鼠蹊部運動可降低足球運動傷害


  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)。
  
  Silvers女士表示,MLS的足球選手約有8.5%的人因鼠蹊部運動傷害而錯失至少一場賽事,而對其他職業聯盟的研究所發現比例甚至更高。
  
  她推測,有鼠蹊部運動傷害的男性足球選手,大多會有骨盆傾斜和其他的適應性變化,可能是因為踢的動作所導致,踢這個動作裡的伸直過度,可能就是造成傷害的原因。
  
  Silvers女士及研究同仁設計一組強化及伸展的運動,目的是為了預防鼠蹊部運動傷害,該組運動包括一系列的跑步、踏步和伸展的動作,加上地板運動(運動員躺在地板運動腿部),有時則是練習控球;Silvers女士及研究同仁嚴謹設計的運動法中,除了足球外,不需任何裝備即可進行,整個運動法要每週做2或3次,每次約20分鐘來完成。
  
  該聯盟安排6個球隊將其例行暖身運動中加入Silvers女士的運動法,另外8個相仿的球隊,則照舊做其原先的暖身運動,以作為對照組。
  
  Silvers女士表示,選手們都非常樂於接受我開發的運動法,特別是若是他們曾有過鼠蹊部運動傷害,或是隊友曾有過;然而,部分訓練員則不那麼地熱衷—在安排試做新運動的6隊裡,有2隊因為隊上的訓練員不想改變其既定的運動行程而退出。
  
  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。
  
  Silvers女士及研究同仁是受另一項計畫所啟發,那項相似的成功計畫降低了足球員前十字韌帶的受傷率。
  
  Silvers女士表示,這些運動措施是一個朝向為特定運動設計實證暖身例行運動趨勢的部分,她推測曲棍球選手的鼠蹊部運動傷害成功降低計畫,對足球選手來說是不管用的,因為兩種運動的壓力類型不同。
  
  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。
  
  研究報告執筆群皆自清無不當財務關係;研究人員自願付出其時間進行研究。
  
  美國運動醫學矯形外科學會第31屆年會,於2007年7月12日發表。

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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