体校少年运动员慢性踝关节不稳定调查研究  

The Incidence of Chronic Ankle Instability in Adolescent Athletes

作　　者：李淑媛[1,2] 王俊清[3] 杨江飞[2] 马腾[2] 刘玉杰[1] 张亚楠[2] 杨辰辰[2] 

机构地区：[1]中国人民解放军总医院骨科,北京100853 [2]山东大学附属省立医院 [3]德州学院体育学院

出　　处：《中国运动医学杂志》2013年第4期298-301,共4页Chinese Journal of Sports Medicine

摘　　要：目的:调查体校少年运动员功能性踝关节不稳定和机械性踝关节不稳定的发病情况。方法:以某市体校7个项目293名少年运动员为对象。采用Cumberland踝关节不稳定问卷(CumberlandAnkle Instability Tool,CAIT)调查功能性踝关节不稳定情况。每个项目随机抽取3名CAIT值为20分以下的运动员,共计21名运动员进行病史调查、专科查体(寻找压痛点、测量踝关节活动度、前抽屉试验、内翻应力试验)以及踝关节MRI检查,调查机械性踝关节不稳定的发病情况。结果:7个项目293例受试者中,CAIT最高分为30分,最低分为9分,左踝平均(23.93±4.63)分,右踝(24.09±4.81)分。以27.5分作为功能性踝关节不稳定的分界点,仅19.45%受试者踝关节稳定性正常,其余80.55%存在单侧或双侧踝关节功能性不稳定的因素。随机抽取的CAIT值为20分以下的21名运动员42踝中,21.43%存在机械性不稳定。结论:功能性踝关节不稳定和机械性踝关节不稳定在体校少年运动员中较普遍存在,与训练时自我防护意识淡薄以及踝关节扭伤后处理不够正规有关。Objective To investigate the incidence of chronic ankle instability in adolescent athletes. Methods 293 adolescent athletes involving in 7 sports events were recruited from a sports school. Chinese version of the Cumberland Ankle Instability Tool （CAIT） was used in this study. Special physical examination and MRI examination were performed randomly in 21 athletes（3 athletes from each event）. Results Among the 293 subjects,the highest CAIT score was 30,and the lowest was 9,with 80.55% of unilateral or bilateral functional ankle instable factors. There were 21.43% of ankles mechanical instability in 21 athletes（42 ankles） randomly chosen from 293 athletes. Conclusion Higher incidence of functional and mechanical ankle instability in adolescent athletes was found in this study. Lack of self-protection consciousness and improper treatment of ankle sprain after injury could be the major causes.

关 键 词：体校 少年运动员 踝关节不稳定 Cumberland踝关节不稳定评定问卷(CAIT) 

分 类 号：R87[医药卫生—运动医学]