曲棍球运动员髋关节病变、髋关节和腹股沟疼痛与受伤之间的关系:临床评论

IF 1.6 Q3 SPORT SCIENCES International Journal of Sports Physical Therapy Pub Date : 2024-05-02 eCollection Date: 2024-01-01 DOI:10.26603/001c.116580
Matt Kelly, Josh Secomb
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引用次数: 0

摘要

股骨髋臼撞击症(FAI),尤其是凸轮形态,在曲棍球精英运动员中非常普遍。此外,髋关节和腹股沟疼痛已成为曲棍球运动中的常见问题,据报道,约有 50%的欧洲职业运动员在一个赛季中出现过髋关节或腹股沟问题。虽然大多数运动员不会因此而缺席训练或比赛,但竞技成绩可能会受到限制,身心健康下降的风险也会增加。最近的研究表明,凸轮形态的形成与青少年时期滑冰对髋关节造成的反复剪切应力有关。这种情况很可能会增加这些运动员在以后的职业生涯中发生关节内和关节外损伤的可能性。研究还表明,与其他运动相比,向前滑冰时的髋关节机械运动大大增加了髋臼唇撕裂的可能性。这种损伤会增加股骨头在关节内的运动,可能对髂股韧带、韧带和关节囊造成二次损伤。这些损伤以及受影响结构中高密度的痛觉感受器可能是曲棍球运动员髋部和腹股沟疼痛高发的原因。髋关节力量、稳定性和活动范围(ROM)降低等补偿性适应可能会增加核心肌肉损伤以及髋关节屈肌和内收肌损伤的机会。具体来说,与凸轮形态相关的髋关节活动度受限似乎会加剧这些损伤的风险,因为在旋转运动中耻骨联合应力和横向应变会增加。我们希望这篇文章能够帮助目前从事曲棍球运动员工作的从业人员制定有实证依据的监测策略和训练干预措施,以减少髋关节和腹股沟问题的发生率和严重程度,最终提高运动员的表现和健康水平。因此,本临床评论旨在研究曲棍球运动员常见髋关节病变的现有证据,探讨髋关节和腹股沟疼痛与曲棍球活动的生物力学之间的潜在关联:5.
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Associations Between Hip Pathology, Hip and Groin Pain, and Injuries in Hockey Athletes: A Clinical Commentary.

Femoroacetabular impingement (FAI), particularly cam morphology, is highly prevalent among elite hockey athletes. Moreover, hip and groin pain has become a common issue in hockey, with approximately 50% of European professional athletes reported to experience a hip or groin problem during a season. While most athletes will not miss training or competition due to this, restricted competitive performance and increased risk of reduced physical and psychological well-being are likely. Recent research suggests that the development of cam morphology is related to the repetitive shear stresses experienced at the hip joint during adolescence from skating. This condition likely increases the potential for intra-articular and extra-articular injuries in these athletes later in their careers. Research also indicates that the hip joint mechanics during forward skating substantially increase the possibility of sustaining a labral tear compared to other sports. Such an injury can increase femoral head movement within the joint, potentially causing secondary damage to the iliofemoral ligament, ligamentum teres and joint capsule. These injuries and the high density of nociceptors in the affected structures may explain the high prevalence of hip and groin pain in hockey athletes. Compensatory adaptations, such as reduced hip strength, stability, and range-of-motion (ROM) likely increase the opportunity for core muscle injuries and hip flexor and adductor injuries. Specifically, the limited hip ROM associated with cam morphology appears to exacerbate the risk of these injuries as there will be an increase in pubic symphysis stress and transverse strain during rotational movements. It is hoped that this article will assist practitioners currently working with hockey athletes to develop evidence-informed monitoring strategies and training interventions, aimed at reducing the incidence and severity of hip and groin problems, ultimately enhancing athlete performance and well-being. Therefore, the purpose of this clinical commentary was to examine current evidence on common hip pathologies in hockey athletes, exploring potential associations between hip and groin pain and the biomechanics of hockey activities.

Level of evidence: 5.

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CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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