Sitler M, Ryan J, Wheeler B, McBride J, Arciero R, Anderson J, Horodyski M
Department of Physical Education, Temple University, Philadelphia, Pennsylvania 19122.
Am J Sports Med. 1994 Jul-Aug;22(4):454-61. doi: 10.1177/036354659402200404.
This randomized clinical study was designed to prospectively determine the efficacy of a semirigid ankle stabilizer in reducing the frequency and severity of acute ankle injuries in basketball. Athletic shoe, playing surface, athlete-exposure, ankle injury history, and brace assignment were either statistically or experimentally controlled. Participants in the study were 1601 United States Military Academy cadets with no preparticipation, clinical, functional, or radiographic evidence of ankle instability. Subjects experienced a total of 13,430 athlete-exposures in the 1990 and 1991 intramural basketball seasons. Ankle injury was defined as acute trauma to the ankle ligaments that resulted in an athlete's inability to participate in basketball 1 day after the injury. Use of ankle stabilizers significantly reduced the frequency of ankle injuries. Reduction in ankle injuries, however, depended on the nature of injury (fewer contact injuries occurred among those who wore braces). Injury severity was not statistically reduced, and wearing the ankle stabilizer did not affect the frequency of knee injuries. Attitude toward ankle stabilizer use improved as use of the stabilizer increased.
这项随机临床研究旨在前瞻性地确定一种半刚性踝关节稳定器在降低篮球运动中急性踝关节损伤的频率和严重程度方面的疗效。运动鞋、比赛场地、运动员暴露情况、踝关节损伤史以及护具分配等因素均通过统计学方法或实验进行了控制。该研究的参与者为1601名美国军事学院学员，他们在参与运动前没有踝关节不稳定的临床、功能或影像学证据。在1990年和1991年的校内篮球赛季中，受试者共经历了13430次运动员暴露。踝关节损伤被定义为踝关节韧带的急性创伤，导致运动员在受伤后1天无法参加篮球运动。使用踝关节稳定器显著降低了踝关节损伤的频率。然而，踝关节损伤的减少取决于损伤的性质（佩戴护具者发生的接触性损伤较少）。损伤严重程度在统计学上并未降低，且佩戴踝关节稳定器并未影响膝关节损伤的频率。随着稳定器使用频率的增加，对使用踝关节稳定器的态度有所改善。
