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未来的进步:一项关于快投垒球教练对预防损伤计划看法的全国性调查。

Advancements for the Future: A National Survey of Fastpitch Softball Coaches' Perspectives on Injury Prevention Programming.

作者信息

Nurrenbern Jaime, Klueppel Courtney, Tilly Jeff, Matsel Kyle

机构信息

Physical Therapy University of Evansville.

Athletic Training University of Evansville.

出版信息

Int J Sports Phys Ther. 2023 Aug 2;18(4):958-968. doi: 10.26603/001c.83262. eCollection 2023.

DOI:10.26603/001c.83262
PMID:37547836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10399105/
Abstract

BACKGROUND

Approximately 50 percent of softball injuries are the result of overuse or chronic conditions. However, research exploring preventative measures for softball players is limited and usage of injury prevention strategies among softball coaches is unknown.

HYPOTHESIS/PURPOSE: This survey aimed to investigate if softball coaches are implementing injury prevention programs to reduce injury and improve the performance of their players. The secondary purpose was to identify barriers to the implementation of injury prevention programs. Finally, this survey explored the coaches' knowledge of injury risk factors and their views on design and usage of preventative programs.

STUDY DESIGN

Descriptive cross-sectional survey.

METHODS

A 35-item survey was sent to approximately 14,000 high school and collegiate fastpitch softball coaches throughout the United States. Data were collected over a three-month period with an overall response rate of 1.2%.

RESULTS

Among responding coaches, 45.9% (n=79/172) reported implementing injury prevention programs. Coaches who implement injury prevention strategies most frequently utilize team-based programs (68.8%, n=52/93) compared to group-based (19.0%, n=15/93) or individualized programs (15.2%, n=12/93). Coaches who do not use preventative programming reported that being unsure of what program to perform (53.8%, n=50/93) and not having enough staff (20.4%, n=19/93) were the greatest barriers to implementation. Although over 50% of coaches recognized arm fatigue/overuse (27.9%, n=48/172) and decreased core strength (22.7%, n=39/172) were important risk factors, 36% (n=94/172) "disagree" that softball pitchers should adhere to pitch counts and 90% (n=83/92) believe that preventative programming for pitchers and position players should be similar.

CONCLUSION

Less than 50 percent of softball coaches implement exercise programs to prevent injury. Limited familiarity with effective program design, inadequate staffing, and inconsistent risk factor awareness are the major contributors to lacking implementation. Collaboration between rehabilitation professionals and softball coaches regarding preventative programming should be considered.

LEVEL OF EVIDENCE

Level 3©The Author(s).

摘要

背景

大约50%的垒球损伤是过度使用或慢性疾病所致。然而,探索垒球运动员预防措施的研究有限,垒球教练对损伤预防策略的使用情况尚不清楚。

假设/目的:本调查旨在研究垒球教练是否正在实施损伤预防计划以减少损伤并提高运动员的表现。次要目的是确定损伤预防计划实施的障碍。最后,本调查探讨了教练对损伤风险因素的了解以及他们对预防计划设计和使用的看法。

研究设计

描述性横断面调查。

方法

向美国约14,000名高中和大学快投垒球教练发送了一份包含35个条目的调查问卷。在三个月的时间内收集数据,总体回复率为1.2%。

结果

在回复的教练中,45.9%(n = 79/172)报告实施了损伤预防计划。与基于小组的计划(19.0%,n = 15/93)或个性化计划(15.2%,n = 12/93)相比,实施损伤预防策略的教练最常采用基于团队的计划(68.8%,n = 52/93)。未使用预防计划的教练报告称,不确定执行何种计划(占53.8%,n = 50/93)和人员不足(占20.4%,n = 19/93)是实施的最大障碍。尽管超过50%的教练认识到手臂疲劳/过度使用(占27.9%,n = 48/172)和核心力量下降(占22.7%,n = 39/172)是重要的风险因素,但36%(n = 94/172)“不同意”垒球投手应遵守投球次数,90%(n = 83/92)认为投手和内场手的预防计划应相似。

结论

不到50%的垒球教练实施预防损伤的训练计划。对有效计划设计的熟悉程度有限、人员配备不足以及风险因素认识不一致是缺乏实施的主要原因。应考虑康复专业人员与垒球教练在预防计划方面的合作。

证据水平

3级 ©作者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2224/10399105/808c492a5398/ijspt_2023_18_4_83262_171291.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2224/10399105/3a3b1befb0c1/ijspt_2023_18_4_83262_171289.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2224/10399105/d42111b336a2/ijspt_2023_18_4_83262_171290.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2224/10399105/808c492a5398/ijspt_2023_18_4_83262_171291.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2224/10399105/3a3b1befb0c1/ijspt_2023_18_4_83262_171289.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2224/10399105/d42111b336a2/ijspt_2023_18_4_83262_171290.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2224/10399105/808c492a5398/ijspt_2023_18_4_83262_171291.jpg

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