July 13, 2007 (卡加立) –– 一項發表於美國運動醫學矯形外科學會(American Orthopaedic Society for Sports Medicine,AOSSM)2007年年會的研究指出,一種彼拉提斯型的運動療法,能降低職業足球選手的鼠蹊部運動傷害達28%。
  研究發表者Holly J. Silvers物理治療師向Medscape表示,鼠蹊部運動傷害是美國職業足球大聯盟(MLS)選手的主要運動傷害之一,其治療難度極高,因為該處相連的關節太多了,因此這些相關的研究相當重要;Silvers治療師於加州的聖摩尼卡市執業,並服務當地的芝華士足球隊(Chivas USA soccer team)。
  在2005年的賽季期間,鼠蹊部運動傷害的比例--在採行Silvers女士運動法的足球隊裡,每1000小時的訓練和賽事裡有0.44件;而在對照組的足球隊中則為0.61,或高了28% (P < .05);不過,該研究並未顯示鼠蹊部運動傷害手術率上的統計差異。
  Claude T. Moorman醫師向Medscape表示,為特定運動設計暖身運動的趨勢,是充滿希望的;Moorman醫師認為,我們已經審慎地將重點置於預防照護上,而近期在預防上的進展已算是成功的;在我們如何管理運動員傷害上,以更專屬於運動的方式進行,是個極大的典範轉移的成就;Moorman醫師主持AOSSM的議程,Moorman醫師為北卡羅來納州德倫市杜克大學運動醫學中心主任。

Groin Exercises Reduce Soccer<

By Laird Harrison
Medscape Medical News

July 13, 2007 (Calgary) –– A Pilates-style exercise regime reduced the rate of groin injury among professional soccer players by 28% in a study presented at the American Orthopaedic Society for Sports Medicine (AOSSM) 2007 Annual Meeting here.

"Groin injury is one of the major injuries among Major League Soccer (MLS) players," the study's presenter, Holly J. Silvers, MPT, a Santa Monica, California, physical therapist who works with the nearby Chivas USA soccer team, told Medscape. "And it's a very difficult thing to treat [because] there are so many joints involved. So these studies are really important."

About 8.5% of MLS soccer players suffer groin injuries causing them to miss at least 1 game, Ms. Silvers said, and studies in other professional leagues have found even higher rates of injury.

Male soccer players with groin injuries typically present with a tilted pelvis and other adaptations, possibly as a result of kicking. The hyperextension involved in this motion is probably what causes the damage, she speculated.

Ms. Silvers and colleagues devised a set of strengthening and stretching exercises aimed at preventing the injury. The exercises involved a series of running and stepping and stretching movements, as well as floor exercises in which players lay down and moved their legs, sometimes manipulating a ball. Ms. Silvers and her colleagues were careful to devise movements that did not require any equipment other than a soccer ball. The exercises took about 20 minutes and were completed 2 or 3 times per week.

The league assigned 6 teams to incorporate the exercises into their warm-up routine. Eight matched teams, using their typical warm-up routines, were monitored as controls.

"The players were all very receptive," said Ms. Silvers, "especially if they had had a groin injury in the past or their teammates had." Some strength and conditioning trainers were less enthusiastic, however — of the 6 teams assigned to try the new exercises, 2 dropped out because their trainers did not want to alter their routines.

During the 2005 season, the teams that employed the regimen experienced a groin injury rate of 0.44 per 1000 hours of practice and games. The rate in the control teams was 0.61, or 28% higher (P < .05). The study did not show a statistical difference in the rate of surgery for groin injuries, however.

The program by Ms. Silvers and colleagues follows on a similar successful program that has reduced the rate of anterior cruciate ligament injury among soccer players.

These interventions are part of a trend toward devising evidence-based warm-up routines for specific sports, Ms. Silvers said. She speculated that a successful groin injury reduction program for hockey players would not work in soccer because the type of stress differs between the 2 sports.

The trend is a hopeful one, Claude T. Moorman, MD, director of the Sports Medicine Center at Duke University, Durham, North Carolina, who moderated the AOSSM session, told Medscape. "I think we have been reticent to really focus on preventive care," said Dr. Moorman. "But recent forays in prevention have been successful. I think it's a great paradigm shift in how we're managing athletic injuries in a more sports-specific way."

The authors report no relevant financial relationships. The researchers volunteered their time.

American Orthopaedic Society for Sports Medicine 31st Annual Meeting. Presented July 12, 2007.

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