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二级预防可降低男性职业足球运动员腘绳肌拉伤和腹股沟伤病负担。

Secondary injury prevention reduces hamstring strain and time-loss groin injury burdens in male professional football.

机构信息

College of Engineering, Science and the Environment, University of Newcastle, Newcastle, Australia; Newcastle Jets Football Club, Newcastle, Australia.

Performance Health Management, Canberra, Australia; La Trobe University, Melbourne, Australia.

出版信息

Phys Ther Sport. 2024 Nov;70:15-21. doi: 10.1016/j.ptsp.2024.08.003. Epub 2024 Aug 13.

Abstract

OBJECTIVES

This study aimed to assess the effectiveness of a systems-based secondary injury prevention intervention aimed at early detection and management of hamstring strain injury (HSI) and time-loss groin injury in an Australian male professional football club.

DESIGN

Prospective cohort study.

SETTING

Australian male professional football club.

PARTICIPANTS

Data were collected from male professional football players (n = 73) from a single football club.

MAIN OUTCOME MEASURES

Unilateral knee flexion and side-lying hip adduction maximum voluntary isometric contractions were monitored routinely in-season, two days post-match (≥40 h [h]) during a three-season intervention period. Strength reductions greater than the tests' minimal detectable change percentage prompted intervention. HSI and time-loss groin injury burdens were calculated per 1000 player hours and compared with those from an immediately preceding two-season control period, to assess the effectiveness of the intervention.

RESULTS

Across the intervention period, there was a decrease in HSI (4.98 days absence/1000 h (19.8%) decrease) and time-loss groin injury burdens (0.57 days absence/1000 h (49.1%) decrease) when compared with the control period.

CONCLUSIONS

A systems-based secondary injury prevention intervention shows preliminary positive findings in reducing HSI and time-loss groin injury burdens within a male professional football club, compared with usual care only.

摘要

目的

本研究旨在评估一项基于系统的二级损伤预防干预措施的效果,该措施旨在早期发现和管理澳大利亚男性职业足球俱乐部中腘绳肌拉伤(HSI)和腹股沟拉伤的损失时间。

设计

前瞻性队列研究。

设置

澳大利亚男性职业足球俱乐部。

参与者

数据来自一家足球俱乐部的 73 名男性职业足球运动员。

主要观察指标

在三个赛季的干预期间,常规监测赛季中、比赛后两天(≥40 小时[h])的单侧膝关节屈曲和侧卧位髋关节内收最大自主等长收缩。力量减少大于测试的最小可检测变化百分比提示干预。计算 HSI 和腹股沟拉伤损失时间的负担,以 1000 名球员小时为单位,并与前两个赛季的对照期进行比较,以评估干预措施的效果。

结果

与对照期相比,干预期 HSI(缺勤 4.98 天/1000 小时(19.8%减少))和腹股沟拉伤损失时间负担(缺勤 0.57 天/1000 小时(49.1%减少))均有所下降。

结论

与仅常规护理相比,基于系统的二级损伤预防干预措施在男性职业足球俱乐部中显示出减少 HSI 和腹股沟拉伤损失时间负担的初步积极发现。

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