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Relationship Between Spinal-Pelvic Sagittal Balance and Pelvic-Femoral Injuries in Professional Soccer Players

机译:专业足球运动员脊髓盆腔矢状平衡与骨盆股损伤的关系

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Background: Pelvic-femoral injuries are a common problem in football (soccer) players. However, the risk factors for these injuries are unclear. Our knowledge of spinal-pelvic sagittal balance has increased considerably over the past few years, notably as a result of new radiographic techniques such the EOS radiographic imaging system. Purpose: To investigate the link between spinal-pelvic sagittal balance on EOS imaging and the incidence of pelvic-femoral injuries. Study Design: Cohort study; Level of evidence, 2. Methods: Players in a League 1 professional soccer team were observed for 5 consecutive seasons. All players included in the study underwent EOS radiographic imaging. All acute and microtraumatic injuries to the pelvic-femoral complex were recorded prospectively: hamstrings, psoas, quadriceps, adductors, obturators, and pubic symphysis. We analyzed the relationship between injury incidence and key radiographic parameters involved in pelvic balance. Results: A total of 61 players were included (mean age, 24.5 years; n = 149 injuries; mean pelvic tilt, 9.08° ± 5.6°). A significant link was observed between the incidence of pelvic-femoral injuries and pelvic tilt ( P = .02). A significant link was also observed between the incidence of acute pelvic-femoral injuries and pelvic tilt ( P = .05). In both cases, a high pelvic tilt was associated with a low incidence of injuries. Conclusion: In professional soccer players, a low pelvic tilt was associated with a high incidence of all pelvic-femoral injuries as well as acute pelvic-femoral injuries. These results could lead to new preventive methods for these musculotendinous injuries through physical therapy.
机译:背景:骨盆 - 股骨伤害是足球(足球)球员的常见问题。然而,这些伤害的危险因素尚不清楚。我们对过去几年的脊髓盆腔矢状平衡的了解增加,特别是由于新的射线照相技术,因此EOS放射线影像系统的新射线照相技术。目的:研究脊髓盆腔矢状平衡对EOS成像的联系及骨盆 - 股伤的发病率。研究设计:队列研究;证据级别,2.方法:联赛中的参与者在连续5个赛季中观察到职业足球队。所有参与者中包含的所有玩家都接受了EOS射线影像成像。骨盆 - 股骨综合体的所有急性和显微面积损伤都经过前瞻性记录:群道,PSOA,Quadriceps,联合作用者,闭塞器和耻骨杂志。我们分析了患有盆腔平衡的伤害发病率和关键放射线参数之间的关系。结果:共用了61名球员(平均年龄,24.5岁; N = 149次伤害;平均骨盆倾斜,9.08°±5.6°)。在骨盆 - 股骨损伤和骨盆倾斜的发生率之间观察到显着的联系(p = .02)。在急性骨盆 - 股骨损伤和骨盆倾斜的发生率之间也观察到显着的联系(P = .05)。在这两种情况下,高骨盆倾斜与损伤的发生率低有关。结论:在专业的足球运动员中,低骨盆倾斜与所有盆腔伤害的高发病率以及急性骨盆 - 股伤。这些结果可能导致通过物理治疗的这些肌肉伤害的新预防方法。

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