Harris-Hayes Marcie, Solomon Steven, Lin Sylvia, Prather Heidi, Hunt Devyani, Agarwal Mansi, Bloom Nancy J, Mills Lauren, Clohisy John C
Physical Therapy and Orthopaedic Surgery.
Hospital for Special Surgery, Weill Cornell Medicine, New York, NY.
J Athl Train. 2025 Feb 1;60(2):170-176. doi: 10.4085/1062-6050-0151.24.
Surrounding the predictive value of clinical measurements and assessments for future athletic injury, most researchers have not differentiated between contact and noncontact injuries.
We assessed the association between clinical measures and questionnaire data collected before sport participation and the incidence of noncontact lower extremity (LE) injuries among Division III collegiate athletes.
Prospective cohort study.
University setting, National Collegiate Athletic Association Division III.
Here, 488 Division III freshmen athletes were recruited to participate in the study during their preseason physical examinations.
MAIN OUTCOME MEASURE(S): Prospective incidence of noncontact LE injury. Athletes completed questionnaires to collect demographics and musculoskeletal pain history. Clinical tests, performed by trained examiners, included hip provocative tests, visual appraisal of a single-leg squat to identify dynamic knee valgus, and hip range of motion. Injury surveillance for each athlete's collegiate career was performed. The athletic training department documented each athlete-reported new onset injury and documented the injury location, type, and outcome (days lost, surgery performed). Univariable generalized estimating equation models were used to analyze the relationship between each clinical measure and the first occurrence of noncontact LE injury. An exchangeable correlation structure was used to account for repeated measurements within athletes (right and left limbs).
Of the 488 athletes, 369 athletes (75%) were included in the final analysis. Sixty-nine noncontact LE injuries were reported. Responding yes to, "Have you ever had pain or an injury to your low back?" was associated with an increased risk of noncontact LE, odds ratio = 1.59 (95% confidence interval = 1.03, 2.45; P = .04). No other clinical measures were associated with an increased injury risk.
A history of prior low back pain or injury was associated with an increased risk of sustaining a noncontact LE injury while participating in National Collegiate Athletic Association Division III athletics.
围绕临床测量和评估对未来运动损伤的预测价值，大多数研究人员并未区分接触性损伤和非接触性损伤。
我们评估了运动参与前收集的临床测量数据和问卷数据与 NCAA 第三分区大学生运动员非接触性下肢损伤发生率之间的关联。
前瞻性队列研究。
大学环境，NCAA 第三分区。
在此，488 名 NCAA 第三分区的新生运动员在季前体检期间被招募参加该研究。
非接触性下肢损伤的前瞻性发生率。运动员完成问卷以收集人口统计学和肌肉骨骼疼痛病史。由训练有素的检查人员进行的临床测试包括髋关节激发试验、单腿深蹲的视觉评估以识别动态膝外翻以及髋关节活动范围。对每位运动员的大学生涯进行损伤监测。运动训练部门记录每位运动员报告的新发损伤，并记录损伤部位、类型和结果（缺勤天数、是否进行手术）。使用单变量广义估计方程模型分析每种临床测量与非接触性下肢损伤首次发生之间的关系。使用可交换相关结构来考虑运动员体内的重复测量（右肢和左肢）。
488 名运动员中，369 名运动员（75%）纳入最终分析。共报告了 69 例非接触性下肢损伤。对“你是否曾有过下背部疼痛或损伤？”回答“是”与非接触性下肢损伤风险增加相关，比值比 = 1.59（95% 置信区间 = 1.03, 2.45；P = .04）。没有其他临床测量与损伤风险增加相关。
既往下背部疼痛或损伤史与参加 NCAA 第三分区体育赛事时发生非接触性下肢损伤的风险增加相关。
