Prediction of Core and Lower Extremity Strains and Sprains in Collegiate Football Players: A Preliminary Study
Prediction of Core and Lower Extremity Strains and Sprains in Collegiate Football Players: A Preliminary Study
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DOI：
10.4085/1062-6050-47.3.17
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发表时间：
2012-05-01
影响因子：
3.3
通讯作者：
Seibel, Dustin K.
中科院分区：
文献类型：
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作者：
Wilkerson, Gary B.;Giles, Jessica L.;Seibel, Dustin K.
背景：核心稳定性差被认为增加了在足部和腰椎之间的运动链中关节移位失控的易感性。目的：评估参与前测量作为大学生足球运动员核心或下肢劳损或扭伤的预测指标的价值。设计：队列研究。地点：美国大学体育协会I级足球锦标赛细分足球项目。患者或其他参与者：所有在季前训练开始前一天到场进行强制性体检的球队成员(n=83)。主要结果衡量标准(S)：参与前进行测量以评估下背部、膝盖和脚踝功能；膝关节和脚踝受伤史；体重指数的测定；核心肌肉耐力的4种不同评估；以及台阶试验恢复心率的测量。所有的伤病都记录在整个季前赛练习期和11场比赛中。受试者操作特征分析和Logistic回归分析被用来确定最能区分受伤和未受伤状态的二分预测因素。第75个百分位数和第50个百分位数作为受伤预测因子二分法的替代切入点。结果：与核心功能相关的3个潜在可修改危险因素中，有2个的球员受伤的风险是那些有2个因素的球员的2倍
Context: Poor core stability is believed to increase vulnerability to uncontrolled joint displacements throughout the kinetic chain between the foot and the lumbar spine.Objective: To assess the value of preparticipation measurements as predictors of core or lower extremity strains or sprains in collegiate football players.Design: Cohort study.Setting: National Collegiate Athletic Association Division I Football Championship Subdivision football program.Patients or Other Participants: All team members who were present for a mandatory physical examination on the day before preseason practice sessions began (n = 83).Main Outcome Measure(s): Preparticipation administration of surveys to assess low back, knee, and ankle function; documentation of knee and ankle injury history; determination of body mass index; 4 different assessments of core muscle endurance; and measurement of step-test recovery heart rate. All injuries were documented throughout the preseason practice period and 11-game season. Receiver operating characteristic analysis and logistic regression analysis were used to identify dichotomized predictive factors that best discriminated injured from uninjured status. The 75th and 50th percentiles were evaluated as alternative cutpoints for dichotomization of injury predictors.Results: Players with >= 2 of 3 potentially modifiable risk factors related to core function had 2 times greater risk for injury than those with