پژوهش در طب ورزشی و فناوری

رابطۀ بین راستای استاتیک اندام تحتانی و آسیب‌های بازیکنان نوجوان فوتبال

نویسنده

مصطفی زارعی
https://doi.org/10.18869/acadpub.jsmt.14.12.59
چکیده
میزان بروز آسیب‌های اندام تحتانی در بازیکنان جوان فوتبال زیاد است اما اطلاعات اندکی درزمینۀ خطر فاکتورهای این آسیب‌ها وجود دارد. بنابراین، هدف این مطالعه بررسی رابطۀ استاتیک اندام تحتانی و بروز آسیب‌های بازیکنان نوجوان فوتبال ایران است. چهار تیم (78 بازیکن) از لیگ برتر آسیا ویژن نوجوان استان تهران (14 تا 16 سال) در این مطالعه مشارکت کردند. قبل از آغاز فصل، میزان افت ناوی ، زاویه Q، زاویه هایپراکستنشن زانو، زانوی پرانتزی و شاخص توده بدنی این بازیکنان اندازه‌گیری شد. سپس، آسیب‌های این بازیکنان در طول یک‌فصل (7ماه) به‌صورت آینده‌نگر ثبت شد. برای بررسی رابطه بین راستای استاتیک اندام تحتانی و آسیب‌ها از آزمون لجستیک رگرسیون استفاده شد. طبق یافته‌های تحقیق، میزان شیوع آسیب‌ها برابر با 8/7 آسیب در هر 1000ساعت تمرین (95درصد اطمینان، 10/10-7/01) بود. نتایج آزمون لجستیک رگرسیون نشان داد که افت ناوی پای برتر (p=0/001، OR=4/5)، زاویه Q پای برتر (p=0/048، OR=2/77) و زانوی پرانتزی (p=0/021 ،OR=4/06) با بروز آسیب‌ها ارتباط معنی‌داری دارند. بازیکنانی که شاخص افت ناوی آنها بیشتر از 1/5سانتی‌متر باشد، 4/5 برابر بازکنان دیگر مستعد بروز آسیب اندام تحتانی هستند. همچنین، بازیکنانی که شاخص زاویه Q پای برتر آنها بیشتر از 15/5درجه باشد، 2/77 برابر بازیکنان دیگر مستعد بروز آسیب اندام تحتانی هستند.نتایج این مطالعه نشان داد که سنجش راستای اندام تحتانی مانند زاویهQ، زانوی پرانتزی و افت ناوی می‌تواند بازیکنان در معرض آسیب‌های اندام تحتانی را مشخص کند. این نتایج می‌تواند به بازیکنان و مربیان برای پیش‌گیری از آسیب‌ها کمک کند.

کلیدواژه‌ها

اندام تحتانی
آسیب
فوتبال
خطر فاکتور

عنوان مقاله English

The relationship between static lower extremity alignment and Injuries in adolescent soccer players

نویسنده English

Mostafa Zarei
چکیده English

The incidence of lower extremity injuries in young soccer players is high, but the risk factors for injuries are unknown. Thus, the aim of this study was to investigate relationship between static lower extremity alignment and injuries in adolescent soccer players. Four teams (78 players) playing at Tehran Asia vision adolescence primer league (14-16 years old) participated in this study. Before entering the season Navicular drop, quadriceps angle, knee hyperextension, genu varum and body mass index was measured. Players were monitored for musculoskeletal injuries through a season (7-month period). overall injury rate was 8.7 injuries/1000 player-hours (95% CI=7.01-10.10). Logistic regression modeling indicated that Navicular drop in preferred foot (OR=4.5; p=0.001), Q angel in preferred leg (OR=2.77; p=0.048), and genu varum (OR=4.06; p=0.021) were all associated with injuries but no association was found in other parameters. Players had an approximately 3.47 times greater chance of suffering a lower extremity injury if they have Navicular drop greater than 1.5 centimeter and approximately 2.77 times greater chance of suffering injury if they have Q angel greater than 15.5 degrees. These findings show that multiple anatomic measures such as Navicular drop, genu varum and Q angle can predict soccer players’ injuries. Results of this study are valuable for coaches and players for injury prevention.

کلیدواژه‌ها English

Lower Extremity
Injury
Soccer
risk factors
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