管延飞, 杨欢, 姜芹先. 2023: 下肢两侧功能表现差异预测非接触性踝关节扭伤风险:318例青少年跆拳道运动员追踪研究. 体育科学, 43(7): 56-64. DOI: 10.16469/j.css.202307006
    引用本文: 管延飞, 杨欢, 姜芹先. 2023: 下肢两侧功能表现差异预测非接触性踝关节扭伤风险:318例青少年跆拳道运动员追踪研究. 体育科学, 43(7): 56-64. DOI: 10.16469/j.css.202307006
    GUAN Yan-fei, YANG Huan, JIANG Qin-xian. 2023: Using Asymmetries in Lower-Limb Functional Performance to Predict Non-Contact Ankle Sprains: A Prospective Study in 318 Youth Taekwondo Athletes. China Sport Science, 43(7): 56-64. DOI: 10.16469/j.css.202307006
    Citation: GUAN Yan-fei, YANG Huan, JIANG Qin-xian. 2023: Using Asymmetries in Lower-Limb Functional Performance to Predict Non-Contact Ankle Sprains: A Prospective Study in 318 Youth Taekwondo Athletes. China Sport Science, 43(7): 56-64. DOI: 10.16469/j.css.202307006

    下肢两侧功能表现差异预测非接触性踝关节扭伤风险:318例青少年跆拳道运动员追踪研究

    Using Asymmetries in Lower-Limb Functional Performance to Predict Non-Contact Ankle Sprains: A Prospective Study in 318 Youth Taekwondo Athletes

    • 摘要: 目的:探讨青少年跆拳道运动员下肢爆发力和动态平衡能力两侧差异与踝关节非接触性扭伤之间的关系。方法:对318名男性青少年跆拳道运动员(9.03±2.02)岁进行单腿下蹲跳高度、单腿跳距离、单腿三连跳距离以及星型偏移平衡测试,并计算每项测试中下肢两侧的表现差异。随后,对受试者进行为期12个月的追踪观察,记录非接触性踝关节扭伤的发生情况。采用Mann-Whitney U检验、Logistic回归分析和受试者工作特征(receiver operating characteristic,ROC)曲线分析对数据进行统计学分析。结果:在追踪期间,共有23人出现非接触性踝关节扭伤。单腿下蹲跳高度两侧差异增大显著增加了非接触性踝关节扭伤风险(每增大1%,校正后OR=1.050;95%CI:1.016~1.084;P=0.003)。单腿下蹲跳高度两侧差异14.16%被确定为预测男性青少年跆拳道运动员非接触性踝关节扭伤的最佳临界点(差异≥14.16%vs.<14.16%:校正后OR=5.089; 95%CI:1.996~12.974; P=0.001)。结论:单腿下蹲跳高度两侧差异可应用于评估青少年男子跆拳道运动员的非接触性踝关节扭伤风险。单腿跳、单腿三连跳距离测试以及星型偏移平衡测试的两侧表现差异尚不适合应用于青少年运动员非接触性踝关节扭伤风险的预测。

       

      Abstract: Objective: To investigate the relationship between inter-limb asymmetries in lower limb power and dynamic balance and non-contact ankle sprains in youth taekwondo athletes. Methods: A total of 318 male youth taekwondo athletes (9.03±2.02) yearscompleted the single-leg countermovement jump, hop, and triple-hop test, and the star excursion balance test(SEBT) was also conducted, then the inter-limb asymmetries of performance was calculated for each test. Subsequently, all participants were followed up for 12 months to record the occurrence of non-contact ankle sprains. The data were analyzed by using the Mann-Whitney U test,logistic regression analysis, and receiver operating characteristic(ROC) curve analysis. Results: During the follow-up period, 23individuals experienced non-contact ankle sprains. The increased inter-limb asymmetry in single-leg countermovement jump height significantly elevated the risk of non-contact ankle sprains(adjusted OR=1.050 for 1% increase in asymmetry; 95% CI: 1.016~1.084; P=0.003). An inter-limb asymmetry in single-leg countermovement jump height of 14.16% was determined as the optimal cutoff point for predicting non-contact ankle sprains in male youth taekwondo athletes(asymmetry ≥14.16% vs. <14.16%: adjusted OR=5.089; 95% CI: 1.996~12.974; P=0.001). Conclusions: Inter-limb asymmetries in single-leg countermovement jump height can be used to assess the risk of non-contact ankle sprains in male youth taekwondo athletes. However, inter-limb asymmetries in performance of single-leg hop, triple-hop and SEBT cannot be applied in predicting the risk of ankle sprains in youth athletes.

       

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