The Effects of Core Proprioception on Knee Injury
The Effects of Core Proprioception on Knee Injury
复制标题
核心本体感觉对膝关节损伤的影响
DOI：
--
复制
发表时间：
2007
影响因子：
4.8
通讯作者：
J. Cholewicki
中科院分区：
文献类型：
--
作者：
Bohdanna T. Zazulak;T. Hewett;N. P. Reeves;B. Goldberg;J. Cholewicki
背景在涉及旋转和着陆的运动中，女性运动员遭受膝关节损伤的比率高于男性运动员。假说人体核心控制的原始感觉缺陷可能会影响膝关节的动态稳定性。女性运动员，但不是男性运动员，在3年的随访期内膝盖受伤，与未受伤的运动员相比，在基线测试中核心本体感觉下降。研究设计队列研究(预后)；证据水平，2。方法研究对象为277名大学生运动员(女性140名，男性137名)，通过主动和被动本体感觉重新定位对核心本体感觉进行前瞻性测试。对运动员的受伤情况进行了3年的监测。采用单因素方差分析和多因素Logistic回归分析，检验核心本体知觉与运动员膝关节损伤之间的关系。结果25名运动员发生膝关节损伤，其中女11人，男14人。膝关节损伤组(2.2°)和韧带/半月板损伤组(2.4°)较非损伤组(1.5°，P≤.0.0 5)存在本体感觉主动复位缺陷。平均主动本体感觉重定位误差在受伤男性和未受伤男性之间无差异(P≥.05)。未损伤女性主动本体感觉定位的平均误差显著低于未损伤男性(1.5°vs1.7°，P≤.05)。平均主动本体感觉定位误差每增加一个度数，膝关节损伤的优势比增加2.9倍，韧带/半月板损伤的优势比增加3.3倍(P≤.01)。在女运动员中，主动本体感觉重定位预测膝关节损伤状态的敏感性为90%，特异性为56%。结论通过躯干主动本体感觉重新定位来衡量核心本体感觉受损可以预测女性运动员的膝关节损伤风险，但不能预测男性运动员的损伤风险。
Background In sports involving pivoting and landing, female athletes suffer knee injury at a greater rate than male athletes. Hypotheses Proprioceptive deficits in control of the body's core may affect dynamic stability of the knee. Female, but not male, athletes who suffered a knee injury during a 3-year follow-up period would demonstrate decreased core proprioception at baseline testing as compared with uninjured athletes. Study Design Cohort study (prognosis); Level of evidence, 2. Methods Study subjects were 277 collegiate athletes (140 female, 137 male) who were prospectively tested for core proprioception by active and passive proprioceptive repositioning. Athletes were monitored for injury for 3 years. An ANOVA and multivariate logistic regression were used to test whether core proprioception was related to knee injuries in athletes. Results Twenty-five athletes sustained knee injuries (11 women, 14 men). Deficits in active proprioceptive repositioning were observed in women with knee injuries (2.2°) and ligament/meniscal injuries (2.4°) compared with uninjured women (1.5°, P ≤ .05). There were no differences in average active proprioceptive repositioning error between injured men and uninjured men (P ≥ .05). Uninjured women demonstrated significantly less average error in active proprioceptive repositioning than uninjured men (1.5° vs 1.7°, P ≤ .05). For each degree increase in average active proprioceptive repositioning error, a 2.9-fold increase in the odds ratio of knee injury was observed, and a 3.3-fold increase in odds ratio of ligament/meniscal injury was observed (P ≤ .01). Active proprioceptive repositioning predicted knee injury status with 90% sensitivity and 56% specificity in female athletes. Conclusions Impaired core proprioception, measured by active proprioceptive repositioning of the trunk, predicted knee injury risk in female, but not male, athletes.
女运动员预防前十字韧带损伤的基本原理和临床技术。
影响因子：
3.3
作者：
Myer,GregoryD;Ford,KevinR;Hewett,TimothyE
通讯作者：
Hewett,TimothyE