大学生业余足球运动员踝关节损伤的调查研究

通过对277名吉首大学普通男性大学生足球运动员急性踝关节运动损伤的流行病学调查,结果显示：大学生足球运动急性踝关节损伤主要发生在比赛中,发生时间主要在上半场15min和下半场15min;发生区域集中在罚球区附近,且以前锋为主,其次为前卫;损伤类型以踝关节韧带损伤中的旋后损伤为主。     

体育院系学生足球普修阶段运动损伤的发生规律及预防

足球是一项对抗激烈的运动，身体损伤较为常见。在体育院系学生的足球普修阶段，同样也经常发生，这对学生的身心健康影响较大。因此，探索足球运动的损伤规律，分析其原因并提出有效的预防措施，以最大限度地避免或减少损伤的发生，对增强学生体质，顺利地完成教学任务，有着极为重要的作用。     

Balance and proprioception responses to FIFA 11+ in amateur futsal players: Short and long-term effects

ABSTRACT

Background: The FIFA 11+ has shown positive effects on balance and proprioception parameters in football players. As there have been very few research studies involving futsal, we examined the short and long term effects of the FIFA 11+ on static and dynamic balance, as well as proprioception in male amateur futsal players.

Methods: Seventy-one male futsal players were randomized to two groups (FIFA 11+: n = 37, age: 27.33 ± 4.33 years; Control: n = 34, age: 25.55 ± 4.65 years). Intervention lasted 10 weeks, 2 sessions per week, succeeded by a 10-week follow-up period. For balance testing, we assessed the single-legged postural sway with a force platform (static balance) and the Y balance test (dynamic balance). Proprioception was assessed with active joint position sense testing.

Results: Complete pre-post intervention and follow-up tests were available for 61 players. The FIFA 11+ group showed higher training exposure and lower body mass index and body weight. After adjustment for baseline differences, no significant differences between groups were observed in the pre-post changes for centre of pressure measures, Y-balance and proprioception parameters both at short and long-term.

Conclusions: Performing FIFA 11+ for 10 weeks did not improve static and dynamic balance as well as proprioception in amateur futsal players.     

中药熏蒸疗法治疗青少年足球运动员踝前撞击综合征的疗效观察

目的：观察中药熏蒸疗法对青少年足球运动员踝前撞击综合征的疗效。方法：将24例患者随即分为对照组、理疗组及中药熏蒸组,每组8例。对照组不做处理;理疗组采用超短波治疗,每次治疗30min,每日1次,治疗10次;中药熏蒸组采用中药熏蒸,每次治疗30min,每日1次,治疗10次。疗效评价采用AOFASY足踝评分和Myotonometer测试系统检测踝关节肿胀,结果：理疗组和中药熏蒸组的治疗都有效（P〈0．05）,但中药熏蒸组的疗效更好（P〈0．05）：结论：理疗纽和中药熏蒸组的治疗效果较对照组有明显疗效,其中中药熏蒸组的疗效更好,     

Long-term effects of the 11+ warm-up injury prevention programme on physical performance in adolescent male football players: a cluster-randomised controlled trial

This study examined the long-term effects of the 11+ on physical performance in adolescent male football (soccer) players. Eighty-two 14- to 16-year-old male football players (11+ = 42 players, control = 40 players) participated. Teams were randomised to control (CON) and intervention (INT) groups. INT applied the 11+ injury prevention programme for 30 weeks at least twice a week as a warm-up. CON performed their standard warm-up. Motor performance tests were conducted 1 week prior and 1 week after the competition season. We used magnitude-based inferences and linear mixed-effects models to analyse performance test results. INT showed superior results compared to CON in the vertical jump height 7.5% (95%-CI 4.4%, 10.7%), the Bosco 15-s-jump test 7.2% (95%-CI 2.2%, 12.4%), and the Illinois agility test ?2.6% (95%-CI ?4.1%, ?1.1%). Possibly beneficial effects in favour of INT were found in the 9.1 m sprint test ?3.1% (95%-CI ?6.1%, 0.1%). Possibly harmful effects (i.e. in favour of CON) were observed in the dribbling test 2.8% (95%-CI ?0.8%, 6.4%). The 11+ warm-up programme can improve different performance measures in football players. Coaches might implement additional dribbling drills next to the 11+ to achieve improvements observed in dribbling ability when using a regular warm-up programme.     

Lower limb alignment characteristics are not associated with running injuries in runners: Prospective cohort study

There is conflicting evidence on the association between lower limb alignment characteristics and the incidence of running-related injury (RRI). Therefore, the primary aim of this study was to investigate the association between lower limb alignment characteristics and the incidence proportion of RRI in a convenience sample of recreational runners. A total of 89 recreational runners were included in this prospective cohort study. These participants had been running for at least six months and were injury-free at baseline. Lower limb alignment measurements were conducted in order to calculate lower limb discrepancy, Q-angle, subtalar angle and plantar index. All participants also answered a baseline and biweekly online surveys about their running routine, history of RRI and newly developed RRI over a period of 12 weeks. The prevalence of previous RRI and the 12-week incidence proportion of new RRI were calculated. Logistic regression analysis was performed to estimate the association between lower limb length discrepancy, Q-angle, subtalar angle and plantar ach index with the incidence proportion of RRI. The prevalence of previous RRI was 55.1% (n?=?49). The 12-week incidence proportion of new RRI was 27.0% (n?=?24). Muscle injuries and tendinopathies were the main types of RRI identified. The lower leg and the knee were the main anatomical regions affected. We did not find significant associations between lower limb length discrepancy, Q-angle, subtalar angle and plantar arch index and injury occurrence.     

Comparison of 10 vs. 20 min neuromuscular training for the prevention of lower extremity injuries in male youth football: A cluster randomised controlled trial

ABSTRACT

The aim of this study was to compare the effects of 20 min neuromuscular training with a programme of 10 min in youth football players. 342 (15.4 ± 1.7 years) male football players from 18 teams were included, and cluster-randomized by team into two intervention groups. Both groups performed an injury prevention programme twice a week over five months using the same exercises but a different duration. The first intervention group (INT10, n = 175) performed the programme for 10 min, the second intervention group (INT20, n = 167) for 20 min. Primary outcomes were lower extremity (LE) injuries. Secondary outcomes were injury type, severity, mechanism and compliance to the intervention. 13 teams with 185 players were included for final analysis. No significant group difference was found between INT10 (6.37 per 1000 h) and INT20 (7.20 per 1000 h) for the incidence rate ratio of the lower extremities (IRR = 1.03, 95% confidence interval 0.59, 1.79), nor for the distribution of injury location, type, severity or mechanism. The results show that performing preventive exercises for 10 min is no less effective than 20 min in youth football players. Shorter training sessions can, therefore, be effectively used for injury prevention.     

A season long investigation into the effects of injury,match selection and training load on mental wellbeing in professional under 23 soccer players: A team case study

Abstract

This study examined the influence of injury, match selection and training load on mental wellbeing (MW) in a squad of professional soccer players. Using a longitudinal design, twenty-five male soccer players (age, 20?±?1 years, height, 1.80?±?5.79 m, body mass 76.33?±?7.52?kg) from the under 23 squad playing in the Premier League 2 division in the UK completed the Warwick–Edinburgh Mental Well-being Scale (WEMWBS) each week of the 2017/2018 season (37 weeks in total). Injury and non-selection for the match squad were the only significant predictors of MW (P?<?0.05). Injury had the biggest influence on MW that was lower when injured vs. not injured (43.6?±?5.0 vs. 49.9?±?3.5, respectively, P?=?0.001, ES?=?1.48), accounting for 40% of the variation in MW. This increased to 50% when not being selected to play games was also considered. Weekly training loads measured by GPS (total distance, sprint distance and total duration) and individual player win rate did not influence MW (P?>?0.05). These findings highlight the importance of monitoring MW in professional soccer players and suggest that injured players and those rarely selected for the match squad should be educated on the strategies available for managing their mental health and wellbeing.     

Shoe drop reduction influences the lower limb biomechanics of children tennis players during an open stance forehand: A longitudinal study

Compared to traditional tennis shoes, using 0-drop shoes was shown to induce an immediate switch from rear- to forefoot strike pattern to perform an open stance tennis forehand for 30% of children tennis players. The purpose of the study was to examine the long-term effects of a gradual reduction in the shoe drop on the biomechanics of children tennis players performing open stance forehands. Thirty children tennis players participated in 2 laboratory biomechanical test sessions (intermediate: +4 months and final: +8 months) after an inclusion visit where they were randomly assigned to control (CON) or experimental (EXP) group. CON received 12-mm-drop shoes twice, whereas EXP received 8?mm then 4-mm-drop shoes. Strike index indicated that all CON were rearfoot strikers in intermediate and final test sessions. All EXP were rearfoot strikers in intermediate test session, but half the group switched towards a forefoot strike pattern in final test session. This switch resulted in a decreased loading rate of the ground reaction force (?73%, p?=?.005) but increased peak ankle plantarflexors moment (+47%, p?=?.050) and peak ankle power absorption (+107%, p?=?.005) for these participants compared with CON. Biomechanical changes associated with the long-term use of partial minimalist shoes suggest a reduction in heel compressive forces but an increase in Achilles tendon tensile forces.     

The adolescent motor performance development of elite female soccer players: A study of prognostic relevance for future success in adulthood using multilevel modelling

ABSTRACT

Considering the scarce empirical evidence regarding talent predictors in female youth soccer, the present study aimed to investigate the long-term prognostic validity of elite female soccer players’ adolescent motor performance for future success in adulthood. Additionally, the three-year development of highly talented girls’ motor performance and the predictive value of this motor development for reaching a professional adult performance level (APL) was analysed.

Overall, N = 737 female players participated in nationwide motor diagnostics (sprinting, agility, dribbling, ball control, shooting) within the German Soccer Association’s talent identification and development programme at least twice between the age groups Under-12 (U12) and U15. Based on their APL at least four years later, participants were assigned to a professional (first German division, 6.2%) or non-professional group (lower divisions, 93.8%).

Multilevel regression analyses revealed a general prognostic relevance for the investigated parameters with respect to players’ APL. In addition, there was a non-linear improvement in participants’ motor performance across all variables from U12 to U15. However, non-significant interactions between APL and these improvements indicate motor performance development itself cannot adequately predict players’ future success in adulthood. Findings provide insightful information that can help coaches foster optimal support for young female soccer players’ development.     

Incidence,aetiology and prevention of musculoskeletal injuries in volleyball: A systematic review of the literature

Currently, there is no overview of the incidence and (volleyball-specific) risk factors of musculoskeletal injuries among volleyball players, nor any insight into the effect of preventive measures on the incidence of injuries in volleyball. This study aimed to review systematically the scientific evidence on the incidence, prevalence, aetiology and preventive measures of volleyball injuries. To this end, a highly sensitive search strategy was built based on two groups of keywords (and their synonyms). Two electronic databases were searched, namely Medline (biomedical literature) via Pubmed, and SPORTDiscus (sports and sports medicine literature) via EBSCOhost. The results showed that ankle, knee and shoulder injuries are the most common injuries sustained while playing volleyball. Results are presented separately for acute and overuse injuries, as well as for contact and non-contact injuries. Measures to prevent musculoskeletal injuries, anterior knee injuries and ankle injuries were identified in the scientific literature. These preventive measures were found to have a significant effect on decreasing the occurrence of volleyball injuries (for instance on ankle injuries with a reduction from 0.9 to 0.5 injuries per 1000 player hours). Our systematic review showed that musculoskeletal injuries are common among volleyball players, while effective preventive measures remain scarce. Further epidemiological studies should focus on other specific injuries besides knee and ankle injuries, and should also report their prevalence and not only the incidence. Additionally, high-quality studies on the aetiology and prevention of shoulder injuries are lacking and should be a focus of future studies.     

Morphological changes of the lateral abdominal muscles in adolescent soccer players with low back pain: A prospective cohort study

BackgroundMost papers examining the lateral abdominal muscles (LAMs) and low back pain (LBP) are cross-sectional, with groups of participants being divided into a control and an LBP group. We hypothesized that morphological measurements of the LAMs in adolescent soccer players may predict future LBP incidence. The aim of this study was to examine the associations between the morphology of LAMs and LBP incidence rate among adolescent soccer players.MethodsNinety-seven adolescent male soccer players with no LBP at baseline were recruited into the prospective cohort study. The thickness of the LAMs was measured at baseline by ultrasound imaging in a supine rest position. Nine cases of LBP occurred during the follow-up 6-month observation.ResultsAn obliquus internus (OI) asymmetry was related to increasing LBP risk (odds ratio = 19.99; 95%CI: 2.4–167.9). Spearman correlation also showed a linear relationship between OI asymmetry value and duration of LBP (R = 0.75, p = 0.02). An OI side-to-side difference greater than 1.25 mm suggests possible LBP incidence in the 6-month observation among adolescent soccer players.ConclusionThe morphological changes of the OI may be related to LBP’s incidence in adolescent soccer players. The presence of OI asymmetry increases the odds of LBP by at least 2.4 times. Hypertrophy of the OI on one side of the body may contribute to trunk muscle imbalance.