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和“亲吻膝盖”说再见:在精英女性运动员中,额状面内收膝运动与未来非接触性前交叉韧带损伤风险之间无关联。

Kiss goodbye to the 'kissing knees': no association between frontal plane inward knee motion and risk of future non-contact ACL injury in elite female athletes.

作者信息

Nilstad Agnethe, Petushek Erich, Mok Kam-Ming, Bahr Roald, Krosshaug Tron

机构信息

Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.

Health Research Institute, Department of Cognitive and Learning Sciences, Michigan Technological University, Houghton, MI, USA.

出版信息

Sports Biomech. 2023 Jan;22(1):65-79. doi: 10.1080/14763141.2021.1903541. Epub 2021 Apr 28.

DOI:10.1080/14763141.2021.1903541
PMID:33906580
Abstract

The aim of this study was to investigate if frontal plane knee and hip control in single-leg squats or vertical drop jumps with an overhead target were associated with future non-contact anterior cruciate ligament (ACL) injury in elite female athletes. Of the 429 handball and 451 football athletes (age 21.5 ± 4.0 years, height 169.6 ± 6.4 cm, body weight 67.1 ± 8.0 kg), 722 non-injured and 56 non-contact ACL injured participants were eligible for analysis. We calculated lateral pelvic tilt, frontal plane knee projection angle, medial knee position, and side-to-side asymmetry in these from 2D videos recorded at baseline, and recorded any new ACL injuries prospectively. None of the aforementioned variables in either screening task were different or could discriminate between injured and non-injured athletes (all values >.05 and Cohen's values < .27). Two-dimensional video assessment of frontal plane knee and hip control during both a single-leg squat and vertical drop jump was unable to identify individuals at increased risk of non-contact ACL injury, thus should not be used for screening.

摘要

本研究的目的是调查在单腿深蹲或带有头顶目标的垂直纵跳中,额状面的膝关节和髋关节控制是否与精英女性运动员未来的非接触性前交叉韧带(ACL)损伤有关。在429名手球运动员和451名足球运动员(年龄21.5±4.0岁,身高169.6±6.4厘米,体重67.1±8.0千克)中,722名未受伤和56名非接触性ACL损伤的参与者符合分析条件。我们从基线时录制的二维视频中计算这些指标的骨盆侧倾、额状面膝关节投影角度、膝关节内侧位置以及左右不对称性,并前瞻性地记录任何新的ACL损伤情况。在任何一项筛查任务中,上述变量在受伤和未受伤运动员之间均无差异,也无法进行区分(所有p值>.05,科恩d值<.27)。在单腿深蹲和垂直纵跳过程中对额状面膝关节和髋关节控制进行的二维视频评估无法识别非接触性ACL损伤风险增加的个体,因此不应用于筛查。

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