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稳定训练在预防年轻足球运动员疼痛和姿势缺陷中的作用。

The Role of Stabilization Exercise in Preventing Pain and Postural Defects in Young Football Players.

作者信息

Kluczyński Sebastian, Korzan Kornelia, Sorek Piotr, Jurys Tomasz, Knapik Andrzej, Brzęk Anna

机构信息

Department of Physiotherapy, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, 40-055 Katowice, Poland.

Department and Clinic of Rehabilitation, Faculty of Health Sciences, Medical University of Silesia in Katowice, 40-055 Katowice, Poland.

出版信息

Healthcare (Basel). 2025 Aug 12;13(16):1983. doi: 10.3390/healthcare13161983.

DOI:10.3390/healthcare13161983
PMID:40868599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12385192/
Abstract

Maintaining proper posture and preventing musculoskeletal pain are essential for the healthy development of young football players. Contemporary concepts of postural control emphasize the importance of the lumbopelvic-hip complex and the activation of deep trunk muscles. This study aimed to evaluate the effects of a structured core stabilization training program on postural parameters and pain reduction in young football players. : A total of 182 male football players, aged 9-15 years, were enrolled and allocated to either the intervention or control group. The 12-week intervention consisted of exercises targeting both local and global trunk stabilizers. Assessments included measurements of spinal curvatures, trunk rotation angles, lower limb loading symmetry, and postural stability using the TMX-127 digital inclinometer (Saunders Group Inc., Chaska, MN, USA) and the Baseline scoliometer (Fabrication Enterprises, Inc. New York, USA). Pain intensity was measured using the Visual Analogue Scale (VAS). Repeated-measures statistical analyses were performed with a significance level set at ≤ 0.05. The intervention group showed significant improvements in trunk rotational parameters, with reductions in ATR values at C7/Th1 (-0.54°) and L5/S1 (-0.49°). SATR values decreased by -0.28° between the second and third assessments. Symmetry of lower limb loading under eyes-open conditions improved significantly ( < 0.00195). No significant changes were observed in dynamic balance, as assessed by the Y-Balance Test ( > 0.05). Pain intensity decreased from 3.33 to 2.55 on the VAS, reflecting a reduction of 0.78 points. Systematic core stabilization training enhances postural quality and reduces the occurrence and severity of musculoskeletal pain in young football players, with lasting effects-except for postural control under conditions of reduced visual input. This type of training represents an effective physioprophylactic strategy, supporting postural control and lowering the risk of injuries. To maintain these benefits, continued training that incorporates balance and proprioceptive exercises is recommended.

摘要

保持正确姿势并预防肌肉骨骼疼痛对于年轻足球运动员的健康发展至关重要。当代姿势控制概念强调腰骨盆 - 髋关节复合体以及深层躯干肌肉激活的重要性。本研究旨在评估结构化核心稳定训练计划对年轻足球运动员姿势参数和疼痛减轻的影响。总共招募了182名年龄在9至15岁之间的男性足球运动员,并将他们分配到干预组或对照组。为期12周的干预包括针对局部和整体躯干稳定肌的练习。评估包括使用TMX - 127数字倾角仪(美国明尼苏达州查斯卡市桑德斯集团公司)和基线脊柱侧凸测量仪(美国纽约市制造企业公司)测量脊柱曲率、躯干旋转角度、下肢负荷对称性和姿势稳定性。使用视觉模拟量表(VAS)测量疼痛强度。进行重复测量统计分析,显著性水平设定为≤0.05。干预组在躯干旋转参数方面有显著改善,C7/Th1处的ATR值降低了(-0.54°),L5/S1处降低了(-0.49°)。在第二次和第三次评估之间,SATR值降低了-0.28°。睁眼条件下下肢负荷的对称性有显著改善(<0.00195)。通过Y平衡测试评估,动态平衡没有显著变化(>0.05)。VAS上的疼痛强度从3.33降至2.55,反映出降低了0.78分。系统的核心稳定训练可提高年轻足球运动员的姿势质量,减少肌肉骨骼疼痛的发生和严重程度,具有持久效果——除了在视觉输入减少的情况下的姿势控制。这种类型的训练代表了一种有效的物理预防策略,支持姿势控制并降低受伤风险。为了保持这些益处,建议继续进行纳入平衡和本体感觉练习的训练。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d84/12385192/d9863e97389d/healthcare-13-01983-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d84/12385192/a7d21a5dc3aa/healthcare-13-01983-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d84/12385192/7c4824207e2f/healthcare-13-01983-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d84/12385192/d9863e97389d/healthcare-13-01983-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d84/12385192/a7d21a5dc3aa/healthcare-13-01983-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d84/12385192/7c4824207e2f/healthcare-13-01983-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d84/12385192/d9863e97389d/healthcare-13-01983-g003.jpg

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The Effects of Different Core Stability Training on Trunk Stability and Athletic Performance in Adolescent Female Basketball Players.
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