跑步相关损伤的发生率及生物力学风险因素：一项前瞻性队列研究。
Incidence and biomechanical risk factors for running-related injuries: A prospective cohort study.
作者信息
Moreira Poliana F, Veras Priscila M, Oliveira Túlio M D, Souza Matheus A, Catharino Leonardo L, Borel Wyngrid P, Barbosa Alexandre C, Fonseca Diogo S, Felício Diogo C
机构信息
Programa Pós-Graduação Em Ciências da Reabilitação e Desempenho Físico-Funcional, Faculdade de Fisioterapia da Universidade Federal de Juiz de Fora (UFJF), Av. Eugênio Do Nascimento, 36038330, Juiz de Fora, MG, Brazil.
Programa Pós-Graduação Em Educação Física, Departamento de Fisioterapia da Universidade Federal de Juiz de Fora (UFJF-GV), Raimundo Monteiros Rezende 35010173, Governador Valadares, MG, Brazil.
出版信息
J Clin Orthop Trauma. 2024 Oct 17;57:102562. doi: 10.1016/j.jcot.2024.102562. eCollection 2024 Oct.
BACKGROUND
Injuries among runners is significant, yet the contributing risk factors remain elusive. The objective of this study was to examined the incidence and biomechanical elements associated with running-related injuries.
METHODS
A 24-week prospective study was carried out. Injury incidence was calculated per 1000 h of running, with participants completing bi-monthly online questionnaires. Biomechanical risk factors, encompassing plantar pressure, muscle strength of hip and knee muscles, core stability, dorsiflexion, passive hip internal rotation, lower extremity length, Q-angle, and shank-forefoot alignment, were assessed at baseline. Logistic regression was used to investigate the relationship between injury incidence and these biomechanical risk factors.
RESULTS
Ninety-eight runners participated in the study. Injury incidence was 8.1 per 1000 h of running, with 41 runners experiencing musculoskeletal injuries during the follow-up period. The knee emerged as the most commonly affected joint, constituting 28.4 % of injuries. The Odds Ratio for hip external rotator muscle strength was .84 (95 % Confidence Interval = .71 - .99).
CONCLUSION
Greater force during hip external rotation was identified as a protective factor against running injuries. These findings bear significance for the formulation and implementation of preventive strategies.
背景
跑步者受伤情况较为严重，但其相关风险因素仍不明确。本研究的目的是调查与跑步相关损伤的发生率及生物力学因素。
方法
进行了一项为期24周的前瞻性研究。每1000小时跑步计算损伤发生率，参与者每两个月完成一次在线问卷调查。在基线时评估生物力学风险因素，包括足底压力、髋部和膝部肌肉力量、核心稳定性、背屈、被动髋内旋、下肢长度、Q角以及小腿-前足对线情况。采用逻辑回归分析损伤发生率与这些生物力学风险因素之间的关系。
结果
98名跑步者参与了研究。每1000小时跑步的损伤发生率为8.1，41名跑步者在随访期间出现肌肉骨骼损伤。膝关节是最常受影响的关节，占损伤的28.4%。髋外旋肌力量的优势比为0.84（95%置信区间=0.71-0.99）。
结论
髋部外旋时更大的力量被确定为预防跑步损伤的保护因素。这些发现对预防策略的制定和实施具有重要意义。
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