关节功能筛查及纠正在预防新训训练伤中的作用:一项随机对照试验  

Role of joint function screening and correction in preventing training injuries for new recruits:a randomized controlled trial

作　　者：雷恩宇 陈振 李冰[3] 张玲[1] 荣红辉 卢路 郑传芬 孟涛[2] 陈济安[1] LEI Enyu;CHEN Zhen;LI Bing;ZHANG Ling;RONG Honghui;LU Lu;ZHENG Chuanfen;MENG Tao;CHEN Ji’an(Department of Health Education,Faculty of Military Preventive Medicine,Chongqing;Department of Military Basic Training and Army Management,Army Medical University(Third Military Medical University),Chongqing;Troop 31651 of PLA,Liuzhou,Guangxi,China)

机构地区：[1]陆军军医大学(第三军医大学)军事预防医学系军队健康教育教研室,重庆 [2]陆军军医大学(第三军医大学)陆军卫勤训练基地军事共同与部队管理教研室,重庆 [3]中国人民解放军31651部队,广西柳州

出　　处：《陆军军医大学学报》2025年第9期1003-1009,共7页Journal of Army Medical University

基　　金：科研专项课题(2021)。

摘　　要：目的 研究关节功能筛查及纠正对新训人员训练伤预防的干预效果和考核成绩的影响。方法 试验采用随机对照设计,利用整群抽样法抽取陆军某单位2个建制单位新训人员共265人,按照随机数字表法将其分为对照组(132人)和试验组(133人)。试验组接受关节功能筛查及纠正动作培训并用于新训,对照组按照常规方法训练。试验前后分别采集受试者关节功能筛查数据、受试者新训成绩,训练伤发生情况和受训者人口学数据由训练单位提供。利用受试者工作特征(receiver operating characteristic,ROC)曲线检验关节功能筛查对于训练伤的预测效能,利用二元Logistic回归和线性回归验证关节功能筛查得分与训练伤和训练成绩的关系。结果 新训后试验组关节功能筛查分数[(16.62±1.87)分]高于对照组[(14.92±2.58)分,P<0.001];新训后试验组关节功能筛查分数高于新训前(12.82±1.98分,P<0.001);对照组新训后关节功能筛查分数亦高于新训前[(12.95±1.81)分,P<0.001];ROC曲线下面积AUC为0.762(95%CI:0.694~0.830),显示关节功能筛查对于训练伤的预测效能良好;新训过程中,试验组训练伤发生率(13.53%)明显低于对照组(24.24%,χ^(2)=4.963,P=0.026);二元Logistic回归分析显示,训练前筛查评估得分是新训训练伤的有效预测指标(OR=0.552,95%CI:0.413~0.660,P<0.001);试验组新训人员考核成绩均值[733.00(716.00,752.75)分]明显高于对照组[728.79(710.46,744.28)分,P=0.027];线性回归分析显示,训练后关节功能筛查得分与新训人员考核成绩具有相关性(P<0.001)。结论 利用关节功能筛查及纠正对新训人员开展干预可以有效预防新训期的新训训练伤,通过关节功能纠正训练可以有效提升新训人员的考核成绩。Objective To investigate the effects of joint function screening and correction on intervention efficacy of prevention and assessment score of training injuries in new recruits.Methods A randomized controlled study was conducted on 265 new recruits subjected from two organizational units of an army unit with cluster sampling.Based on entire organizational unit,the participants were randomly divided into a control group (n=132) and an experimental group (n=133).The experimental group received joint function screening and corrective movement training,which was subsequently applied in the new recruit training,while the control group underwent training according to conventional methods.Joint function were collected before and after training.The demographic data,assessment score of training,and incidence of training injuries were collected through the participant’s own organizational unit.Receiver operating characteristic (ROC) curve was plotted to evaluate the efficacy of joint function screening in predicting training injuries,and binary logistic regression and general linear regression analyses were applied to verify the correlation of joint function screening score with training injuries and assessment score of training.Results After new training,the score of joint function screening was significantly higher in the experimental group than the control group (16.62±1.87 vs 14.92±2.58,P<0.001).And the score was obviously increased in the experimental group (16.62±1.87 vs 12.82±1.98,P<0.001) and the control group (14.92±2.58 vs12.95±1.81,P<0.001) when compared with the corresponding score before training.The area under the ROC curve (AUC) of joint function screening in predicting training injuries was 0.762 (95%CI:0.694~0.830),indicating good predictive efficacy.During the new training process,the incidence of training injuries in the experimental group (13.53%) was significantly lower than that in the control group (24.24%,Chi-square=4.963,P=0.026).Binary logistic regression analysis showed that the pre-train

关 键 词：新训人员 训练伤 关节功能筛查及纠正 

分 类 号：R322.72[医药卫生—人体解剖和组织胚胎学] R443[医药卫生—基础医学] R873.01