论文标题
突尼斯足球运动员腹股沟疼痛的姿势平衡不对称和随后的非接触下肢肌肉骨骼损伤：一项前瞻性病例控制研究
Postural balance asymmetry and subsequent noncontact lower extremity musculoskeletal injuries among Tunisian soccer players with groin pain: A prospective case control study
论文作者
论文摘要
背景：最近的研究报道了与对照组相比，患者和腹股沟疼痛（GP）的患者和足球运动员的姿势平衡障碍。由于最初受伤后发现的姿势平衡不对称会导致随后的伤害，因此在具有GP的足球运动员中鉴定这种不对称性可能会突出这些球员中随后的非连接下肢肌肉骨骼损伤的风险。因此，这项研究的目的是（i）与健康的球员相比，研究GP足球运动员的静态和动态的姿势平衡不对称性，以及（ii）量化这些球员中随后的非接触下肢伤害的风险。研究问题：与对照组相比，患有GP的足球运动员是否表现出更高的静态和动态姿势平衡不对称性，并表现出更高的随后伤害的风险。方法：在这项前瞻性案例控制研究中，招募了27名非时代损失GP（GP组：GPG）的足球运动员和27个健康的足球运动员（对照组：CG）。分别使用对称指数（SI）和Y-BALANCE检验（Y-BT）评估了静态和动态的单一姿势平衡不对称性。此外，跟踪随后的非连接下肢肌肉骨骼损伤10个月。结果：GPG在眼睛闭合条件下显示出较高的（p <0.01）Si，在前，后，后外侧和后外侧触及距离的左右不对称性（P <0.001），与CG相比，复合Y-BT得分。与分别为89.6％和4 cm的截止值相比，它们显示出受伤的肢体受伤的肢体较低（p <0.001）的综合评分（p <0.001），较高（p <0.001）的左右不对称分数（p <0.001）。此外，与CG相比，GPG表现出更高的几率（OR = 7.48; 95％CI = 2.15，26.00; P <0.01）。意义：应将Y-BT建立在现有的参与预审身体检查中，以筛选出无时损失GP的足球运动员，并具有较高的后续伤害风险。这可以帮助教练和临床医生获得有效的决定。
Background: Recent studies reported postural balance disorders in patients and soccer players with groin pain (GP) compared to controls. Since postural balance asymmetry identified after an initial injury contributes for subsequent injuries, identification of this asymmetry in soccer players with GP may highlight the risk of sustaining subsequent noncontact lower extremity musculoskeletal injuries in these players. Therefore, the aims of this study were to (i) examine static and dynamic unipedal postural balance asymmetry in soccer players with GP compared to healthy ones, and (ii) quantify the risk of subsequent noncontact lower extremity injuries in these players. Research question: Do soccer players with GP exhibit higher static and dynamic unipedal postural balance asymmetry, and higher risk of sustaining subsequent injuries compared to controls. Methods: In this prospective case control study, 27 soccer players with non-time loss GP (GP group: GPG), and 27 healthy ones (control group: CG) were enrolled. Static and dynamic unipedal postural balance asymmetry were evaluated with a force platform using symmetry index (SI), and Y-balance test (Y-BT), respectively. Additionally, subsequent noncontact lower extremity musculoskeletal injuries were tracked for 10 months. Results: The GPG revealed higher (p < 0.01) SI in eyes closed condition, higher (p < 0.001) side-to-side asymmetry in anterior, posteromedial and posterolateral reach distances and in composite Y-BT score compared to CG. They showed lower (p < 0.001) composite score for injured limb and higher (p < 0.001) side-to-side asymmetry in posteromedial reach distance compared to the cutoff values of 89.6 % and 4 cm, respectively. Moreover, GPG exhibited higher odds (OR= 7.48; 95 % CI = 2.15, 26.00; p < 0.01) of sustaining subsequent injuries compared to CG. Significance: The Y-BT should be instituted into existing pre-participation physical examinations to screen for soccer players with non-time loss GP at an elevated risk of sustaining subsequent injuries. This could help coaches and clinicians make valid return to play decisions.
