空军飞行人员功能性动作筛查结果分析  

Analysis of the Results of Functional Movement Screening for Air Force Pilots

作　　者：马阳光 张永峰 邵玲娃 李松森 张颖如 莫惠霖 王哲 丁坦 MA Yangguang;ZHANG Yongfeng;SHAO Lingwa;LI Songsen;ZHANG Yingru;MO Huilin;WANG Zhe;DING Tan(Department of Orthopedics,First Affiliated Hospital of Air Force Medical University,Xi′an Shaanxi 710032,China;不详)

机构地区：[1]空军军医大学第一附属医院骨科,陕西西安710032 [2]联勤保障部队944医院骨科 [3]西安佛明翰健康管理有限公司

出　　处：《联勤军事医学》2023年第2期144-147,共4页Military Medicine of Joint Logistics

基　　金：军事医学创新工程项目(17CXZ004);飞行人员作战效能提升航空医学重大问题科技攻关项目(2019ZTA09,2020ZTA02)。

摘　　要：目的通过功能性动作筛查(functional movement screen,FMS)评估飞行人员相对于一般人群的疼痛及功能障碍的分布情况,为飞行人员训练伤的预防和康复提供理论指导。方法选择41名飞行人员和32名一般人群作为研究对象,对其进行FMS及疼痛和功能障碍调查。结果飞行人员FMS总分为(13.3±3.2)分,其中58.54%飞行员FMS总分<14分。一般人群FMS总分为(15.0±3.0)分,其中34.38%的人总分<14分。比较FMS测试中各动作模式的单项得分:直线弓步蹲和躯干稳定俯卧撑项目中,飞行人员FMS得分显著低于一般人群(P=0.001)。在旋转稳定性项目中,飞行人员FMS得分显著高于一般人群(P=0.002)。飞行人员在FMS测试中,疼痛发生率前3位的部位,依次为腰部(31.71%)、颈部(21.95%)和膝部(14.63%)。一般人群中发生疼痛前3的部位有肩部(15.63%)、颈部(15.63%)和腰部(12.50%)。结论飞行人员FMS总分分布比一般人群低,且肌肉骨骼系统损伤风险较一般人群高,损伤风险高的部位依次是腰部、颈部和膝部。Objective To evaluate the distribution of pain and dysfunction of pilots relative to the general population by functional movement screen(FMS),and to provide theoretical guidance for the prevention and rehabilitation of pilot training injuries.Methods A total of 41 pilots and 32 general population were selected for FMS and pain and dysfunction surveys.Results The total FMS score of the pilots was(13.3±3.2),of which 58.54%of the pilots had a total FMS score less than 14.The FMS total score of general population was(15.0±3.0),of which 34.38%had a total score less than 14.Comparing the individual scores of each movement mode in the FMS test:in the straight lunge squats and trunk stable push-ups,the FMS score of the pilots was significantly lower than that of the general population(P=0.001).In the rotational stability item,the FMS score of pilots was significantly higher than that of the general population(P=0.002).In the FMS test of pilots,the top 3 places with the highest incidence of pain were the waist(31.71%),the neck(21.95%)and the knee(14.63%).The top 3 areas of pain in the general population were the shoulder(15.63%),the neck(15.63%)and the waist(12.50%).Conclusion The distribution of FMS total score of pilots is lower than that of the general population,and the risk of musculoskeletal system injury is higher than that of the general population.The parts with high injury risk are the waist,the neck and the knee.

关 键 词：功能性动作筛查 飞行员 颈腰痛 深层肌群 肌肉链 

分 类 号：R82[医药卫生—临床医学]