Career Length and Injury Incidence After Anterior Cruciate Ligament Reconstruction in Major League Soccer Players.
Career Length and Injury Incidence After Anterior Cruciate Ligament Reconstruction in Major League Soccer Players.
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在大联盟足球运动员中重建前交叉韧带重建后，职业长度和受伤的发生率。
DOI：
10.1177/2325967117750825
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发表时间：
2018-01
影响因子：
2.6
通讯作者：
Snyder-Mackler L
中科院分区：
文献类型：
--
作者：
Arundale AJH;Silvers-Granelli HJ;Snyder-Mackler L
前交叉韧带（ACL）重建后的职业生涯长度在美国男子职业足球大联盟（MLS）中知之甚少。此外，除了新的膝关节损伤外，还没有明确指出ACL重建后重返足球场的运动员是否有更高的受伤风险。研究ACL重建后MLS运动员的职业生涯长度和下肢损伤的发生率，并与年龄匹配的对照组进行比较。队列研究;证据等级，3。损伤和运动暴露（AE;游戏和训练课程）记录在HealtheAthlete数据库中，MLS的损伤监测系统。所有接受ACL重建并返回MLS的运动员都被确定并与对照组年龄匹配。多变量方差分析被用来比较职业生涯的长度和百分比的常规/季后赛的游戏，运动员开始，替换，或没有发挥。广义线性模型回归被用来检查伤害风险。ACL组的运动员职业生涯较短（1.3 ± 1.3年）比对照组（2.5 ± 1.3年）（P <0.01），但当他们在比赛时，ACL组的运动员参与的AE数量与对照组相似（分别为169.9 ± 129.0 vs 171.6 ± 124.9 AE; P = 0.95）。与对照组相比，ACL组的运动员开始的常规赛/季后赛较少（分别为36.7% ± 34.3%和60.1% ± 33.8%; P < .01），并且没有参加更多的常规赛/季后赛（分别为47.4% ± 35.5%和31.0% ± 34.4%; P = .03）。与对照组相比，ACL组的下肢损伤风险并不显著更高（相对风险，0.87; 95%CI，0.55-1.37）。尽管ACL重建后的MLS运动员下肢受伤的风险并没有更大，但这项研究表明，他们在常规赛/季后赛中的使用频率并不高，而且他们在MLS的职业生涯比年龄匹配的对照组要短。进一步的研究是必要的，以阐明这些运动员的职业生涯缩短的原因。这项研究支持的观点，返回到体育不是作为一个单一的时间点，而是作为一个连续的返回到参与，返回到发挥和返回到性能。
Little is known about career length after anterior cruciate ligament (ACL) reconstruction in Major League Soccer (MLS), the top men’s professional soccer league in the United States. Further, it is unspecified whether athletes returning to soccer after ACL reconstruction are at a higher risk for injuries, beyond new knee injuries. To examine career length and the incidence of lower extremity injuries in MLS athletes after ACL reconstruction in comparison with age-matched controls. Cohort study; Level of evidence, 3. Injuries and athletic exposures (AEs; games and training sessions) were recorded in the HealtheAthlete database, the injury surveillance system of MLS. All athletes who had undergone ACL reconstruction and returned to MLS were identified and age-matched with controls. Multivariate analyses of variance were used to compare career length and percentage of regular/postseason games that athletes started, substituted, or did not play. Generalized linear model regressions were used to examine the injury risk. Athletes in the ACL group had shorter careers (1.3 ± 1.3 years) than those in the control group (2.5 ± 1.3 years) (P < .01), but while they were playing, athletes in the ACL group participated in a similar number of AEs as those in the control group (169.9 ± 129.0 vs 171.6 ± 124.9 AEs, respectively; P = .95). Athletes in the ACL group started fewer regular/postseason games (36.7% ± 34.3% vs 60.1% ± 33.8%, respectively; P < .01) and did not play in more regular/postseason games (47.4% ± 35.5% vs 31.0% ± 34.4%, respectively; P = .03) compared with those in the control group. The ACL group was not at a significantly greater risk for lower extremity injuries compared with the control group (relative risk, 0.87; 95% CI, 0.55-1.37). Although MLS athletes after ACL reconstruction are not at a greater risk for lower extremity injuries, this study suggests that they are not utilized in regular/postseason games as frequently and that their careers in MLS are shorter than age-matched controls. Further research is necessary to elucidate reasons for these athletes’ shortened MLS careers. This study supports the view of return to sport not as a single time point but as a continuum from return to participation to return to play and return to performance.
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DOI：
10.2519/jospt.2012.4194
发表时间：
2012-09
期刊：
The Journal of orthopaedic and sports physical therapy
影响因子：
--
作者：
Schmitt LC;Paterno MV;Hewett TE
通讯作者：
Hewett TE
影响因子：
2.6
作者：
Erickson, Brandon J.;Harris, Joshua D.;Cole, Brian J.
通讯作者：
Cole, Brian J.
影响因子：
18.4
作者：
Hagglund, Martin;Walden, Markus;Ekstrand, Jan
通讯作者：
Ekstrand, Jan
影响因子：
3.3
作者：
Harris, Joshua D.;Erickson, Brandon J.;Cole, Brian J.
通讯作者：
Cole, Brian J.
DOI：
10.1177/0363546514530088
发表时间：
2014-07
期刊：
The American journal of sports medicine
影响因子：
--
作者：
Paterno MV;Rauh MJ;Schmitt LC;Ford KR;Hewett TE
通讯作者：
Hewett TE