The Effect of Neuromuscular Training on the Incidence of Knee Injury in Female Athletes
The Effect of Neuromuscular Training on the Incidence of Knee Injury in Female Athletes
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神经肌肉训练对女运动员膝关节损伤发生率的影响
DOI：
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发表时间：
1999
影响因子：
4.8
通讯作者：
F. Noyes
中科院分区：
文献类型：
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作者：
T. Hewett;T. Lindenfeld;J. Riccobene;F. Noyes
为了前瞻性地评估神经肌肉训练对女运动员膝关节损伤发生率的影响，我们监测了两组女运动员，一组在参加体育运动之前接受过训练，另一组没有接受过训练，另一组是在整个高中足球、排球和篮球赛季中未经训练的男运动员。每周报告包括练习和比赛暴露的数量以及损伤机制。在这项研究跟踪的1263名运动员中，有14名严重的膝盖受伤。463名未经训练的女运动员中有10名膝关节严重损伤（8名非接触性），366名受过训练的女运动员中有2名膝关节严重损伤（0名非接触性），434名男运动员中有2名膝关节严重损伤（1名非接触性）。每1000名运动员暴露的膝关节损伤发生率在未经训练的女运动员中为0.43，在经过训练的女运动员中为0.12，在男运动员中为0.09（P 0.02，卡方分析）。未经训练的女运动员膝关节损伤的发生率是受过训练的女运动员的3.6倍（P0.05），是男运动员的4.8倍（P0.03）。训练组女运动员膝关节损伤发生率与未训练组男运动员相比差异无统计学意义（P0.86）。女性组之间的非接触性损伤发生率差异也有统计学意义（P 0.01）。这项前瞻性研究表明，在一个特定的膝关节测量训练计划后，女性运动员膝关节损伤的发生率降低。
To prospectively evaluate the effect of neuromuscular training on the incidence of knee injury in female athletes, we monitored two groups of female athletes, one trained before sports participation and the other not trained, and a group of untrained male athletes throughout the high school soccer, volleyball, and basketball seasons. Weekly reports included the number of practice and competition exposures and mechanism of injury. There were 14 serious knee injuries in the 1263 athletes tracked through the study. Ten of 463 untrained female athletes sustained serious knee injuries (8 noncontact), 2 of 366 trained female athletes sustained serious knee injuries (0 noncontact), and 2 of 434 male athletes sustained serious knee injuries (1 noncontact). The knee injury incidence per 1000 athlete-exposures was 0.43 in untrained female athletes, 0.12 in trained female athletes, and 0.09 in male athletes (P 0.02, chi-square analysis). Untrained female athletes had a 3.6 times higher incidence of knee injury than trained female athletes (P 0.05) and 4.8 times higher than male athletes (P 0.03). The incidence of knee injury in trained female athletes was not significantly different from that in untrained male athletes (P 0.86). The difference in the incidence of noncontact injuries between the female groups was also significant (P 0.01). This prospective study demonstrated a decreased incidence of knee injury in female athletes after a specific plyometric training program.