엘리트 배구선수의 하지 부상이 관절가동범위, 근육 신장성 및 동적안정성에 미치는 영향
The Effects of Injury Experience in Lower Extremities on Joint Range of Motion, Muscle Extensibility, and Dynamic Stability in Elite Volleyball Players
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[목적] 본 연구는 엘리트 배구선수의 발목관절과 무릎관절 부상경험에 따른 발목관절 발등굽힘과 넙다리네갈래근의신장성 및 동적안정성의 차이를 확인하고자 하였다. [방법] 총 458명의 엘리트 배구선수(청소년 선수 337명, 성인선수 115명)를 대상으로 하지의 부상경험을 확인한 후 런지 검사를 통해 발목관절 발등굽힘 을 확인하였고 엘리스 검사를 통해 넙다리네갈래근의 신장성을 측정하였다. 하지의동적안정성은 Y-균형검사를 실시하여 다리길이에 대해 표준화한 측정값을 바탕으로 종합점수를 산출하였다. 하지의부상경험을 기반으로 발목관절 부상집단과 무릎관절 부상집단, 무릎발목관절 부상집단 및 부상을 경험하지 않는 집단으로 분류하여 부상측과 우세측을 비교하였고, 양측차이 또한 비교하였다. [결과] 청소년선수의 경우 무릎관절 부상을 경험한 선수의 발목관절 가동범위 비대칭성이 큰 반면, 성인선수는 발목관절 부상을 경험한 선수의 발목관절 가동범위 비대칭성이 차이가 큰 것으로 확인되었다. 연령에 관계없이 무릎관절 또는 발목관절 부상을 경험한 선수는 그렇지 않은 선수에 비해 동적안정성이 낮은 것으로 확인되었고, 특히 무릎관절 부상을 경험한 성인선수는 동적안정성의 비대칭성이 큰 것으로 나타났다. [결론] 본 연구의 결과를 통해 하지 부상의 재활 및 예방에 있어 연령을 포함한 다양한 위험요인을 포괄적으로 관리해야 할 필요가 있을 것으로 판단된다.
Abstract
PURPOSE This study investigates the impact of injury experience on ankle dorsiflexion, quadriceps extensibility, and dynamic stability in elite adolescent and adult volleyball players. METHODS A total of 485 players (adolescents=337, adults=115) reported lower extremities injuries, with measurements taken for ankle dorsiflexion and quadriceps extensibility using the weight- bearing lunge test and Ely’s test, respectively. The Y-balance test was used for dynamic stability. Measurements were conducted on the injured leg of players with knee and/or ankle injuries and the dominant leg of healthy players. Four groups were classified based on injury experience, and comparisons were made between both legs. Additionally, the variables of adolescent players were compared to those of adults. RESULTS Adolescent players with knee injuries exhibited a larger difference in ankle dorsiflexion between both legs, while adult players with ankle injuries demonstrated an asymmetry of ankle dorsiflexion. Regardless of age, players with knee or ankle injuries displayed lower dynamic stability compared to healthy players. Notably, adults with knee injuries showed a larger difference in dynamic stability between both legs. CONCLUSIONS To prevent and rehabilitate volleyball-related injuries, comprehensive injury risk factors, including age, should be managed in the injury prevention strategies.
참고문헌 (45)
- Almansoof, H. S., "Role of ankle dorsiflexion in sports performance and injury risk: A narrative review", Electronic Journal of General Medicine, 20(5), pp.em521~ (2023)
- Aquino, M. R. C., "Spatial-temporal parameters, pelvic and lower limb movements during gait in individuals with reduced passive ankle dorsiflexion", Gait &Posture, 93, pp.32~38 (2022)
- Kaysha Bates, "Preseason lower extremity range of motion, flexibility, and strength in relation to in-season injuries in NCAA division I gymnasts", The Physician and Sportsmedicine, pp.1~7 (2023), Informa UK Limited[DOI]
- Boyle, M. J., "Functional movement competency and dynamic balance after anterior cruciate ligament reconstruction in adolescent patients", Journal of Pediatric Orthopaedics, 36(1), pp.36~41 (2016)
- Brumitt, J., "Preseason functional test scores are associated with future sports injury in female collegiate athletes", The Journal of Strength and Conditioning Research, 32(6), pp.1692~1701 (2018)
- Brumitt, J., "Comparison of lower quarter Y-balance test scores for female collegiate volleyball players based on competition level, position, and starter status", International Journal of Sports Physical Therapy, 14(3), pp.415~423 (2019)
- Burns, K. N., "Relationship between ankle dorsiflexion range of motion and dynamic postural control", Journal of Athletic Training, 52(6), pp.S138~ (2017)
- Butler, R. J., "Dynamic balance performance and noncontact lower extremity injury in college football players : An initial study", Sports Health, 5(5), pp.417~422 (2013)
- Cejudo, A., "Lower-limb flexibility profile analysis in youth competitive inline hockey players", International Journal of Environmental Research and Public Health, 17(12), pp.4338~ (2020)
- Chia, L., "Non-contact anterior cruciate ligament injury epidemiology in team-ball sports : a systematic review with meta-analysis by sex, age, sport, participation level, and exposure type", Sports Medicine, 52(10), pp.2447~2467 (2022)
- Chon, S. -C., "Effect of the abdominal draw-in manoeuvre in combination with ankle dorsiflexion in strengthening the transverse abdominal muscle in healthy young adults : A preliminary, randomised, controlled study", Physiotherapy, 96(2), pp.130~136 (2010)
- da Costa, G. V., "Relationship between passive ankle dorsiflexion range, dynamic ankle dorsiflexion range and lower limb and trunk kinematics during the single-leg squat", Gait & Posture, 86, pp.106~111 (2021)
- Gohil, R., "Normative data for calf muscle flexibility tested by weight bearing lunge test in age group of 20-30 years-Pilot study", International Journal of Health Sciences and Research, 12(2), pp.71~75 (2022)
- Gribble, P. A., "Considerations for normalizing measures of the star excursion balance test", Measurement in Physical Education and Exercise Science, 7(2), pp.89~100 (2003)
- Gribble, P. A., "Prediction of lateral ankle sprains in football players based on clinical tests and body mass index", The American Journal of Sports Medicine, 44(2), pp.460~467 (2016)
- Hartley, E. M., "Y-balance test performance and BMI are associated with ankle sprain injury in collegiate male athletes", Journal of Science and Medicine in Sport, 21(7), pp.676~680 (2018)
- Hewett, T. E., "Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes : A prospective study", The American Journal of Sports Medicine, 33(4), pp.492~501 (2005)
- Hoch, M. C., "Dorsiflexion and dynamic postural control deficits are present in those with chronic ankle instability", Journal of Science and Medicine in Sport, 15(6), pp.574~579 (2012)
- James, L. P., "Injury risk management plan for volleyball athletes", Sports Medicine, 44(9), pp.1185~1195 (2014)
- Janssen, I., "Previously identified patellar tendinopathy risk factors differ between elite and sub-elite volleyball players", Scandinavian Journal of Medicine & Science in Sports, 25(3), pp.308~314 (2015)
- Jiang, T., "Activation of brain areas following ankle dorsiflexion versus plantar flexion : Functional magnetic resonance imaging verification", Neural Regeneration Research, 7(7), pp.501~505 (2012)
- Kang, M. -H., "Association of ankle kinematics and performance on the Y-balance test with inclinometer measurements on the weightbearing-lunge test", Journal of Sport Rehabilitation, 24(1), pp.62~67 (2015)
- Keller, R. A., "Glenohumeral internal rotation deficit and risk of upper extremity injury in overhead athletes : A meta-analysis and systematic review", Sports Health, 10(2), pp.125~132 (2018)
- Kim, T., "Association between ingame performance parameters recorded via global positioning system and sports injuries to the lower extremities in elite female field hockey players", Cluster Computing, 21(1), pp.1069~1078 (2018)
- Wilson C. Lai, "Lower Quarter Y-Balance Test Scores and Lower Extremity Injury in NCAA Division I Athletes", Orthopaedic Journal of Sports Medicine, 5(8), pp.232596711772366~ (2017), SAGE Publications[DOI]
- Langarika-Rocafort, A., "Intra-rater reliability and agreement of various methods of measurement to assess dorsiflexion in the weight bearing dorsiflexion lunge test(WBLT)among female athletes", Physical Therapy in Sport, 23, pp.37~44 (2017)
- Luedke, L. E., "Y-balance test performance does not determine non-contact lower quadrant injury in collegiate american football players", Sports, 8(3), pp.27~ (2020)
- Malina, R. M., "Growth, maturation, and physical activity" (2004), Human Kinetics
- Simeon Mellinger, "Evidence based treatment options for common knee injuries in runners", Annals of Translational Medicine, 7(S7), pp.S249~S249 (2019), AME Publishing Company[DOI]
- Migliorini, F., "Injuries among volleyball players : A comprehensive survey of the literature", Sport Sciences for Health, 15(2), pp.281~293 (2019)
- Nilstad, A., "Risk factors for lower extremity injuries in elite female soccer players", The American Journal of Sports Medicine, 42(4), pp.940~948 (2014)
- Olivencia, O., "The reliability and minimal detectable change of the ely and active knee extension tests", International Journal of Sports Physical Therapy, 15(5), pp.776~782 (2020)
- Patel, D. R., "Musculoskeletal injuries in sports", Primary Care : Clinics in Office Practice, 33(2), pp.545~579 (2006)
- Peeler, J., "Reliability of the ely's test for assessing rectus femoris muscle flexibility and joint range of motion", Journal of Orthopaedic Research, 26(6), pp.793~799 (2008)
- Powden, C. J., "Reliability and minimal detectable change of the weight-bearing lunge test : A systematic review", Manual Therapy, 20(4), pp.524~532 (2015)
- Promsri, A., "Leg dominance as a risk factor for lower-limb injuries in downhill skiers-A pilot study into possible mechanisms", International Journal of Environmental Research and Public Health, 16(18), pp.3399~ (2019)
- Shitara, H., "Ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players", Scientific Reports, 11(1), pp.5500~ (2021)
- Smith, C. A., "Association of y balance test reach asymmetry and injury in division I athletes", Medicine and Science in Sports and Exercise, 47(1), pp.136~141 (2015)
- Smith, M. D., "How much does the talocrural joint contribute to ankle dorsiflexion range of motion during the weight-bearing lunge test? A cross-sectional radiographic validity study", Journal of Orthopaedic & Sports Physical Therapy, 49(12), pp.934~941 (2019)
- Stiffler, M. R., "Star excursion balance test performance varies by sport in healthy division I collegiate athletes", Journal of Orthopaedic & Sports Physical Therapy, 45(10), pp.772~780 (2015)
- Takei, S., "Developmental stage and lower quadriceps flexibilities and decreased gastrocnemius flexibilities are predictive risk factors for developing Osgood-Schlatter disease in adolescent male soccer players", Knee Surgery, Sports Traumatology, Arthroscopy, 31(8), pp.3330~3338 (2023)
- Teyhen, D. S., "Identification of risk factors prospectively associated with musculoskeletal injury in a warrior athlete population", Sports Health, 12(6), pp.564~572 (2020)
- Theisen, A., "Chronic ankle instability leads to lower extremity kinematic changes during landing tasks : A systematic review", International Journal of Exercise Science, 12(1), pp.24~33 (2019)
- Verhagen, E. A. L. M., "A one season prospective cohort study of volleyball injuries", British Journal of Sports Medicine, 38(4), pp.477~481 (2004)
- Wasser, J. G., "Volleyball-related injuries in adolescent female players : An initial report", The Physician and Sportsmedicine, 49(3), pp.323~330 (2021)
