Intrinsic risk factors for inversion ankle sprains in females – a prospective study
Intrinsic risk factors for inversion ankle sprains in females – a prospective study
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女性踝关节内翻扭伤的内在危险因素——一项前瞻性研究
DOI：
10.1111/j.1600-0838.2004.00428.x
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发表时间：
2005
影响因子：
4.1
通讯作者：
D. De Clercq
中科院分区：
文献类型：
--
作者：
T. Willems;E. Witvrouw;K. Delbaere;R. Philippaerts;Ilse de Bourdeaudhuij;D. De Clercq
脚踝扭伤非常常见。然而，人们对导致个人容易受到这些伤害的变量知之甚少。本研究的目的是前瞻性地检查年轻体力活动女性群体中内翻扭伤的内在危险因素。在学术学习之初，对 159 名体育女学生进行了几种可能的内翻扭伤内在危险因素的评估。评估的内在危险因素包括人体测量和身体特征、踝关节位置感、等速踝关节肌肉力量、小腿对齐特征、姿势控制和突然反转扰动期间的肌肉反应时间。所有运动损伤均在 1-3 年内进行记录，并记录运动时间（平均：每周 15.33±4.33 小时）。 159 名女性中有 32 名 (20%) 扭伤了脚踝。每 1000 小时的运动中踝关节扭伤次数为 0.75 次。 Cox回归分析显示，女性被动关节倒转位置感不太准确[15°倒转绝对误差的风险比（HR）：1.08，95%置信区间（CI）：1.02-1.14]，第一跖趾关节的运动伸展范围较高（HR：1.03，95% CI：1.00-1.06），姿势控制协调性较差（HR：终点偏移为 0.96，95% CI：0.93-1.00；最大终点偏移为 HR：0.94，95% CI：0.89-0.99）踝关节扭伤的风险更大。这项研究的结果表明，踝关节内翻扭伤的有效预防和保守康复应包括关注这些变量。
Ankle sprains are extremely common. However, very little is known about the variables that predispose individuals to these injuries. The purpose of this study was to examine prospectively intrinsic risk factors for inversion sprains in a young physically active female population. One hundred and fifty‐nine female physical education students were evaluated for several possible intrinsic risk factors for inversion sprains at the beginning of their academic study. The evaluated intrinsic risk factors included anthropometrical and physical characteristics, ankle joint position sense, isokinetic ankle muscle strength, lower leg alignment characteristics, postural control and muscle reaction time during a sudden inversion perturbation. All sports injuries were registered during 1–3 years and exposure to sport was recorded (mean: 15.33±4.33 h a week). Thirty‐two (20%) of the 159 females sprained their ankle. The number of ankle sprains per 1000 h of sports exposure was 0.75. The Cox regression analysis revealed that females with less accurate passive joint inversion position sense [hazard ratio (HR): 1.08, 95% confidence interval (CI): 1.02–1.14 for absolute error at 15° inversion], a higher extension range of motion at the first metatarsophalangeal joint (HR: 1.03, 95% CI: 1.00–1.06) and less coordination of postural control (HR: 0.96, 95% CI: 0.93–1.00 for endpoint excursion; HR: 0.94, 95% CI: 0.89–0.99 for maximal endpoint excursion) are at greater risk of an ankle sprain. The findings of this study suggest that effective prevention and conservative rehabilitation of ankle inversion sprains should include attention to these variables.