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投运动员的危险因素和伤害预防
Daniel Kline1, Sarah Kate Fischer2, Garrett S Bullock3,4
1ATI Physical Therapy, Greenville, South Carolina, U.S.A.
Arthroscopy, sports medicine, and rehabilitation
|April 29, 2025
概括
投篮运动员的手臂受伤在增加,尽管投篮数量有限制. 综合预防需要解决内在因素,如运动范围和力量,以及外部因素,如训练负载.
科学领域:
- 运动医学 运动医学
- 生物力学 生物力学
- 伤害预防 预防伤害
背景情况:
- 伤是最常见的投伤害,像UCL重建这样的严重伤害正在增加.
- 重复的投伤害表明,在最初的伤害后,风险增加,与增加的投球量和全年比赛有关.
- 目前的预防策略专注于球场计数 (外部因素) 没有降低伤害率.
研究的目的:
- 倡导全面的手臂伤害预防策略.
- 要突出需要解决可修改的内在因素与外在因素一起.
- 建议使用指向非循环图 (DAG) 来建模损伤机制.
主要方法:
- 使用定向非循环图 (DAG) 来绘制内部和外部因素之间的相互作用.
- 确定关键的内部因素:疲劳,受伤史,运动范围和力量.
- 确定关键的外部因素:训练负载和投球暴露.
主要成果:
- 尽管专注于投球计数,但手臂受伤率保持不变.
- 内在因素 (例如,肩膀ROM,力量,干部/下肢功能) 与受伤风险有关.
- 需要采用综合性方法,整合内在和外部因素.
结论:
- 目前的预防策略是不够的.
- 未来的战略必须包含可修改的内在因素.
- 一个DAG可以指导开发适应性,基于证据的伤害减少计划.
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