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前交叉韧带损伤的预防

Anterior cruciate ligament injury prevention.

作者信息

Bradsell Hannah, Frank Rachel M

机构信息

Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA.

出版信息

Ann Jt. 2022 Jan 15;7:1. doi: 10.21037/aoj-2020-01. eCollection 2022.


DOI:10.21037/aoj-2020-01
PMID:38529144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10929369/
Abstract

Anterior cruciate ligament injuries are a prominent issue in the field of sports medicine, especially for the female athlete. Extensive research has been performed that acknowledges the disparity in anterior cruciate ligament injury rates between male and female athletes and the high prevalence of risk factors specific to females. The underlying causes of anterior cruciate ligament injuries are widespread and are important to consider when approaching injury prevention. For example, prevention techniques aim to correct neuromuscular imbalances and improve biomechanical deficits, which are some of the most significant risk factors leading to these injuries. While there is a lack of opportunity for intervention related to anatomical and hormonal risks, awareness of their influence on injury mechanisms remains an important factor in clinical decision-making. In pursuit of addressing the risks of this injury, several prevention programs have been established that have been shown to successfully reduce anterior cruciate ligament injury rates when properly executed. The most effective programs include early intervention with continuous training and are multicomponent programs including various targeted exercises to modify associated risk factors. Unfortunately, despite the development of these readily available programs, anterior cruciate ligament injury rates remain high due to insufficient implementation of these methods. Recognizing the efficacy and feasibility of utilizing prevention strategies and continuing to develop effective techniques remain of utmost importance to reduce the incidence of this substantial injury among athletes.

摘要

前交叉韧带损伤是运动医学领域的一个突出问题,尤其是对女性运动员而言。已经进行了大量研究,证实了男女运动员在前交叉韧带损伤率上的差异以及女性特有的危险因素的高发生率。前交叉韧带损伤的潜在原因广泛存在,在考虑预防损伤时很重要。例如,预防技术旨在纠正神经肌肉失衡并改善生物力学缺陷,这些是导致这些损伤的一些最重要的危险因素。虽然缺乏针对解剖学和激素风险进行干预的机会,但认识到它们对损伤机制的影响仍然是临床决策中的一个重要因素。为了应对这种损伤的风险,已经建立了几个预防项目,当正确实施时,这些项目已被证明能成功降低前交叉韧带损伤率。最有效的项目包括早期干预和持续训练,并且是多组分项目,包括各种针对性练习以改变相关危险因素。不幸的是,尽管有这些现成的项目,但由于这些方法实施不足,前交叉韧带损伤率仍然很高。认识到利用预防策略的有效性和可行性并继续开发有效的技术对于减少运动员中这种严重损伤的发生率仍然至关重要。

相似文献

[1]
Anterior cruciate ligament injury prevention.

Ann Jt. 2022-1-15

[2]
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[3]
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[4]
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[5]
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[6]
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J Strength Cond Res. 2011-1

[7]
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Phys Sportsmed. 2009-10

[8]
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J Athl Train. 2017-11-27

[9]
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Am J Sports Med. 2006-3

[10]
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Sports Med. 2015-6

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[1]
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BMC Sports Sci Med Rehabil. 2025-7-18

[2]
Bone Bruise Patterns After Noncontact Anterior Cruciate Ligament Tears Differ Between Alpine Skiers and Pivoting Sports Athletes.

Am J Sports Med. 2025-6

[3]
Demographic and Injury Characteristics as Potential Risk Factors for Anterior Cruciate Ligament Injuries: A Multicentric Cross-Sectional Study.

J Clin Med. 2024-8-27

本文引用的文献

[1]
Normalized Hip and Knee Strength in Two Age Groups of Adolescent Female Soccer Players.

J Strength Cond Res. 2022-1-1

[2]
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Sports (Basel). 2019-11-14

[3]
Soccer Injuries in Children and Adolescents.

Pediatrics. 2019-11

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A Majority of Anterior Cruciate Ligament Injuries Can Be Prevented by Injury Prevention Programs: A Systematic Review of Randomized Controlled Trials and Cluster-Randomized Controlled Trials With Meta-analysis.

Am J Sports Med. 2020-5

[5]
High Risk of Further Anterior Cruciate Ligament Injury in a 10-Year Follow-up Study of Anterior Cruciate Ligament-Reconstructed Soccer Players in the Swedish National Knee Ligament Registry.

Arthroscopy. 2019-8-19

[6]
A retrospective study of mechanisms of anterior cruciate ligament injuries in high school basketball, handball, judo, soccer, and volleyball.

Medicine (Baltimore). 2019-6

[7]
Anterior Cruciate Ligament Injury Risk in Sport: A Systematic Review and Meta-Analysis of Injury Incidence by Sex and Sport Classification.

J Athl Train. 2019-4-22

[8]
Female Soccer Players With Anterior Cruciate Ligament Reconstruction Have a Higher Risk of New Knee Injuries and Quit Soccer to a Higher Degree Than Knee-Healthy Controls.

Am J Sports Med. 2018-11-27

[9]
Lower limb injury prevention programs in youth soccer: a survey of coach knowledge, usage, and barriers.

J Exp Orthop. 2018-10-11

[10]
Effectiveness of multicomponent lower extremity injury prevention programmes in team-sport athletes: an umbrella review.

Br J Sports Med. 2018-9-10

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