功能性动作筛查(FMSTM)预测高水平短道速滑运动员运动损伤的效度研究

doi:10.15942/j.jcsu.2019.02.016

成都体育学院学报 ›› 2019, Vol. 45 ›› Issue (2): 103-109.doi: 10.15942/j.jcsu.2019.02.016

功能性动作筛查(FMS^TM)预测高水平短道速滑运动员运动损伤的效度研究

石诗萌¹, 戴玮¹, 张纯¹, 宋朋², 胡毓诗¹, 廖远朋¹

1.成都体育学院运动医学与健康学院,四川成都 610041;
2 成都谷源健康咨询有限公司,四川成都 610042

收稿日期:2018-09-23 出版日期:2019-03-15 发布日期:2019-04-03
通讯作者: 胡毓诗,博士,教授,研究方向:运动损伤的防治,E-mail: huyushicdsu@126.com。
作者简介:石诗萌,在读博士研究生,助教,研究方向:运动损伤预防及康复,E-mail:15301631625@163.com。
基金资助:
成都体育学院运动医学与健康研究所2017年创新课题“Imoove三维运动平台训练对女性跑者动态膝外翻改善情况观察分析”CX17C03。

The Validity of Functional Movement Screening (FMS^TM) In Predicting Injuries In Elite Short Track Speed Skating Athletes

SHI Shimeng¹, DAI Wei¹, ZHANG Chuan¹, SONG Peng², HU Yushi¹, LIAO Yuanpeng¹

1.School of Sports Medicine and Health,Chengdu Sport University, Chengdu Sichuan 610041;
2. Chengdu Guyuan Health Consulting CO.,LTD, Chengdu Sichuan 610042

Received:2018-09-23 Online:2019-03-15 Published:2019-04-03

摘要/Abstract

摘要： 目的: 确定功能性动作筛查(FMS^TM)预测高水平短道速滑运动员运动损伤风险的效度并研究FMS^TM得分与运动损伤、核心稳定、下肢动态姿势控制及运动表现之间的相关性。方法: 在2016-2017赛季初,分别对22名高水平短道速滑运动员进行FMS^TM测试、Y-Blance test、核心区肌力测试、膝关节等速肌力测试,赛季中及赛季末对运动损伤的临床诊断进行记录。对FMS得分与其余检测指标进行 Pearson’s相关性分析。使用单因素方差分析确定组间差异。结果: (1)FMS得分17.23±1.602;14名队员出现运动损伤,损伤主要分布于膝关节、下背部、胸椎。(2)膝损伤与非膝损伤两组之间,伸膝肌群离心相对锋力矩(F=8.240, P=0.009)、屈膝肌群离心相对锋力矩(F=6.941, P=0.016)、屈膝肌群向心相对锋力矩(F=5.766, P=0.026)以及躯干侧屈不平衡率(F=13.396,P=0.002)均存在显著性差异。下背损伤及非下背损伤两组之间,屈躯干肌群力量有显著性差异(F=5.008,P=0.037)。(3)FMS总分与Y-Blance test中下肢在三个方向上的相对距离无显著相关性(所有P值>0.05);FMS总分与核心区相对力量,躯干前屈/后伸不平衡率,躯干左侧屈/右侧屈不平衡率,躯干左旋转/右旋转不平衡率均无显著相关性(所有P值>0.05); FMS总分与膝关节伸/屈肌(向心/离心)锋力矩无显著相关性(所有P值>0.05)。(4)损伤及无损伤的两组运动员之间,FMS总分无显著性差异(F=0.002,P>0.05)。国际健将及国家健将两组运动员之间,FMS总分无显著性差异(F=0.270,P>0.05)。结论: 膝关节力量、核心力量与短道速滑运动员的膝损伤及下背部损伤相关。FMS综合得分与运动损伤和运动表现之间的关联强度不足以支持将其作为短道速滑运动员损伤风险的预测工具。

关键词: 功能性动作筛查, 预测, 高水平短道速滑运动员, 运动损伤, 效度

Abstract: Objective: The validity of the Functional Movement Screening (FMS^TM) in predicting sports injuries has been questioned. However, it has not been determined if FMS^TM is valid in predicting injuries in speed skating athletes. In addition, it is unknown if FMS scores are related to core stability, dynamic posture control and performance level of elite speed skating athletes.Methods: Twenty-two elite short track speed skating athletes (10M,12F; mean age:19.4±2.5years old; mean height:173.3±6.1cm; mean weight:64.4±7.5kg) were recruited. Thirteen competed internationally (G1) and 9 competed nationally (G2). Athletes performed FMS, Y-Balance test, core muscle strength test and knee isokinetic muscle strength test at the beginning of the season, and injuries were clinically diagnosed and recorded at the end of the season. Pearson's correlation was used to examine the relationship among the measures. One-way ANOVA was employed to determine between-group differences.Results: (1) Fourteen athletes were injured in knee, low back, neck or thoracic spine during the subsequent competitive season.(2) Between knee injured and non-injured groups, there was significant difference in knee extension eccentric peak torque(F=8.240, P=0.009), knee flexion concentric peak torque(F=5.766, P=0.026), knee flexion eccentric peak torque(F=6.941, P=0.016) and trunk lateral flexion imbalance rate(F=13.396,P=0.002). Between low back injured and non-injured groups, there was a significant difference in trunk flexion strength (F=5.008,P=0.037). (3) FMS scores were not significantly correlated with any of the measures (all P>0.05) (4) ANOVA showed that FMS scores were not significantly different between injury and non-injured groups (F=0.002,P>0.05)and there was no significant difference in FMS scores between G1 and G2 (F=0.270,P>0.05)Discussion: Knee strength and core strength were significantly associated with subsequent knee and lower back injuries. However, FMS scores were not significantly correlated with subsequent injuries, core stability, dynamic posture control and performance level of elite speed skating athletes. Thus, the findings here do not support FMS be used as a tool for predicting the risk of injury in short track speed skating athletes.

Key words: functional movement screen, predict, elite short track speed skating athletes, sports injury, validity

中图分类号:

G804-05

石诗萌, 戴玮, 张纯, 宋朋, 胡毓诗, 廖远朋. 功能性动作筛查(FMS^TM)预测高水平短道速滑运动员运动损伤的效度研究[J]. 成都体育学院学报, 2019, 45(2): 103-109.

SHI Shimeng, DAI Wei, ZHANG Chuan, SONG Peng, HU Yushi, LIAO Yuanpeng. The Validity of Functional Movement Screening (FMS^TM) In Predicting Injuries In Elite Short Track Speed Skating Athletes[J]. Journal of Chengdu Sport University, 2019, 45(2): 103-109.

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功能性动作筛查(FMS^TM)预测高水平短道速滑运动员运动损伤的效度研究

The Validity of Functional Movement Screening (FMS^TM) In Predicting Injuries In Elite Short Track Speed Skating Athletes

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功能性动作筛查(FMSTM)预测高水平短道速滑运动员运动损伤的效度研究

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功能性动作筛查(FMS^TM)预测高水平短道速滑运动员运动损伤的效度研究

The Validity of Functional Movement Screening (FMS^TM) In Predicting Injuries In Elite Short Track Speed Skating Athletes