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  

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

作　　者：张津沁 崔建[3] 高晓嶙[4] 时永进 朱超[6] 黄鹏[7] Zhang Jinqin;Cui Jian;Gao Xiaolin;Shi Yongjin;Zhu Chao;Huang Peng(Beijing Bo’ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;School of Rehabilitation Medicine,Capital Medical University,Beijing 100068,China;Department of Sports,China University of Geosciences,Beijing 100083,China;China Institute of Sports Science,General Administration of Sport of China,Beijing 100061,China;Department of Physical Education and Art Education,China Agricultural University,Beijing 100091,China;Beijing Union University,Beijing 100101,China;Beijing Sport University,Beijing 100084,China)

机构地区：[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

出　　处：《中国组织工程研究》2024年第11期1641-1646,共6页Chinese Journal of Tissue Engineering Research

基　　金：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。

摘　　要：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。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 o

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 

分 类 号：R459.9[医药卫生—治疗学] R339.4[医药卫生—临床医学] R873