여성 축구선수의 하지정렬구조와 하지손상 유형 분석-2013년 시즌 중 손상특성중심으로
Analysis of Lower Extremity Alignment and Injury Type in Female Soccer Players during 2013 Season
0
조회
0
다운로드
20
인용
0
참고문헌
키워드
초록
[목적] 본 연구의 목적은 하지정렬구조 측정을 통해서 하지정렬구조를 손상예측지표로 제시하고 실제 하지정렬구조와 발생한 손상과의 연관성을 밝히는데 있다. [방법] 97명 여성축구선수를 대상으로 Q-angle, 후족각, 다리길이를 측정한 후 1년 동안 선수들의 하지손상을 관찰하였다. 통계방법은 이원배치 반복측정 분산분석, 다중응답 빈도분석, Odd's ratio를 사용하였고 유의수준은 .05로 설정하였다. [결과] Q-angle과 후족각에서 주측발이 비주측발보다 크게 나타났다. 2013년 시즌동안 발생한 손상 중 부위는 발목, 손상조직은 인대, 손상원인은 과사용, 동작은 런닝, 형태는 염좌가 가장 빈번한 것으로 나타났다. Q-angle과 후족각, 다리길이에 따른 하지 전체 손상발생과 관련성은 없는 것으로 나타났다. 비주측발의 Q-angle에서는 전방십자인대 손상 집단이 비손상 집단보다 작게 나타났다. 전방십자인대손상 유무와 주측발에 따른 상호작용효과는 통계적으로 유의하게 나타났다(F(1,95)=3.823, p=.05). 후족각은 전방십자인대 비손상 집단의 주측발에 비해 비주측발이 작게 나타났다. [결론] 주측발과 비주측발 사이의 Q-angle 차이는 무릎 손상 위험요인으로 제시할 수 있을 것으로 생각되며, 특히 전방십자인대 손상을 예측하는 위험요인으로 제시할 수 있을 것으로 생각된다. 또한 후족각이 7도 이상 나타나거나 주측발과 비주측발의 각도 차이 발생은 발목 손상을 예측하는 위험요인으로 제시할 수 있을 것으로 판단된다.
Abstract
[PURPOSE] The purpose of this study was to investigate the association between anatomical characteristics of lower extremity and incidence and type of injury. [METHOD] Ninety-seven female soccer players participated in the study. Quadriceps angle, rearfoot angle and leg length of both leg were measured before the season started. Two way repeated measures, multiple response analysis, and odd's ratio were applied to find the differences at an alpha level of .05. [RESULT] Q-angle and rearfoot angle were significantly different between dominant and non dominant leg. The ankle was the most injured site followed by the knee, the upper leg, the foot, the lower leg, the hip, and the groin. Also, the ligament and muscle were the most injured structure of the lower extremity. The mechanisms of injury were overuse, non contact, and contact injuries. Types of movement related to injury were running, shooting, landing, passing, tackling, changing direction, defending and dribbling. The types of injury were sprain, tear, tendinitis, strain, contusion, and fracture. Q-angle of non dominant leg was significantly different between ACL injured group and non ACL injured group. [CONCLUSION] Based on the results, the asymmetry of Q-angle and rear foot angle would be the predictors of ACL injury in female soccer players. Thus, measurements of lower extremity alignments which can be easily measured in the field would be included for the development of effective injury prevention interventions for female soccer players.
참고문헌 (42)
- 이경태, "프로 축구선수의 손상 분석", 대한스포츠의학회지, 18(2), pp.176~180 (2000)
- 하성희, "여성 축구선수의 연령별 손상예방 인식과 손상유형의 특성", 운동학 학술지, 15(3), pp.131~142 (2013), 대한운동학회
- Arnason, A., "Risk factors for injuries in football", The American Journal of Sports Medicine, 32(1 suppl), pp.5s~16s (2004)
- Aström, M., "Alignment and joint motion in the normal foot", The Journal of Orthopaedic and Sports Physical Therapy, 22(5), pp.216~222 (1995)
- Chappell, J. D., "A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks", The American Journal of Sports Medicine, 30(2), pp.261~267 (2002)
- Cowan, D. N., "Lower limb morphology and risk of overuse injury among male infantry trainees", Medicine and Science in Sports and Exercise, 28(8), pp.945~952 (1996)
- Devan, M. R., "A prospective study of overuse knee injuries among female athletes with muscle imbalances and structural abnormalities", Journal of Athletic Training, 39(3), pp.263~267 (2004)
- Edwards, S. G., "Autologous blood injections for refractory lateral epicondylitis", Journal of Hand Surgery of American, 28(2), pp.272~278 (2003)
- Emami, M. J., "Q-angle: an invaluable parameter for evaluation of anterior knee pain", Archives of Iranian Medicine, 10(1), pp.24~26 (2007)
- Emery, C. A., "Evaluation of risk factors for injury in adolescent soccer implementation and validation of an injury surveillance system", The American Journal of Sports Medicine, 33(12), pp.1882~1891 (2005)
- Emery, C. A., "Survey of Sport Participation and Sport Injury in Calgary and Area High Schools", Clinical Journal of Sports Medicine, 16(1), pp.20~26 (2006)
- Griffin, L. Y., "Understanding and Preventing Noncontact Anterior Cruciate Ligament Injuries A Review of the Hunt Valley II Meeting, January 2005", The American Journal of Sports Medicine, 34(9), pp.1512~1532 (2006)
- Hägglund, M., "Previous injury as a risk factor for injury in elite football: a prospective study over two consecutive seasons", British Journal of Sports medicine, 40(9), pp.767~772 (2006)
- Heiderscheit, B. C., "Influence of Q-angle on lower-extremity running kinematics", Journal of Orthopedic and Sports Physical Therapy, 30(5), pp.271~278 (2000)
- Heiderschbit, B. C., "Q-angle influences on the variability of lower extremity coordination during running", Medicine and Science in Sports and Exercise, 31(9), pp.1313~1319 (1999)
- Helliwell, M., "Leg length inequality and low back pain", The Practitioner, 229(1403), pp.483~485 (1985)
- Hewett, T. E., "Understanding and preventing ACL injuries : current biomechanical and epidemiologic considerations-update 2010", North American Journal of Sports Physical Therapy : NAJSPT, 5(4), pp.234~251 (2010)
- Horton, M. G., "Quadriceps femoris muscle angle : normal values and relationships with gender and selected skeletal measures", Physical Therapy, 69(11), pp.897~901 (1989)
- Huston, L. J., "Anterior cruciate ligament injuries in the female athlete : potential risk factors", Clinical Orthopaedics and Related Research, 372, pp.50~63 (2000)
- Kaufman, K. R., "Gait asymmetry in patients with limb-length inequality", Journal of Pediatric Orthopaedics, 16(2), pp.144~150 (1996)
- Kucera, K. L., "Injury history as a risk factor for incident injury in youth soccer", British Journal of Sports Medicine, 39(7), pp.462~462 (2005)
- Levinger, P., "Tibia and rearfoot motion and ground reaction forces in subjects with patellofemoral pain syndrome during walking", Gait & Posture, 25(1), pp.2~8 (2007)
- Lewis, G. S., "Determination of subtalar joint axis location by restriction of talocrural joint motion", Gait & Posture, 25(1), pp.63~69 (2007)
- Livingston, L. A., "Bilateral Q angle asymmetry and anterior knee pain syndrome", Clinical Biomechanics, 14(1), pp.7~13 (1999)
- Lyon, L. K., "Q-angle : a factor in peak torque occurrence in isokinetic knee extension", The Journal of Orthopaedic and Sports Physical Therapy, 9(7), pp.250~ (1988)
- McConnell, J., "The management of chondromalacia patellae : a long term solution", The Australian Journal of Physiotherapy, 32(4), pp.215~223 (1986)
- Mizuno, Y., "Q‐angle influences tibiofemoral and patellofemoral kinematics", Journal of Orthopaedic Research, 19(5), pp.834~840 (2001)
- Nguyen, A. D., "Relationships between lower extremity alignment and the quadriceps angle. Clinical Journal of Sport Medicine", Official Journal of the Canadian Academy of Sport Medicine, 19(3), pp.201~206 (2009)
- Park, S. K., "Greater Q angle may not be a risk factor of patellofemoral pain syndrome", Clinical Biomechanics, 26(4), pp.392~396 (2011)
- Papaioannou, T., "Scoliosis associated with limb-length inequality", The Journal of Bone & Joint Surgery, 64(1), pp.59~62 (1982)
- Perttunen, J. R., "Gait asymmetry in patients with limb length discrepancy", Scandinavian Journal of Medicine & Science in Sports, 14(1), pp.49~56 (2004)
- Powers, C. M., "The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction : a theoretical perspective", The Journal of Orthopaedic and Sports Physical Therapy, 33(11), pp.639~646 (2003)
- Raczkowski, J. W., "Functional scoliosis caused by leg length discrepancy", Archives of Medical Science, 6(3), pp.393~398 (2010)
- Ristolainen, L., "Gender Differences in Sport Injury Risk and Types of Injuries : A Retrospective Twelve-month Study on Cross-country Skiers, Swimmers, Long-distance Runners and Soccer Players", Journal of Sports Science and Medicine, 8(3), pp.443~451 (2009)
- "The Acute Effects of an Injury Prevention Program on Landing Technique and Performance Measures in Youth Athletes" (2013)[URL]
- Rose, R., "Pediatric leg length discrepancy : causes and treatments", Orthopaedic Nursing, 1999, pp.18(2), 21~29
- Sheehan, F. T., "Q-angle and J-sign : indicative of maltracking subgroups in patellofemoral pain", Clinical Orthopaedics and Related Research®, 468(1), pp.266~275 (2010)
- Smith, H. C., "Risk Factors for Anterior Cruciate Ligament Injury A Review of the Literature—Part 1 : Neuromuscular and Anatomic Risk", Sports Health : A Multidisciplinary Approach, 4(1), pp.69~78 (2012)
- Wong, P., "Soccer injury in the lower extremities", British Journal of Sports Medicine, 39(8), pp.473~482 (2005)
- Twomey, D., "Performance Differences Between Normal and Low Arched Feet in 9-12 Year Old Children", Doctor, pp.2005
- Young, R. S., "Effect of simulating leg length inequality on pelvic torsion and trunk mobility", Gait &Posture, 11(3), pp.217~223 (2000)
- Zabjek, K. F., "Acute postural adaptations induced by a shoe lift in idiopathic scoliosis patients", European Spine Journal, 10(2), pp.107~113 (2001)