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姿势控制作为青年女子篮球和地板球运动员非接触性前交叉韧带损伤的一个风险因素

Postural Control as a Risk Factor for Noncontact Anterior Cruciate Ligament Injury in Youth Female Basketball and Floorball Athletes.

作者信息

Olli Kattilakoski, Mari Leppänen, Pekka Kannus, Kathrin Steffen, Tommi Vasankari, Tanja Kulmala, Jari Parkkari, Kati Pasanen

机构信息

Tampere Research Center of Sports Medicine, UKK Institute, Tampere, Finland.

Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

出版信息

Scand J Med Sci Sports. 2025 Jun;35(6):e70081. doi: 10.1111/sms.70081.


DOI:10.1111/sms.70081
PMID:40442947
Abstract

The aim of this study was to investigate whether postural control was associated with an increased risk of future noncontact ACL injury in youth female basketball and floorball athletes. Data collection on 189 youth female basketball and floorball athletes was performed during a 3-year period. The modified Star Excursion Balance Test (mSEBT), single-leg drop-down test, and single-leg stance tests on a balance platform were used to measure postural control. In the mSEBT, performance in the anteromedial, medial, and posteromedial directions, as well as the corresponding composite score, were recorded. In balance platform tests, the mediolateral and anteroposterior velocity, velocity moment, and side length of a square representing 90% of postural sway were measured. Relative limb asymmetry and bilateral limb mean results for these variables were calculated and used as predictor variables in Cox regression analysis. Noncontact ACL injuries and individual exposure hours were prospectively recorded throughout the follow-up. Twelve noncontact ACL injuries occurred. Greater limb asymmetry in the posteromedial direction [HR 1.18 (95% CI 1.05-1.32)] and composite score [HR 1.17 (95% CI 1.01-1.36)] on the mSEBT were associated with an increased risk of noncontact ACL injury. No statistically significant associations were found in the other directions for the mSEBT or any of the balance-platform-generated variables. Dynamic postural control, measured by limb asymmetry in the mSEBT, was associated with future ACL injury. Prevention programs for noncontact ACL injury could benefit from exercises directed toward correcting limb asymmetries in dynamic postural control in youth female basketball and floorball athletes.

摘要

本研究的目的是调查姿势控制是否与青年女子篮球和地板球运动员未来发生非接触性前交叉韧带损伤的风险增加有关。在3年期间对189名青年女子篮球和地板球运动员进行了数据收集。采用改良的星状偏移平衡测试(mSEBT)、单腿下蹲测试和在平衡平台上的单腿站立测试来测量姿势控制。在mSEBT中,记录前内侧、内侧和后内侧方向的表现以及相应的综合得分。在平衡平台测试中,测量代表90%姿势摆动的正方形的内外侧和前后速度、速度矩和边长。计算这些变量的相对肢体不对称性和双侧肢体平均结果,并将其用作Cox回归分析中的预测变量。在整个随访过程中前瞻性记录非接触性前交叉韧带损伤和个人暴露时间。发生了12例非接触性前交叉韧带损伤。mSEBT中后内侧方向更大的肢体不对称性[风险比(HR)1.18(95%置信区间1.05 - 1.32)]和综合得分[HR 1.17(95%置信区间1.01 - 1.36)]与非接触性前交叉韧带损伤风险增加相关。在mSEBT的其他方向或任何平衡平台产生的变量中未发现统计学上显著的关联。通过mSEBT中的肢体不对称性测量的动态姿势控制与未来的前交叉韧带损伤相关。针对青年女子篮球和地板球运动员非接触性前交叉韧带损伤的预防计划可能会受益于旨在纠正动态姿势控制中肢体不对称性的练习。

相似文献

[1]
Postural Control as a Risk Factor for Noncontact Anterior Cruciate Ligament Injury in Youth Female Basketball and Floorball Athletes.

Scand J Med Sci Sports. 2025-6

[2]
Stiff Landings Are Associated With Increased ACL Injury Risk in Young Female Basketball and Floorball Players.

Am J Sports Med. 2017-2

[3]
Postural stability does not differ among female sports with high risk of anterior cruciate ligament injury.

Med Probl Perform Art. 2014-12

[4]
Effect of Hip-Focused Injury Prevention Training for Anterior Cruciate Ligament Injury Reduction in Female Basketball Players: A 12-Year Prospective Intervention Study.

Am J Sports Med. 2018-1-23

[5]
Baseline Time to Stabilization Identifies Anterior Cruciate Ligament Rupture Risk in Collegiate Athletes.

Am J Sports Med. 2016-6

[6]
The Effects of Level of Competition, Sport, and Sex on the Incidence of First-Time Noncontact Anterior Cruciate Ligament Injury.

Am J Sports Med. 2014-8

[7]
Greater body mass index and hip abduction muscle strength predict noncontact anterior cruciate ligament injury in female Japanese high school basketball players.

Knee Surg Sports Traumatol Arthrosc. 2018-3-6

[8]
Postural Stability During Single-Leg Stance: A Preliminary Evaluation of Noncontact Lower Extremity Injury Risk.

J Orthop Sports Phys Ther. 2016-8

[9]
Change of Direction Biomechanics in a 180-Degree Pivot Turn and the Risk for Noncontact Knee Injuries in Youth Basketball and Floorball Players.

Am J Sports Med. 2021-8

[10]
Extrinsic Risk Factors for Primary Noncontact Anterior Cruciate Ligament Injury in Adolescents Aged between 14 and 18 years: A Systematic Review.

Sports Med. 2024-4

本文引用的文献

[1]
Validity and Reliability of Dynamic and Functional Balance Tests in People Aged 19-54: A Systematic Review.

Int J Sports Phys Ther. 2024-4-1

[2]
Anterior component of Y-Balance test is correlated to ankle dorsiflexion range of motion in futsal players: A cross-sectional study.

Physiother Res Int. 2023-10

[3]
Non-contact Anterior Cruciate Ligament Injury Epidemiology in Team-Ball Sports: A Systematic Review with Meta-analysis by Sex, Age, Sport, Participation Level, and Exposure Type.

Sports Med. 2022-10

[4]
Association between Inter-Limb Asymmetries in Lower-Limb Functional Performance and Sport Injury: A Systematic Review of Prospective Cohort Studies.

J Clin Med. 2022-1-12

[5]
Test-Retest Reliability of Single-Leg Time to Stabilization Following a Drop-Landing Task in Healthy Individuals.

J Sport Rehabil. 2021-5-23

[6]
Return to Play and Long-term Participation in Pivoting Sports After Anterior Cruciate Ligament Reconstruction.

Am J Sports Med. 2019-10-21

[7]
THE RELIABILITY OF THE STAR EXCURSION BALANCE TEST AND LOWER QUARTER Y-BALANCE TEST IN HEALTHY ADULTS: A SYSTEMATIC REVIEW.

Int J Sports Phys Ther. 2019-9

[8]
RISK FACTORS ASSOCIATED WITH NON-CONTACT ANTERIOR CRUCIATE LIGAMENT INJURY: A SYSTEMATIC REVIEW.

Int J Sports Phys Ther. 2018-8

[9]
Poor static balance is a risk factor for non-contact anterior cruciate ligament injury.

Arch Orthop Trauma Surg. 2018-12

[10]
Reliability of Single-Leg Balance and Landing Tests in Rugby Union; Prospect of Using Postural Control to Monitor Fatigue.

J Sports Sci Med. 2018-5-14

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