Abstract：
BACKGROUND: There is a well-established increased risk of lower-extremity (LE) musculoskeletal (MSK) injury following a sport-related concussion (SRC). Neuromuscular training programs improve biomechanics associated with LE MSK injury and reduce LE MSK injury incidence, but their relative effectiveness in athletes with history of SRC is unknown. The purpose of this study was to evaluate LE MSK injury incidence in female adolescent athletes with history of SRC following a neuromuscular training intervention.
METHODS: Prospective case-control.
METHODS: Seventy-seven adolescent female athletes aged 12-18 years who participated in soccer, volleyball, or basketball were recruited from a single institutional sports medicine research and performance center to complete a 6-week neuromuscular training program prior to competitive athletic season. Group (Control, History of SRC) comparisons of athlete exposure and relative LE MSK injury risk and rates during the competitive athletic season were assessed.
RESULTS: Ten injuries were recorded by 9 athletes. Female athletes who reported history of SRC had increased injury risk (Risk Ratio 3.9, 95% CI, 1.1-13.8, P = .01) and increased injury rate (rate ratio 4.1, 95% CI, 1.1-15.8, P = .03) compared with female athletes without history of SRC.
CONCLUSIONS: Female adolescent athletes with history of SRC showed a greater risk of LE MSK injury compared with athletes with no history of SRC. Future work is still needed to understand the underlying mechanisms associated with future LE MSK injury following SRC and interventions that ameliorate elevated injury risk.
METHODS: Prospective case-control.
METHODS: Seventy-seven adolescent female athletes aged 12-18 years who participated in soccer, volleyball, or basketball were recruited from a single institutional sports medicine research and performance center to complete a 6-week neuromuscular training program prior to competitive athletic season. Group (Control, History of SRC) comparisons of athlete exposure and relative LE MSK injury risk and rates during the competitive athletic season were assessed.
RESULTS: Ten injuries were recorded by 9 athletes. Female athletes who reported history of SRC had increased injury risk (Risk Ratio 3.9, 95% CI, 1.1-13.8, P = .01) and increased injury rate (rate ratio 4.1, 95% CI, 1.1-15.8, P = .03) compared with female athletes without history of SRC.
CONCLUSIONS: Female adolescent athletes with history of SRC showed a greater risk of LE MSK injury compared with athletes with no history of SRC. Future work is still needed to understand the underlying mechanisms associated with future LE MSK injury following SRC and interventions that ameliorate elevated injury risk.
摘要：
背景：运动相关脑震荡（SRC）后下肢（LE）肌肉骨骼（MSK）损伤的风险增加。神经肌肉训练计划改善与LEMSK损伤相关的生物力学，并降低LEMSK损伤的发生率。但它们在有SRC病史的运动员中的相对有效性尚不清楚。这项研究的目的是评估神经肌肉训练干预后有SRC病史的女性青少年运动员的LEMSK损伤发生率。
方法：前瞻性病例对照。
方法：77名12-18岁的青少年女运动员参加足球比赛，排球,或篮球从一个机构的运动医学研究和表演中心招募，以在竞技运动季节之前完成为期6周的神经肌肉训练计划。组(控制，SRC的历史）评估了在竞技运动季节中运动员暴露量和相对LEMSK损伤风险和发生率的比较。
结果：记录了9名运动员的10次伤害。与没有SRC病史的女运动员相比，有SRC病史的女运动员受伤风险增加（风险比3.9，95％CI，1.1-13.8，P=0.01），受伤率增加（比率比4.1，95％CI，1.1-15.8，P=0.03）。
结论：与没有SRC病史的运动员相比，有SRC病史的女青少年运动员出现LEMSK损伤的风险更大。仍需要进一步的工作来了解SRC和干预措施后与未来LEMSK损伤相关的潜在机制，以改善损伤风险。
方法：前瞻性病例对照。
方法：77名12-18岁的青少年女运动员参加足球比赛，排球,或篮球从一个机构的运动医学研究和表演中心招募，以在竞技运动季节之前完成为期6周的神经肌肉训练计划。组(控制，SRC的历史）评估了在竞技运动季节中运动员暴露量和相对LEMSK损伤风险和发生率的比较。
结果：记录了9名运动员的10次伤害。与没有SRC病史的女运动员相比，有SRC病史的女运动员受伤风险增加（风险比3.9，95％CI，1.1-13.8，P=0.01），受伤率增加（比率比4.1，95％CI，1.1-15.8，P=0.03）。
结论：与没有SRC病史的运动员相比，有SRC病史的女青少年运动员出现LEMSK损伤的风险更大。仍需要进一步的工作来了解SRC和干预措施后与未来LEMSK损伤相关的潜在机制，以改善损伤风险。
