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最大深蹲力量对精英手球运动员神经肌肉膝关节控制的意义:一项横断面研究。

The Significance of Maximal Squat Strength for Neuromuscular Knee Control in Elite Handball Players: A Cross-Sectional Study.

作者信息

Augustsson Sofia Ryman, Gannby Erik

机构信息

Department of Sport Science, Faculty of Social Sciences, Linnaeus University, 39231 Kalmar, Sweden.

Kry Health Center, 29535 Bromölla, Sweden.

出版信息

Sports (Basel). 2023 Nov 27;11(12):236. doi: 10.3390/sports11120236.

Abstract

Both weak muscle strength and impaired neuromuscular control has previous been suggested as risk factors for future traumatic knee injury. However, data on the relationship between these two factors are scarce. Thus, the aim of this study was to investigate the relationship and influence of the one repetition maximum (1RM) barbell squat strength on dynamic knee valgus in elite female and male handball players. In this cross-sectional study 22 elite handball players (7 females) were included. A unilateral drop jump (VDJ) test was used for the assessment of frontal plane dynamic knee valgus. Players also performed a one repetition maximum (1RM) barbell squat test, expressed relative to bodyweight (r1RM), to assess maximal strength, which were dichotomized to analyze 'weak' versus 'strong' players according to median. Correlations were noted between r1RM in squat and knee valgus angle for both the non-dominant (r = -0.54; = 0.009) and dominant leg (r = -0.46, = 0.03). The odds of knee valgus were eight times higher, for the dominant leg, in the weak group compared to the strong group ( = 0.03) and 27 times higher, for the non-dominant leg ( = 0.002). The outcome of the present study suggests that maximum squat strength plays an important role when it comes to neuromuscular control of the knee, and that weak handball players are at higher risk of knee valgus compared to strong players during jumping activity.

摘要

肌肉力量薄弱和神经肌肉控制受损先前均被认为是未来发生创伤性膝关节损伤的风险因素。然而,关于这两个因素之间关系的数据却很稀少。因此,本研究的目的是调查精英男女手球运动员的一次重复最大负荷(1RM)杠铃深蹲力量与动态膝外翻之间的关系及影响。在这项横断面研究中,纳入了22名精英手球运动员(7名女性)。采用单侧纵跳(VDJ)测试来评估额状面动态膝外翻。运动员还进行了一次重复最大负荷(1RM)杠铃深蹲测试,结果以相对于体重(r1RM)表示,以评估最大力量,并根据中位数将其分为两组,分析“弱”与“强”运动员。观察到深蹲时非优势腿(r = -0.54;P = 0.009)和优势腿(r = -0.46,P = 0.03)的r1RM与膝外翻角度之间存在相关性。与强壮组相比,虚弱组优势腿发生膝外翻的几率高出8倍(P = 0.03),非优势腿高出27倍(P = 0.002)。本研究结果表明,最大深蹲力量在膝关节的神经肌肉控制方面起着重要作用,并且与强壮的手球运动员相比,虚弱的手球运动员在跳跃活动期间发生膝外翻的风险更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc8c/10748350/f706b45e2a91/sports-11-00236-g001.jpg

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