Intrinsic risk factors for inversion ankle sprains in male subjects - A prospective study
Intrinsic risk factors for inversion ankle sprains in male subjects - A prospective study
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DOI：
10.1177/0363546504268137
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发表时间：
2005-03-01
影响因子：
4.8
通讯作者：
De Clercq, D
中科院分区：
文献类型：
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作者：
Willems, TM;Witvrouw, E;De Clercq, D
背景：许多变量都与踝关节扭伤有关。研究设计：队列研究；证据水平2。方法：共241名男性体育专业学生在学习之初就接受了内翻扭伤可能的内在危险因素的评估。评估的内在危险因素包括人体测量学特征、功能性运动能力、踝关节位置感、等速踝关节肌力、小腿对位特征、姿势控制和在突然倒置扰动时的肌肉反应时间。前瞻性随访1~3年。结果：241例男性受试者中，44例(18%)发生内翻扭伤，4例扭伤双踝。COX回归分析显示，跑步速度越慢、心肺耐力越差、平衡性越差、背屈肌力越弱、屈曲幅度越小、协调性越差、胫前肌和腓肠肌反应越快的男性患踝关节扭伤的风险越大。结论：根据我们的研究结果，跑步速度、心肺耐力、平衡性、屈曲力量、协调性、肌肉反应和踝关节屈曲范围与踝关节内翻扭伤的风险相关。
Background: Many variables have been retrospectively associated with ankle sprains. However, very little is known about factors predisposing people to these injuries.Hypothesis: Measurable intrinsic factors might predispose male athletes to ankle sprains.Study Design: Cohort study; Level of evidence, 2.Methods: A total of 241 male physical education students were evaluated for possible intrinsic risk factors for inversion sprains at the beginning of their academic study. The evaluated intrinsic risk factors included anthropometrical characteristics, functional motor performances, ankle joint position sense, isokinetic ankle muscle strength, lower leg alignment characteristics, postural control, and muscle reaction time during a sudden inversion perturbation. Subjects were followed prospectively for 1 to 3 years.Results: A total of 44 (18%) of the 241 male subjects sustained an inversion sprain; 4 sprained both ankles. Cox regression analysis revealed that male subjects with slower running speed, less cardiorespiratory endurance, less balance, decreased dorsiflexion muscle strength, decreased clorsiflexion range of motion, less coordination, and faster reaction of the tibialis anterior and gastrocnemius muscles are at greater risk of ankle sprains.Conclusion: Based on our findings, it is suggested that running speed, cardiorespiratory endurance, balance, clorsiflexion strength, coordination, muscle reaction, and clorsiflexion range of motion at the ankle are associated with the risk of ankle inversion sprains in male subjects.