探讨功能动作筛查对某部新训人员训练成绩提高及训练伤的预测意义  

Improving effect of functional movement screening(FMS)on training performance of new recruits and the predictive value of training-related injuries

作　　者：张娴 刘莉 孙俊 周晓斌 Zhang Xian;Liu Li;Sun Jun;Zhou Xiaobin(Third Department of Surgery,Yunnan Provincial Corps Hospital of PAPF,Kunming 650111,China)

机构地区：[1]武警云南总队医院外三科,昆明650111

出　　处：《创伤外科杂志》2025年第3期166-170,185,共6页Journal of Traumatic Surgery

摘　　要：目的探讨功能动作筛查(FMS)评估对新训人员训练成绩的提高及对新训人员训练伤发生率的预测意义。方法前瞻性将某部240名新训人员作为研究对象,均为男性,年龄17~22岁,平均18.9岁。按数字表法随机分为观察组和对照组,每组120例。对两组新训人员进行开训前第1次FMS测试,具体包含跨栏步,直线弓步蹲,深蹲,肩、膝部灵活性,主动直腿上抬,旋转稳定,躯干稳定性俯卧撑7个标准内容。对照组采取规范训练;观察组在规范训练的基础上,对FMS分值<14分的人员辅以相应的功能纠正训练(即对上述7个标准动作不规范者给予纠训)。在训练6个月后进行第2次FMS测试,对两次测试训练成绩和FMS分值进行比较。用受试者工作特征(ROC)曲线指标预测新训人员训练伤发生率。结果经过6个月的训练后,FMS评分:对照组提高了2个分值段,从第1次测试的最低10分,提高到第2次测试12分;观察组提高了3个分值段,从第1次测试的最低10分,提高到第2次测试13分,两组训练成绩均有提高,观察组训练成绩提升显著高于对照组(P<0.05)。观察组和对照组训练伤发生率分别为11.66%和24.17%,差异有统计意义(t=4.450,P=0.010)。FMS测试值14分时预测ROC曲线下面积为0.764(95%CI:0.620~0.735,P<0.05),提示FMS具有预测新训人员训练伤发生率的作用。结论个体化纠正性训练对新训人员训练成绩有明显提高,FMS评价体系预测值对预测新训人员训练伤的发生是可行和有效的。Third Objective To explore the significance of functional movement screen(FMS)on training performance and its predictive value for training-related injuries(TRIs)in recruits.Methods This prospective study was conducted on 240 male recruits aged 17-22(mean 18.9)years.All of them were randomly assigned to the observation group or control group using a random number table,with 120 recruits in each group.Before training,FMS was conducted,testing 7 standard movements:hurdle step,straight-leg lunge squat,deep squat,shoulder and knee mobility,active straight leg raise,rotary stability,and trunk stability push-up.After that,recruits in the control group took a standardized training plan,while those with FMS score<14 in the observation group received additional corrective training for any of the 7 poor movements(twice a week).After six months of training,FMS was conducted again for all recruits.The training performance and FMS scores were analyzed.TRIs were classified by PLA standards.The receiver operating characteristic(ROC)curve was used to test the predictive value of FMS score for TRIs.Results After six months of training,the lowest FMS score increased by two scales in the control group(from 10 to 12)and by three scales in the observation group(from 10 to 13);the average training scores(7 FMS movements and 8 new movements)of both groups were improved,which was however much higher in the observation group(P<0.05).The incidence of TRIs in the observation and control groups was 11.66%and 24.17%,respectively,revealing a statistically significant difference(t=4.450,P=0.010).Most of the recruits with TRIs had a FMS score below 14.ROC curve analysis of FMS score<14 to predict TRIs showed that the area under the curve was 0.764(95%CI:0.620-0.735,P<0.05),indicating an acceptable predictive value.Conclusion FMS-based corrective training can significantly enhance the training performance of recruits.The FMS score is a feasible and effective tool to predict the incidence of TRIs among recruits.

关 键 词：训练伤 FMS分值 纠正训练 训练成绩 

分 类 号：R821[医药卫生—临床医学]