一种用于受伤男性职业足球运动员重返赛场的现场康复框架的有效性：一项单盲、前瞻性、随机对照试验。
Effectiveness of an On-Field Rehabilitation framework for return to sports in injured male professional football players: a single-blinded, prospective, randomised controlled trial.
作者信息
Stathas Ioannis, Kalliakmanis Alkiviadis, Kekelekis Afxentios, Danassi Afentaki Despoina, Tsepis Elias, Fousekis Konstantinos
机构信息
Physiotherapy Department, School of Health Rehabilitation Sciences, University of Patras, Patra, Greece.
Head of Physiotherapy and rehabilitation department, OFI Crete FC, Herakleion, Crete, Greece.
出版信息
BMJ Open Sport Exerc Med. 2024 Jan 19;10(1):e001849. doi: 10.1136/bmjsem-2023-001849. eCollection 2024.
OBJECTIVES
In football, on-field rehabilitation (OFR) is critical during injury recovery for a player's safe return to sports (RTS). The study aimed to evaluate the effectiveness of an OFR framework for RTS in injured male professional football players.
TRIAL DESIGN
A prospective block-randomised controlled-parallel trial was conducted (level of evidence 1b).
METHODS
Male professional football players (mean age, 26.3±3.6 years) from Greece diagnosed with an acute, lower limb musculoskeletal (MSK) injury (confirmed clinically and through imaging) participated in the study. During rehabilitation, the participants' OFR was guided by either the On-Field Rehabilitation (On FI.RE.) accelerated framework (experimental group) or a traditional OFR framework for a late injury recovery phase (comparison group). Between July 2021 and January 2022, 76 players were randomly allocated to the experimental group (n=38) and the comparison group (n=38). Participants were blinded during the study regarding intervention therapeutic protocols. The primary outcome measure was the effect of On FI.RE. framework on the time needed to return to team training (RTT) participation. The correlation between the time needed to return to on-field activity and RTT was calculated. Subsequent injuries were registered for a 12-month follow-up period.
RESULTS
The intervention protocol, On FI.RE. framework, had a statistically significant effect on the time needed to RTT (F(1) = 49 626, p<0.001) with a large effect size (ES; η=0.422) and fewer days (mean=23.8±9.1 days) needed than the comparison group (mean=30.3±9.8 days). There was a strong correlation between return to on-field activity and the time needed to RTT (r = 0.901, p<0001) with a large ES (r>0.5). Six subsequent injuries were registered in the traditional OFR framework group, and one subsequent injury in the On FI.RE. framework group after a follow-up period of 12 months.
CONCLUSION
The On FI.RE., an accelerated OFR framework during injury recovery, is more effective than a traditional OFR framework, reducing the time a player needs to RTS. It entails a very low risk of reinjury.
TRIAL REGISTRATION NUMBER
NCT05163470.
目的
在足球运动中，场内康复（OFR）对于球员在受伤恢复期间安全重返赛场（RTS）至关重要。本研究旨在评估一种OFR框架对受伤男性职业足球运动员RTS的有效性。
试验设计
进行了一项前瞻性整群随机对照平行试验（证据级别1b）。
方法
来自希腊的男性职业足球运动员（平均年龄26.3±3.6岁），被诊断为急性下肢肌肉骨骼（MSK）损伤（经临床和影像学确诊）参与了本研究。在康复过程中，参与者的OFR由场内康复（On FI.RE.）加速框架（实验组）或传统的晚期损伤恢复阶段OFR框架（对照组）指导。在2021年7月至2022年1月期间，76名球员被随机分配到实验组（n = 38）和对照组（n = 38）。在研究期间，参与者对干预治疗方案不知情。主要结局指标是On FI.RE.框架对重返球队训练（RTT）所需时间的影响。计算了重返场内活动所需时间与RTT之间的相关性。在12个月的随访期内记录后续损伤情况。
结果
干预方案On FI.RE.框架对RTT所需时间有统计学显著影响（F(1) = 49626，p<0.001），效应量较大（ES；η = 0.422），所需天数（平均 = 23.8±9.1天）少于对照组（平均 = 30.3±9.8天）。重返场内活动与RTT所需时间之间存在强相关性（r = 0.901，p<0.001），效应量较大（r> 0.5）。在12个月的随访期后，传统OFR框架组记录到6例后续损伤，On FI.RE.框架组记录到1例后续损伤。
结论
On FI.RE.是一种在损伤恢复期间的加速OFR框架 ，比传统OFR框架更有效，可减少球员RTS所需时间。其再次受伤风险非常低。
试验注册号
NCT05163470。
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