Hiepen Lucie, Bosserhoff Niklas, Schaudig Florian, Heitzer Falko, Jäger Marcus, Mayer Constantin
Department of Orthopaedics, Trauma and Reconstruc- tion Surgery, St Marien-Hospital Mülheim an der Ruhr, Mülheim, Germany.
Sektion für Neonatologie und Pädiatrische Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
Sports Med Int Open. 2025 Feb 13;9:a24172488. doi: 10.1055/a-2417-2488. eCollection 2025.
Field hockey, a physically demanding Olympic sport, carries a high risk of lower limb injuries, yet data on injury risk in elite field hockey are limited. Functional knee stability is important for injury prevention and a safe return to sport. This study is the first to investigate functional knee stability in elite field hockey, considering gender and playing class, and establishes reference data for functional knee stability by using a standardized test battery that assesses one- and two-legged stability, jumping tests, speed, and agility. Seventy-two elite field hockey players, 30 males and 42 females (age 19.82±3.74 years) were divided into High Playing Class (HPC) and Moderate Playing Class (MPC). HPC players showed significantly better performance in all functional tests except balance tests ( <0.01-0.024). Females showed significantly better one- and two-leg stability ( <0.01) with lower injury rates, indicating the relevance of gender considerations. The study emphasizes the importance of balance and stability in the prevention of lower limb injuries in Olympic field hockey and also highlights the importance of considering pre-existing deficits in functional knee capability when assessing athletes for return to sport. These results can help improve athletic performance, identify individual strengths and weaknesses, prevent injury or re-injury, and facilitate return to sport after injury.
曲棍球是一项对体能要求很高的奥林匹克运动，下肢受伤风险很高，但关于精英曲棍球运动员受伤风险的数据有限。功能性膝关节稳定性对于预防损伤和安全重返运动至关重要。本研究首次在精英曲棍球运动中，考虑性别和比赛级别，对功能性膝关节稳定性进行调查，并通过使用标准化测试组合建立功能性膝关节稳定性的参考数据，该测试组合评估单腿和双腿稳定性、跳跃测试、速度和敏捷性。72名精英曲棍球运动员，30名男性和42名女性（年龄19.82±3.74岁）被分为高级比赛级别（HPC）和中级比赛级别（MPC）。除平衡测试外，HPC组运动员在所有功能测试中表现明显更好（<0.01-0.024）。女性单腿和双腿稳定性明显更好（<0.01），受伤率更低，表明考虑性别的相关性。该研究强调了平衡和稳定性在预防奥运会曲棍球下肢损伤中的重要性，同时也突出了在评估运动员重返运动时考虑膝关节功能预先存在的缺陷的重要性。这些结果有助于提高运动表现，识别个人优势和劣势，预防受伤或再次受伤，并促进受伤后重返运动。
