优秀男子板球运动员颈椎活动度和关节位置感:一项观察性研究

S. Reid, Johnathan Fornasier, D. Redrup, S. McLeod
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引用次数: 0

摘要

目的:本研究的目的是(1)建立优秀男子板球运动员颈椎活动度(CROM)和关节位置感(JPS)的基线数据,(2)确定这些运动员与健康成年人相比是否存在差异,(3)为未来的研究建立一套参考值。材料与方法:设计:重复测量,观察性研究。参与者:31名优秀板球运动员,年龄18-35岁。背景:澳大利亚悉尼悉尼板球场的新南威尔士板球赛。结果测量:使用CROM装置和JPS使用关节位置误差(JPE)激光方法测量颈椎旋转,有两种方案:重新定位到正前方和最大旋转的80%。结果:平均右转和左转分别比健康正常人少6.5°(P < 0.001)和4.2°(P < 0.001)。在季前赛中,26%的板球运动员的JPE >4.5°,比一般人群高11%,87%的板球运动员的JPE >4.5°。季后赛,CROM的赤字没有变化。更少的球员(22%)在重新定位到正前方时JPE >4.5°,而当重新定位到旋转的80%时,JPE在两个方向上都增加了1°(P < 0.05)。结论:与作者的假设相反,本研究的初步结果表明,与正常健康成人相比,该队列中的优秀男性板球运动员在CROM和JPS方面存在缺陷。这对于使用针对JPS的物理治疗和恢复CROM前后头颈部损伤具有临床意义。治疗师应该考虑到男性板球运动员先前存在的运动范围和JPE的基线不对称。进一步的研究需要在青少年和女性板球运动员中验证这些发现,并探索颈椎参数、板球生物力学和头颈部损伤风险之间的相互作用。
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Cervical spine range of motion and joint position sense in elite male cricketers: An observational study
OBJECTIVE: The aims of the current study were to (1) establish baseline data for cervical range of motion (CROM) and joint position sense (JPS) in elite male cricketers, (2) determine whether these players had differences when compared to healthy adults, and (3) establish a reference set of values for future investigations. MATERIALS AND METHODS: Design: Repeated measures, observational study. Participants: Thirty-one elite cricketers, aged 18–35 years. Setting: Cricket New South Wales at the Sydney Cricket Ground, Sydney, Australia. Outcome measures: Cervical rotation was measured with a CROM device and JPS using the joint position error (JPE) laser method with two protocols: repositioning to straight ahead and to 80% of maximum rotation. RESULTS: Mean right and left rotation were less than healthy normals by 6.5° (P < 0.001) and 4.2° (P < 0.001), respectively. In the preseason, 26% of cricketers had JPE >4.5° repositioning to straight ahead, which is 11% greater than the general population and 87% had JPE >4.5° when repositioning to 80% rotation. Postseason, deficits in CROM were unchanged. Fewer players (22%) had JPE >4.5° when repositioning to straight ahead however JPE when repositioning to 80% of rotation increased 1° for both directions (P < 0.05). CONCLUSIONS: Contrary to the authors' hypothesis, preliminary findings from this study demonstrated that elite male cricketers in this cohort had deficits in CROM and JPS, compared to normal healthy adults. This has clinical implications for the use of physical therapies targeting JPS and restoring CROM pre- and post-head and neck injury. Therapists should account for preexisting, baseline asymmetries in the range of motion and JPE in male cricketers. Further research needs to validate these findings across adolescent and female cricketers and explore the interaction between cervical spine parameters, cricket biomechanics, and head or neck injury risk.
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