Prevention of anterior cruciate ligament injuries in female team handball players:: A prospective intervention study over three seasons
Prevention of anterior cruciate ligament injuries in female team handball players:: A prospective intervention study over three seasons
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DOI：
10.1097/00042752-200303000-00002
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发表时间：
2003-03-01
影响因子：
2.7
通讯作者：
Bahr, R
中科院分区：
文献类型：
--
作者：
Myklebust, G;Engebretsen, L;Bahr, R
目的：评估神经肌肉训练计划对女子手球队运动员前交叉韧带损伤发生率的影响。设计：前瞻性干预研究。设置：挪威女子手球队：I-III组。参与者：来自三个顶级组的运动员：对照赛季（1998-1999年），60个小组（942名球员）;第一个干预赛季（1999-2000年），58支球队（855名球员）;第二个干预赛季（2000-2001年），52个小组（850名球员）。干预：五阶段计划（持续时间，15分钟），三种不同的平衡练习，重点是神经肌肉控制和种植/1999年秋天，队员们开始学习和掌握着陆技术，并在2000年赛季开始前进行了修订。这些团队接受了该计划的指导，并提供了一个教学视频，海报，六个平衡垫和六个摇摆板。结果：对照组前交叉韧带损伤29例，干预组前交叉韧带损伤23例（OR，0.87; CI，0.50-1.52; p = 0.62），第二个干预季节有17例受伤（OR，0.64; CI，0.35-1.18; p = 0.15）。在精英组中，对照季节有13例受伤，第一次干预季节有6例受伤（OR，0.51; CI，0.19-1.35; p = 0.17），第二次干预季节有5例受伤（OR，0.37; CI，0.13-1.05; p = 0.06）。对于整个队列，在第二个干预季节期间，遵守和不遵守的人之间的受伤率没有差异（OR，0.52; CI，0.15-1.82; p = 0.31）。在精英师，受伤的风险降低那些谁完成了前交叉韧带损伤预防计划（OR，0.06; CI，0.01-0.54; P = 0.01）相比，那些谁没有。结论：这项研究表明，它是可能的，以防止前交叉韧带损伤与特定的神经肌肉训练。
Objective: To assess the effect of a neuromuscular training program on the incidence of anterior cruciate ligament injuries in female team handball players.Design: Prospective intervention study.Setting: Female team handball: Division I-III in Norway.Participants: Players from the three top divisions: control season (1998-1999), 60 teams (942 players); first intervention season (1999-2000), 58 teams (855 players); second intervention season (2000-2001), 52 teams (850 players).Intervention: A five-phase program (duration, 15 min) with three different balance exercises focusing on neuromuscular control and planting/landing skills was developed and introduced to the players in the autumn of 1999 and revised before the start of the season in 2000. The teams were instructed in the program and supplied with an instructional video, poster, six balance mats, and six wobble boards. Additionally, a physical therapist was attached to each team to follow up with the intervention program during the second intervention period.Main Outcome Measures: The number of anterior cruciate ligament injuries during the three seasons and compliance with the program.Results: There were 29 anterior cruciate ligament injuries during the control season, 23 injuries during the first intervention season (OR, 0.87; CI, 0.50-1.52; p = 0.62), and 17 injuries during the second intervention season (OR, 0.64; CI, 0.35-1.18; p = 0.15). In the elite division, there were 13 injuries during the control season, six injuries during the first intervention season (OR, 0.51; Cl, 0.19-1.35; p = 0.17), and five injuries in the second intervention season (OR, 0.37; Cl, 0.13-1.05; p = 0.06). For the entire cohort, there was no difference in injury rates during the second intervention season between those who complied and those who did not comply (OR, 0.52; CI, 0.15-1.82; p = 0.31). In the elite division, the risk of injury was reduced among those who completed the anterior cruciate ligament injury prevention program (OR, 0.06; CI, 0.01-0.54; p = 0.01) compared with those who did not.Conclusions: This study shows that it is possible to prevent anterior cruciate ligament injuries with specific neuromuscular training.