髋部神经肌肉训练对女子足球运动员前交叉韧带损伤风险的影响

doi:10.3969/j.issn.1006-9771.2023.07.005

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (7): 770-776.doi: 10.3969/j.issn.1006-9771.2023.07.005

• 专题运动系统功能康复 • 上一篇下一篇

髋部神经肌肉训练对女子足球运动员前交叉韧带损伤风险的影响

韩亚兵¹^,², 刘少青³, 李新通⁴, 梁馨文¹, 罗敬¹, 李婷⁵, 潘玮敏¹^,⁶()

1.西安体育学院，陕西西安市 710068
2.安康学院医学院，陕西安康市 725000
3.安康职业技术学院，陕西安康市 725000
4.康复大学青岛医院(青岛市市立医院)，山东青岛市 266000
5.新乡医学院三全学院，河南新乡市 453003
6.体育智能装备关键技术陕西省高校工程研究中心，陕西西安市 710068

收稿日期:2023-03-10 修回日期:2023-06-01 出版日期:2023-07-25 发布日期:2023-08-30
通讯作者: 潘玮敏(1974-)，女，汉族，陕西咸阳市人，博士，教授，硕士研究生导师，主要研究方向：运动医学与健康。E-mail： panweimin@163.com
作者简介:韩亚兵(1993-)，男，汉族，河南漯河市人，硕士研究生，主要研究方向：运动损伤预防与康复。
基金资助:
1.陕西省自然科学基础研究计划项目(2021JM530);2.陕西省教育厅一般专项科研计划项目(21JK0470)

Effect of hip neuromuscular training on anterior cruciate ligament injury risk for female soccer players

HAN Yabing¹^,², LIU Shaoqing³, LI Xintong⁴, LIANG Xinwen¹, LUO Jing¹, LI Ting⁵, PAN Weimin¹^,⁶()

1. Xi'an Physical Education University, Xi'an, Shaanxi 710068, China
2. Medical College of Ankang University, Ankang, Shaanxi 725000, China
3. Ankang Vocational and Technical College, Ankang, Shaanxi 725000, China
4. Qingdao Hospital of University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, Shandong 266000, China
5. Sanquan College of Xinxiang Medical University, Xinxiang, Henan 453003, China
6. Engineering Research Center of Innovative Technology of Intelligent Sports Equipment, Universities of Shaanxi Province, Xi'an, Shaanxi 710068, China

Received:2023-03-10 Revised:2023-06-01 Published:2023-07-25 Online:2023-08-30
Contact: PAN Weimin, E-mail: panweimin@163.com
Supported by:
Natural Science Foundation Research Program of Shaanxi Province(2021JM530);Shaanxi Department of Education General Special Research Plan(21JK0470)

摘要/Abstract

摘要：

目的探讨髋部神经肌肉训练对女子足球运动员前交叉韧带损伤风险的影响。

方法 2022年3月至5月，西安体育学院招募女子足球运动员39例，随机分为对照组(n = 19)和试验组(n = 20)。在日常训练基础上，对照组进行假干预，试验组进行髋部神经肌肉训练，共6周。训练前后测量单腿落地时动态膝外翻角，采用落地错误动作评分系统(LESS)进行评定；测量臀中肌和臀大肌最大自主等长收缩(MVIC)和单腿落地时肌电均方根。

结果训练后，对照组各项指标均无明显改变(|t| < 1.178, P > 0.05)，试验组除LESS矢状面评分外，其余指标均有改善(|t| > 2.288, P < 0.05)，除LESS矢状面评分和臀大肌MVIC外，试验组其余指标均优于对照组(|t| > 2.609, P < 0.05)。

结论髋部神经肌肉训练可以降低女子足球运动员前交叉韧带损伤风险。

关键词: 女子足球, 运动员, 髋部神经肌肉训练, 前交叉韧带, 预防

Abstract:

Objective To explore the effect of hip neuromuscular training on reducing the risk of anterior cruciate ligament (ACL) injury in female soccer players.

Methods From March to May, 2022, 39 female soccer players from Xi'an Physical Education University were randomly divided into control group (n = 19) and experimental group (n = 20). On the basis of daily training, the control group received sham intervention, and the experimental group received hip neuromuscular training, for six weeks. Before and after training, they were measured dynamic knee valgus (DKV) angle and assessed with Landing Error Score System (LESS); while they were also measured the maximal voluntary isometric contraction (MVIC) and root mean square (RMS) of electromyography as single leg landing of gluteus medius and gluteus maximus.

Results All the indexes varied little after training in the control group (|t| < 1.178, P > 0.05), while the indexes improved in the experimental group (|t| > 2.288, P < 0.05), except sagittal score of LESS; and all the indexes improved more in the experimental group than in the control group (|t| > 2.609, P < 0.05), except sagittal score of LESS and MVIC of gluteus maximus.

Conclusion Hip neuromuscular training can reduce the risk of ACL injury in female soccer players.

Key words: female soccer, players, hip neuromuscular training, anterior cruciate ligament, prevention

中图分类号:

R686.5

韩亚兵, 刘少青, 李新通, 梁馨文, 罗敬, 李婷, 潘玮敏. 髋部神经肌肉训练对女子足球运动员前交叉韧带损伤风险的影响[J]. 《中国康复理论与实践》, 2023, 29(7): 770-776.

HAN Yabing, LIU Shaoqing, LI Xintong, LIANG Xinwen, LUO Jing, LI Ting, PAN Weimin. Effect of hip neuromuscular training on anterior cruciate ligament injury risk for female soccer players[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 770-776.

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项目	对照组(n = 19)	试验组(n = 20)	t值	P值
年龄/岁	21.05±1.43	21.40±1.60	0.712	0.481
身高/m	1.64±0.06	1.63±0.04	-0.642	0.525
体质量/kg	56.82±5.19	55.29±5.86	-0.858	0.396
体质量指数/(kg·m^-2)	21.13±2.12	20.84±2.58	-0.379	0.707
训练年限/年	7.03±2.15	8.05±3.12	1.187	0.243

组别	n	训练前	训练后	t值	P值
对照组	19	22.70±4.97	21.41±4.11	1.114	0.280
试验组	20	23.01±7.22	12.18±4.31	7.347	< 0.001
t值		0.155	-6.848
P值		0.878	< 0.001

组别	n	训练前	训练后	t值	P值
对照组	19	5.68±1.04	5.82±1.58	-0.469	0.644
试验组	20	6.03±1.13	4.50±1.51	4.012	0.001
t值		0.977	-2.662
P值		0.335	0.011

组别	n	训练前	训练后	t值	P值
对照组	19	1.94±0.83	1.91±0.87	0.172	0.865
试验组	20	2.02±0.84	1.64±1.02	1.834	0.082
t值		0.286	-0.901
P值		0.776	0.373

组别	n	训练前	训练后	t值	P值
对照组	19	3.11±0.85	2.82±1.19	0.978	0.341
试验组	20	2.98±0.95	1.96±0.82	4.355	< 0.001
t值		-0.425	-2.652
P值		0.673	0.012

髋部神经肌肉训练对女子足球运动员前交叉韧带损伤风险的影响

Effect of hip neuromuscular training on anterior cruciate ligament injury risk for female soccer players

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组别	n	训练前	训练后	t值	P值
对照组	19	30.02±5.17	29.82±5.31	0.155	0.879
试验组	20	28.68±6.22	34.31±5.43	-5.854	< 0.001
t值		-0.728	2.609
P值		0.471	0.013

组别	n	训练前	训练后	t值	P值
对照组	19	43.08±4.85	44.35±6.73	-1.178	0.254
试验组	20	42.35±8.56	48.13±5.95	-2.288	0.034
t值		-0.326	1.862
P值		0.747	0.071

组别	n	训练前	训练后	t值	P值
对照组	19	33.25±9.74	35.24±11.92	-0.653	0.522
试验组	20	34.50±8.58	45.59±11.32	-5.950	< 0.001
t值		0.426	2.783
P值		0.672	0.008

组别	n	训练前	训练后	t值	P值
对照组	19	29.92±10.30	30.74±8.10	-0.482	0.636
试验组	20	27.47±8.12	39.65±8.42	-7.883	< 0.001
t值		0.828	3.366
P值		0.413	0.002

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