIVES

Lower extremity (LE) injuries are common in Gaelic games and lead to a significant economic and injury burden. Balance is considered a predictor of injury in other sports, however no research has examined its effect on LE injury in Gaelic games. This study aims to present normative data for the Y Balance Test (YBT), determine whether the YBT can identify those at risk of contact and non-contact LE and ankle injuries and generate population specific cut-off points in adolescent and collegiate Gaelic games.

DESIGN

Prospective cohort study.

METHODS

A convenience sample of 636 male adolescent (n=293, age=15.7±0.7 years) and collegiate (n=343, age=19.3±1.9 years) Gaelic footballers and hurlers were recruited. The YBT was completed and injuries were assessed at least weekly over one season. Univariate and logistic regression was performed to examine if the YBT can classify those at risk of LE-combined and ankle injuries. ROC curves were used to identify cut-off points.

RESULTS

Gaelic players performed poorly in the YBT and between 31-57% of all players were identified as at risk of injury at pre-season using previously published YBT cut-off points. However, poor YBT scores were unable to ascertain those at risk of contact or non-contact LE-combined and ankle injuries with sufficient sensitivity. High specificity was noted for contact LE-combined and non-contact ankle injuries.

CONCLUSIONS

The YBT as a sole screening method to classify those at risk of LE and ankle injuries in Gaelic games is questionable. However, the YBT may be a useful preliminary screening tool to identify those not at risk of contact LE-combined or non-contact ankle injury. Generalising published cut-off points from other sports is not supported.

摘要

目的

下肢(LE)损伤在盖尔运动中很常见,会造成重大的经济和伤害负担。平衡被认为是其他运动中受伤的预测因素,但没有研究检查过它对盖尔运动中 LE 损伤的影响。本研究旨在提供 Y 平衡测试(YBT)的正常值数据,确定 YBT 是否可以识别接触和非接触 LE 和踝关节损伤的风险,并为青少年和大学生盖尔运动生成特定人群的切点。

设计

前瞻性队列研究。

方法

便利招募了 636 名男性青少年(n=293,年龄=15.7±0.7 岁)和大学生(n=343,年龄=19.3±1.9 岁)盖尔足球运动员和曲棍球运动员。在一个赛季中,每周至少进行一次 YBT 测试和损伤评估。进行单变量和逻辑回归分析,以检查 YBT 是否可以对 LE 综合和踝关节损伤风险进行分类。使用 ROC 曲线确定切点。

结果

盖尔运动员在 YBT 中的表现不佳,使用之前发表的 YBT 切点,有 31-57%的运动员在赛季前被认为有受伤风险。然而,YBT 得分不佳无法确定接触或非接触 LE 综合和踝关节损伤的风险。接触 LE 综合和非接触踝关节损伤的特异性较高。

结论

YBT 作为一种单独的筛选方法来对盖尔运动中的 LE 和踝关节损伤风险进行分类是值得怀疑的。然而,YBT 可能是一种有用的初步筛选工具,可以识别那些没有接触 LE 综合或非接触踝关节损伤风险的人。从其他运动中推广使用已发表的切点是没有依据的。

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