我国排球运动员的损伤研究(综述)

排球运动是世界上流行的运动项目之一，排球运动员的损伤率估计在二到五人每一千训练比赛小时，主要的损伤部位是在肩、腰、膝、踝等部位，运动损伤方面的研究目前还不成体系，因为各研究的损伤标准不一。为了减少运动损伤的发生率，从内外两个方面综述运动损伤发生的原因及其预防措施。     

Between-limb differences in running technique induces asymmetric negative joint work during running

Negative work, which is mainly generated by eccentric muscle contraction, has an important influence on the associated muscle damage. Generally, mechanical parameters are determined for one side of a lower extremity on the assumption of negligible between-limb differences. However, between-limb differences in the negative work of lower extremity joints during running remain unclear. This study examines between-limb differences in negative work and associated mechanical parameters during the contact phase of running. Twenty-five young adult males voluntarily participated in this study. Each participant was asked to run on a straight runway at a speed of 3.0?m?s^?1. Negative work, amplitude, duration of negative power, moment, and angular velocity were computed for both sides of the lower extremities. Significant differences were found in negative work between limbs for the hip (18.9?±?11.7%), knee (13.6?±?10.4%), and ankle (11.8?±?8.5%) joints. For the hip joint, asymmetric negative work was attributable to the between-limb difference in the amplitude of negative power owing to a corresponding difference in the moment. The between-limb differences concerning the duration and amplitude of negative power could explain the asymmetric negative work in the knee joint. The asymmetric negative work of the ankle joint was attributable to the between-limb difference in the amplitude and duration of the negative power and the moment. These results indicate that asymmetric negative work was generated in each lower extremity joint; however, the major mechanical parameters corresponding to the negative work are not the same across the joints.     

精英运动员运动损伤的心理预防： 理论模型和研究展望

为有效预防竞技运动损伤,促进业界重视心理因素在预防损伤中的作用,对国外竞技运动损伤心理预防的概念模型和框架进行梳理,发现各类心理因素对发生运动损伤的影响路径被进一步整合和细化,不同水平层次的社会心理学因素开始受到重视,无论是特质理论还是应激—损伤理论、行动理论、状态理论,都强调了压力反应这一重要变量,全面、多方位考察风险文化和行为以及生物心理社会因素互动的理论视角是该主题未来的趋势。未来需要规范运动损伤的定义和测量方法,有必要开展运动员及其有关情况的针对性调查,还应该注重重复测量研究设计以及使用被忽视的结构方程模型检验变量的中介效应。     

我国校园足球可持续发展的若干问题研究

发展校园足球是推进我国校园体育活动的重要力量,亦是提升我国足球运动水平的必然选择。虽然在相关政策的支持下,我国校园足球发展迅速,但依然面临经费短缺、师资不足、发展不均衡、学训矛盾突出、体制机制不完善、社会认可度不高、医疗保障体系不健全等问题。指出,学校应密切联系俱乐部、企业,多渠道获取发展资源;从内部培养与外部引进两方面充实师资力量;坚持全面发展原则,妥善解决学训矛盾,提升学生综合素质;加强足球文化建设,营造良好氛围,提升足球参与者的荣誉感;强化校园足球风险防范意识,加强风险管理。旨在促进我国校园足球健康可持续发展。     

Corticospinal changes induced by fatiguing eccentric versus concentric exercise

The present study assessed neuromuscular and corticospinal changes during and after a fatiguing submaximal exercise of the knee extensors in different modes of muscle contraction. Twelve subjects performed two knee extensors exercises in a concentric or eccentric mode, at the same torque and with a similar total impulse. Exercises consisted of 10 sets of 10 repetitions at an intensity of 80% of the maximal voluntary isometric contraction torque (MVIC). MVIC, maximal voluntary activation level (VAL) and responses of electrically evoked contractions of the knee extensors were assessed before and after exercise. Motor evoked potential amplitude (MEP) and cortical silent period (CSP) of the vastus medialis (VM) and rectus femoris (RF) muscles were assessed before, during and after exercise. Similar reductions of the MVIC (?13%), VAL (?12%) and a decrease in the peak twitch (?12%) were observed after both exercises. For both VM and RF muscles, MEP amplitude remained unchanged during either concentric or eccentric exercises. No change of the MEP amplitude input–output curves was observed post-exercise. For the RF muscle, CSP increased during the concentric exercise and remained lengthened after this exercise. For the VM muscle, CSP was reduced after the eccentric exercise only. For a similar amount of total impulse, concentric and eccentric knee extensor contractions led to similar exercise-induced neuromuscular response changes. For the two muscles investigated, no modulation of corticospinal excitability was observed during or after either concentric or eccentric exercises. However, intracortical inhibition showed significant modulations during and after exercise.     

Sex differences in elbow and wrist joint loading during the cartwheel and round off with different hand positions performed by young gymnasts

The aim of the study was to determine if sex differences exist in the key elbow and wrist joint injury risk factors during different cartwheel (CW) and round-off (RO) techniques performed by young male and female artistic gymnasts. Sixteen active young gymnasts (8 males and 8 females) performed 30 successful trials of CW and RO with three different hand positions (parallel (10), T-shape (10) and reverse (10)). Synchronised kinematic and kinetic data were collected for each trial. Two-way repeated measures ANOVA (3 × 2, technique × sex) and effect-sizes (ES) were used for statistical analysis. In conclusion, female gymnasts exhibited greater normalised peak vertical ground reaction forces (VGRF), elbow and wrist compression forces and elbow internal adduction moments during CW and RO skills compared with male gymnasts. In both sexes, the parallel and reverse techniques increased peak VGRF, elbow and wrist compression forces and the elbow internal adduction moment. Increased elbow flexion resulted in decreased peak VGRF, elbow compression forces and elbow internal adduction moment. Injury risk factors including elbow extension and internal adduction moment with axial compression force suggest that a CW and RO in reverse and parallel techniques can be hazardous especially for young female gymnasts.     

乒乓球运动员以预防损伤为主的功能训练

功能训练的理念来源于康复领域,现已逐步应用到运动训练中。由于乒乓球运动的项目特征,乒乓球运动员肩关节、腰椎关节、膝关节、踝关节、腕关节等部位容易出现运动损伤。通过对乒乓球运动员常出现的功能问题进行分析,寻找存在的常见问题,进而提出相应的功能训练建议。乒乓球运动员可根据情况,增加改善肩关节、胸椎关节、髋关节、踝关节的活动范围的训练,提高肩胛骨、核心和下肢稳定性的训练,以及改善肩袖、躯干肌力不平衡的训练,通过针对性的功能训练有效减少乒乓球运动员损伤的发生。     

竞技游泳运动员运动性伤病情况调查分析

采用问卷调查法对浙沪两省市194名游泳运动员进行运动性伤病调查,主要从运动性伤病的类型、部位、性质方面对比分析不同竞技水平游泳运动员的伤病表型特征。结果显示：优秀运动员运动性损伤较常见,多以慢性劳损为主,损伤部位依次为肩关节、腰背部和膝关节;一般运动员常发生急性损伤,损伤部位依次为膝关节、肩关节和腰背部。两组运动员鼻炎和中耳炎均常见。因此,依据运动性伤病的可能原因与机制,需要制定有针对性的预防措施,以减少运动性伤病的发生。     

试论竞技体育中故意伤害行为的刑法考量

采用文献研究结合逻辑分析的方法,从竞技体育行业特殊性及其刑法规制争议性出发,结合国内外相关案例,通过对刑法规制的损益分析,从支持刑法规制的角度,提出了认定竞技体育故意伤害行为是否触犯刑法的具体判断标准及步骤,即应当严格遵循“客观不法+主观有责”两步判断法,在主客观重合的范围内判断该行为是否构成犯罪,必要时考虑该行为损害的法益是否受刑法保护,从而更好地进行个案平衡。     

Compelling overuse injury incidence in youth multisport athletes

The present investigation was carried out to examine the incidence and pattern of injuries in adolescent multisport athletes from youth sports academy. Injury data were prospectively collected from 166 athletes during the seasons from 2009 to 2014. A total of 643 injuries were identified, 559 (87.0%) were time-loss injuries. The overall injury incidence was 5.5 (95% confidence interval CI: 5.1–6.0), the incidence of time-loss injuries was 4.8 (95% CI: 4.4–5.2), the incidence of growth conditions was 1.2 (95% CI: 1.0–1.4) and incidence of serious injuries was 0.6 (95% CI: 0.5–0.8) per 1000?h of exposure. The prevalence of overuse injuries was 50.3%. Growth conditions represented 20.0%. Most of the injuries (67.0%) involved the lower extremities, and both foot and ankle were the most predominant injured body parts (22.0%). Knee injuries were mostly from overuse (50 vs. 23, p?=?.02), whereas foot and ankle injuries resulted from an acute mechanism (94 vs. 31, p?<?.0001). Minor and moderate injuries accounted for 87.0%. Muscle, tendon and osteochondrosis injuries accounted for 52.0% of all injuries. Comparing groups, squash sport was having the highest injury incidence (8.5 injuries per athlete). Higher exposure was associated with greater overuse relative risk (RR?=?1.03, 95% CI: 1.01–1.014, p?<?.001). In conclusion, the results of this study identified a high incidence of injuries in this youth sports population. Striking was the prevalence of overuse injuries of 50%, which suggests the need for injury prevention protocols for adolescent highly trained athletes.