男性大学生美式足球运动员腘绳肌拉伤的风险因素——一项初步前瞻性队列研究。

Risk factors for hamstring strain injury in male college American football players -a preliminary prospective cohort study.

机构信息

UTokyo Sports Science Institute (UTSSI), Komaba I Campus, 3-8-1, Komaba, Meguro-Ku, 3rd Floor, Bldg.9, Tokyo, 153-8902, Japan.

Department of Orthopaedic Surgery Faculty of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.

出版信息

BMC Musculoskelet Disord. 2023 Jun 2;24(1):448. doi: 10.1186/s12891-023-06565-w.

DOI:10.1186/s12891-023-06565-w

PMID:37269013

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10236836/

Abstract

BACKGROUND

Given the frequency of hamstring strain injuries (HSI) among male college American football players, several studies have attempted to determine whether certain risk factors can predict their occurrence. However, no consensus on modifiable risk factors for HSIs in male college American football players has yet been reached to prevent these injuries. This study aimed to clarify risk factors for HSI prospectively in college male American football players.

METHODS

A total of 78 male college American football players, whose positions were limited to skill positions, were medically assessed for potential risk factors of HSI. The preseason medical assessment included anthropometric measurements, joint laxity and flexibility, muscle flexibility, muscle strength, and balance ability.

RESULTS

HSI occurred in a total of 25 thighs from 25 players (32.1%). Injured players had significantly lower hamstring flexibility (p = 0.02) and hamstring to quadriceps strength ratio (H/Q) (p = 0.047) compared to uninjured players. Additionally, injured players had significantly lower general joint laxity scores, especially for the total (p = 0.04), hip (p = 0.007), and elbow (p = 0.04) scores, compared to uninjured players.

CONCLUSIONS

Lower hamstring flexibility, lower hamstring to quadriceps strength ratio, and lower general joint laxity score were identified as risk factors for HSI in male college American football players placed in skill positions. The muscle flexibility and H/Q ratio could be useful in preventing HSI in such players.

摘要

背景

鉴于男性大学生美式足球运动员腘绳肌拉伤（HSI）的频率较高，已有多项研究试图确定某些风险因素是否可以预测其发生。然而，尚未就可改变的男性大学生美式足球运动员 HSI 的风险因素达成共识，以预防这些损伤。本研究旨在前瞻性地阐明大学生美式足球运动员 HSI 的危险因素。

方法

共有 78 名男性大学生美式足球运动员，其位置仅限于技术位置，接受了 HSI 潜在危险因素的医学评估。 preseason 医学评估包括人体测量、关节松弛度和柔韧性、肌肉柔韧性、肌肉力量和平衡能力。

结果

共有 25 名球员的 25 条大腿发生 HSI（32.1%）。与未受伤的运动员相比，受伤的运动员的腘绳肌柔韧性（p=0.02）和腘绳肌与四头肌力量比（H/Q）（p=0.047）显著降低。此外，受伤的运动员的整体关节松弛度评分明显较低，尤其是总关节（p=0.04）、髋关节（p=0.007）和肘关节（p=0.04）评分，与未受伤的运动员相比。