季前功能性动作筛查而非Y平衡测试分数可预测精英女子快投垒球运动员的肌肉骨骼损伤。

Preseason Functional Movement Screen But Not Y-Balance Test Scores Predict Musculoskeletal Injury in Elite Female Fast-Pitch Softball Athletes.

作者信息

Zhao Xiujing, Pribyslavska Veronika, Yu HoYeol, Scudamore Eric M

机构信息

Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA.

Department of Health, Physical Education and Sport Sciences, Arkansas State University, Jonesboro, AR, USA.

出版信息

J Sport Rehabil. 2024 Dec 20:1-6. doi: 10.1123/jsr.2024-0010.

DOI:10.1123/jsr.2024-0010

PMID:39708784

Abstract

CONTEXT

Functional movement screen (FMS) and Y-balance test (YBT) are used to predict the risk of musculoskeletal injuries. FMS and YBT tools in relation to injury in elite female softball athletes have not been examined.

OBJECTIVES

This study aims to (1) compare the differences in FMS, Y-Balance upper quarter (YBT-UQ), and lower quarter (YBT-LQ) scores between injured and noninjured group and (2) determine the ability of FMS and YBT scores to predict the odds of musculoskeletal injury in elite fast-pitch female softball athletes.

DESIGN

Prospective cohort study.

METHODS

Thirty-eight athletes (age = 22.9 [2.6] y, height = 170.2 [5.2] cm, mass = 65.5 [7.2] kg) completed preseason FMS and YBT assessments. Injury data were collected throughout one full season, categorized based on the location of the injury, and then recorded as a binary variable (ie, injured and noninjured groups). FMS, YBT-UQ, and YBT-LQ scores were compared between injured and noninjured groups. Binary logistic regression was used to predict the occurrence of injury among softball athletes.

RESULTS

FMS scores were significantly lower for the injured group compared with the FMS scores belonging to the noninjured group (P ≤ .001; d = 1.52). Lower FMS composite scores predicted injury (Wald(df = 1) = 6.755; odds ratio = 0.231; P = .009; 95% confidence interval, 0.076-0.697). No between-group differences existed in YBT-UQ (P = .67; d = 0.14) and YBT-LQ (P = .16; d = 0.50) composite scores between the injured and the noninjured groups. YBT-UQ (Wald(df = 1) = 2.300; odds ratio = 0.893; P = .129; 95% confidence interval, 0.772-1.033) and YBT-LQ (Wald(df = 1) = 0.145; odds ratio = 1.024; P = .703; 95% confidence interval, 0.906-1.157) were not significant predictors of injury.

CONCLUSIONS

FMS appears to be a valuable screening tool for assessing musculoskeletal injury risk in elite fast-pitch female softball athletes.

摘要

背景

功能性动作筛查（FMS）和Y平衡测试（YBT）用于预测肌肉骨骼损伤风险。尚未对精英女子垒球运动员中与损伤相关的FMS和YBT工具进行研究。

目的

本研究旨在（1）比较受伤组和未受伤组在FMS、Y平衡测试上肢（YBT-UQ）和下肢（YBT-LQ）得分上的差异，以及（2）确定FMS和YBT得分预测精英快投女子垒球运动员肌肉骨骼损伤几率的能力。

设计

前瞻性队列研究。

方法

38名运动员（年龄=22.9[2.6]岁，身高=170.2[5.2]厘米，体重=65.5[7.2]千克）完成了季前FMS和YBT评估。在整个完整赛季收集损伤数据，根据损伤部位进行分类，然后记录为二元变量（即受伤组和未受伤组）。比较受伤组和未受伤组之间的FMS、YBT-UQ和YBT-LQ得分。采用二元逻辑回归预测垒球运动员损伤的发生情况。

结果

与未受伤组的FMS得分相比，受伤组的FMS得分显著更低（P≤.001；d=1.52）。较低的FMS综合得分可预测损伤（Wald（自由度=1）=6.755；比值比=0.231；P=.009；95%置信区间，0.076-0.697）。受伤组和未受伤组之间在YBT-UQ（P=.67；d=0.14）和YBT-LQ（P=.16；d=0.50）综合得分上不存在组间差异。YBT-UQ（Wald（自由度=1）=2.300；比值比=0.893；P=.129；95%置信区间，0.772-1.033）和YBT-LQ（Wald（自由度=1）=0.145；比值比=1.024；P=.703；95%置信区间，0.906-1.157）不是损伤的显著预测指标。