Lin Chiao-I, Mayer Frank, Wippert Pia-Maria
Medical Sociology and Psychobiology, Department of Physical Activity and Health, University of Potsdam, Am Neuen Palais 10, 14469, Potsdam, Germany.
University Outpatient Clinic, Centre of Sports Medicine, University of Potsdam, Am Neuen Palais 10, 14469, Potsdam, Germany.
BMC Sports Sci Med Rehabil. 2022 Feb 18;14(1):27. doi: 10.1186/s13102-022-00418-0.
Ankle sprain is the most common injury in basketball. Chronic ankle instability develops from an acute ankle sprain may cause negative effects on quality of life, ankle functionality or on increasing risk for recurrent ankle sprains and post-traumatic osteoarthritis. To facilitate a preventative strategy of chronic ankle instability (CAI) in the basketball population, gathering epidemiological data is essential. However, the epidemiological data of CAI in basketball is limited. Therefore, this study aims to investigate the prevalence of CAI in basketball athletes and to determine whether gender, competitive level, and basketball playing position influence this prevalence.
In a cross-sectional study, in total 391 Taiwanese basketball athletes from universities and sports clubs participated. Besides non-standardized questions about demographics and their history of ankle sprains, participants further filled out the standard Cumberland Ankle Instability Tool applied to determine the presence of ankle instability. Questionnaires from 255 collegiate and 133 semi-professional basketball athletes (male = 243, female = 145, 22.3 ± 3.8 years, 23.3 ± 2.2 kg/m) were analyzed. Differences in prevalence between gender, competitive level and playing position were determined using the Chi-square test.
In the surveyed cohort, 26% had unilateral CAI while 50% of them had bilateral CAI. Women had a higher prevalence than men in the whole surveyed cohort (X(1) = 0.515, p = 0.003). This gender disparity also showed from sub-analyses, that the collegiate female athletes had a higher prevalence than collegiate men athletes (X(1) = 0.203, p = 0.001). Prevalence showed no difference between competitive levels (p > 0.05) and among playing positions (p > 0.05).
CAI is highly prevalent in the basketball population. Gender affects the prevalence of CAI. Regardless of the competitive level and playing position the prevalence of CAI is similar. The characteristic of basketball contributes to the high prevalence. Prevention of CAI should be a focus in basketball. When applying the CAI prevention measures, gender should be taken into consideration.
踝关节扭伤是篮球运动中最常见的损伤。急性踝关节扭伤后发展而来的慢性踝关节不稳定可能会对生活质量、踝关节功能产生负面影响，或者增加反复踝关节扭伤和创伤后骨关节炎的风险。为了在篮球人群中制定慢性踝关节不稳定（CAI）的预防策略，收集流行病学数据至关重要。然而，篮球运动中CAI的流行病学数据有限。因此，本研究旨在调查篮球运动员中CAI的患病率，并确定性别、竞技水平和篮球比赛位置是否会影响这一患病率。
在一项横断面研究中，共有391名来自台湾大学和体育俱乐部的篮球运动员参与。除了关于人口统计学和踝关节扭伤史的非标准化问题外，参与者还填写了用于确定踝关节不稳定情况的标准坎伯兰踝关节不稳定工具。对255名大学生和133名半职业篮球运动员（男性=243名，女性=145名，年龄22.3±3.8岁，体重指数23.3±2.2kg/m²）的问卷进行了分析。使用卡方检验确定性别、竞技水平和比赛位置之间患病率的差异。
在被调查队列中，26%的人有单侧CAI，其中50%的人有双侧CAI。在整个被调查队列中，女性的患病率高于男性（X(1)=0.515，p=0.003）。这种性别差异在亚分析中也有所体现，即大学女运动员的患病率高于大学男运动员（X(1)=0.203，p=0.001）。患病率在不同竞技水平（p>0.05）和不同比赛位置（p>0.05）之间没有差异。
CAI在篮球人群中非常普遍。性别影响CAI的患病率。无论竞技水平和比赛位置如何，CAI的患病率相似。篮球运动的特点导致了高患病率。CAI的预防应成为篮球运动中的一个重点。在应用CAI预防措施时，应考虑性别因素。
