中国组织工程研究

中国组织工程研究 ›› 2024, Vol. 28 ›› Issue (11): 1641-1646.doi: 10.12307/2024.239

• 肌肉肌腱韧带组织构建 tissue construction of the muscle, tendon and ligament •    下一篇

足球运动落地错误评分系统测试非接触性损伤风险标准评估

张津沁1，2，崔  建3，高晓嶙4，时永进5，朱  超6，黄  鹏7   

  1. 1中国康复研究中心北京博爱医院，北京市  100068；2首都医科大学康复医学院，北京市  100068；3中国地质大学体育部，北京市  100083；4国家体育总局体育科学研究所，北京市  100061；5中国农业大学体育与艺术部，北京市  100091；6北京联合大学，北京市  100101；7北京体育大学，北京市  100084
  • 收稿日期:2023-02-03 接受日期:2023-03-16 出版日期:2024-04-18 发布日期:2023-07-26
  • 通讯作者: 高晓嶙，博士，研究员，国家体育总局体育科学研究所，北京市 100061 时永进，硕士，副教授，中国农业大学体育与艺术部，北京市 100091
  • 作者简介:张津沁，女，1995年生，山西省吕梁市人，汉族，硕士，初级康复治疗师，主要从事运动损伤康复及作业治疗研究。
  • 基金资助:
    国家体育总局体育科学研究所基本科研业务经费资助项目(基17-42，基18-25)，项目负责人：高晓嶙

The landing error scoring system as a screening tool for non-contact injury risk in college soccer athletes

Zhang Jinqin1, 2, Cui Jian3, Gao Xiaolin4, Shi Yongjin5, Zhu Chao6, Huang Peng7   

  1. 1Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, China; 2School of Rehabilitation Medicine, Capital Medical University, Beijing 100068, China; 3Department of Sports, China University of Geosciences, Beijing 100083, China; 4China Institute of Sports Science, General Administration of Sport of China, Beijing 100061, China; 5Department of Physical Education and Art Education, China Agricultural University, Beijing 100091, China; 6Beijing Union University, Beijing 100101, China; 7Beijing Sport University, Beijing 100084, China
  • Received:2023-02-03 Accepted:2023-03-16 Online:2024-04-18 Published:2023-07-26
  • Contact: Gao Xiaolin, PhD, Researcher, China Institute of Sports Science, General Administration of Sport of China, Beijing 100061, China Shi Yongjin, Master, Associate professor, Department of Physical Education and Art Education, China Agricultural University, Beijing 100091, China
  • About author:Zhang Jinqin, Master, Primary rehabilitative therapist, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, China; School of Rehabilitation Medicine, Capital Medical University, Beijing 100068, China
  • Supported by:
    the Fundamental Research Funds of the China Institute of Sports Science, General Administration of Sport of China, Nos. 17-42 and 18-25 (to GXL)

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摘要：


文题释义：

落地错误评分系统测试：是检验跳跃落地错误动作的有效方法，具有良好的信效度。与三维运动分析系统相比，落地错误评分系统二维视频测试方法被证明是有效的，且具有良好的内部可靠性。与设备费用高、技术要求高、耗时多的实验室评估测试设备相比，易于场边进行的落地错误评分系统二维视频测试设备费用低、测试人员培训时间短、操作简单，实际评估只需要一两分钟的测试时间和5 min左右的视频分析时间。
非接触性损伤：损伤机制分为接触性损伤机制和非接触性损伤机制。足球运动中大部分严重损伤如骨折、肌肉挫伤等源自于意外接触和碰撞，非接触性损伤则主要是由一系列内部和外部损伤风险因素导致的。足球运动常见的损伤机制是截断、跑步、被截断、射球、转弯、跳跃及着陆，其中跑步(19%)、扭转和转弯(8%)、射球(4%)、落地(4%)是非接触性损伤机制。


背景：落地错误评分系统(LESS)测试是评估非接触性损伤风险的标准，目前尚无对中国大学生足球运动项目的开发。

目的：建立大学生足球运动落地错误评分系统测试评估标准，为评价该人群非接触性损伤风险提供依据。
方法：设计前瞻性队列研究，对10所高校足球队的219名运动员进行标准落地错误评分系统测试，通过问卷和医学检查跟踪调查受试者测试后1年内下肢和躯干非接触性损伤情况，确定落地错误评分系统测试指标的性别差异及评估标准。

结果与结论：①219名受试者落地错误评分系统总分(8.22±1.65)分，其中男性(8.29±1.74)分、女性(8.07±1.44)分，男女间比较差异无显著性意义(P > 0.05)；②测试后1年内，219名受试者总体损伤率为10.05%，发病率为15.98%；男性受试者下肢及躯干非接触性损伤的损伤率为12.75%，发病率为20.13%；女性受试者下肢及躯干非接触性损伤的损伤率为4.29%，发病率为7.14%，男女间损伤率比较差异有显著性意义(P < 0.05)；③损伤组落地错误评分系统总分高于非损伤组[(9.50±1.14)，(8.08±1.64)分，P < 0.01]；男性受试者中，损伤组的错误评分系统总分高于非损伤组[(9.63±1.12)，(8.09±1.73)分，P < 0.01]；④落地错误评分系统总分曲线下面积为0.773(P=0.000)，对男性受试者下肢及躯干非接触性损伤风险有诊断意义，最佳截断点为8.5，灵敏度为0.842，特异性为0.623，阳性似然比为2.233，阴性似然比为0.254，相对危险系数为8.400，比值比为8.816；落地错误评分系统总分对女性受试者下肢及躯干非接触性损伤风险没有诊断意义；⑤结果表明，落地错误评分系统测试可以作为中国大学生男性足球运动员下肢及躯干非接触性损伤风险的评估标准，最佳截断点为8.5分，落地错误评分系统测试≥8.5分的男性运动员下肢及躯干非接触性损伤风险是< 8.5分运动员的8.40倍。

https://orcid.org/0000-0002-1313-8936(张津沁)

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

关键词: 落地错误评分系统测试(LESS), 非接触性损伤, 损伤风险, 足球, 跳跃, 落地

Abstract: BACKGROUND: The landing error scoring system test is a standard for assessing the risk of non-contact injuries and has not yet been developed for Chinese college soccer programs.
Objective: To establish a test evaluation standard for the landing error scoring system to provide a basis for evaluating the risk of non-contact injuries in college soccer students.
Methods: A prospective cohort study was designed in which 219 athletes from 10 college soccer teams were tested with the standard landing error scoring system, and the subjects were followed up by questionnaires and medical examinations for non-contact injuries of the lower extremities and trunk for 1 year after testing to determine sex differences and assessment criteria for the landing error scoring system test indicators.
Results AND Conclusion: The total score of the landing error scoring system was (8.22±1.65) points for 219 subjects, (8.29±1.74) for males and (8.07±1.44) for females, with no significant difference between males and females (P > 0.05). Within 1 year after the test, the overall injury rate of 219 subjects was 10.05% and the morbidity rate was 15.98%; the injury rate of male subjects with non-contact injury of the lower limbs and trunk was 12.75% and the morbidity rate was 20.13%; the injury rate of female subjects with non-contact injury of the lower limbs and trunk was 4.29% and the morbidity rate was 7.14%. There were no significant differences in the injury rate between men and women (P < 0.05). The total score of the landing error scoring system was higher in the injury group than in the non-injury group [(9.50±1.14) vs. (8.08±1.64), P < 0.01]; for male subjects, the total score of the landing error scoring system was higher in the injury group than in the non-injury group [(9.63±1.12) vs. (8.09 ± 1.73), P < 0.01]. The area under the curve for the total score of the landing error scoring system was 0.773 (P=0.000), which had a diagnostic value for the risk of non-contact injury of the lower extremities and trunk in male subjects, with a best cut-off point of 8.5, sensitivity of 0.842, specificity of 0.623, positive likelihood ratio of 2.233, negative likelihood ratio of 0.254, relative risk factor of 8.400, and odds ratio of 8.816; the total score of the landing error scoring system was not applicable for assessing the risk of non-contact injury of the lower extremities and trunk in female subjects. To conclude, the landing error scoring system test can be used as a criterion to assess the risk of non-contact injury to the lower extremity and trunk in Chinese college male soccer players, with an optimal cut-off point of 8.5. The risk of non-contact injury to the lower extremity and trunk is 8.40 times higher in male athletes with a landing error scoring system test score of ≥ 8.5 than in male athletes with a score of < 8.5.

Key words: landing error scoring system, non-contact injury, injury risk, soccer, jumping, landing

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