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首页> 外文期刊>American Journal of Sports Medicine >Age-Dependent Patellofemoral Pain: Hip and Knee Risk Landing Profiles in Prepubescent and Postpubescent Female Athletes
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Age-Dependent Patellofemoral Pain: Hip and Knee Risk Landing Profiles in Prepubescent and Postpubescent Female Athletes

机译：年龄依赖性髌果痛：前促和后期女运动员的臀部和膝盖风险降落曲线

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摘要

Background: Female athletes are at an increased risk of developing patellofemoral pain (PFP) relative to male athletes. The unique effects of maturation may compound that risk. Hypothesis/Purpose: The purpose was to evaluate the neuromuscular control mechanisms that are adaptive to pubertal maturation and determine their relative contribution to PFP development. It was hypothesized that aberrant landing mechanics (reduced sagittal-plane and increased frontal- and transverse-plane kinematics and kinetics) would be associated with an increased risk for PFP. Study Design: Cohort study; Level of evidence, 2. Methods: There were 506 high school female athletes who completed a detailed medical history, the Anterior Knee Pain Scale, and a knee examination for the diagnosis of PFP and attended follow-up appointments. Athletes performed a drop vertical jump task instrumented with force plates, and biomechanical measures generated from standard 3-dimensional biomechanical analyses were used to classify participants into high- or low-risk knee and hip landing profiles for the development of PFP. The biomechanical measures used in the knee landing profile included sagittal-plane knee range of motion, peak knee abduction angle, peak knee abduction moment, and peak-to-peak transverse-plane knee moment. The biomechanical measures used in the hip landing profile included sagittal-plane hip range of motion, peak hip extensor moment, peak abductor moment, and peak hip rotator moment. Testing was conducted at sport-specific preseason appointments over the course of 2 years, and changes in pubertal status, landing profile, and PFP development were documented. Results: Female athletes with high-risk hip landing profiles experienced increased hip flexion and decreased abductor, rotator, and extensor moments. Participants with high-risk hip landing profiles who transitioned to postpubertal status at follow-up had higher odds (odds ratio, 2.1 [95% CI, 1.1-4.0]; P = .02) of moving to a low-risk hip landing profile compared with those who had not reached postpubertal status at follow-up. Participants with high-risk knee landing profiles experienced decreased knee flexion and increased knee abduction, external abductor, and external rotator moments. Pubertal maturation was not associated with a change in the high-risk knee landing profile at follow-up. Conclusion: The progression from prepubertal to postpubertal status may have a protective effect on high-risk hip mechanics but no similar adaptations in high-risk knee mechanics during maturation. These data indicate that before puberty, maladaptive hip mechanics may contribute to PFP, while aberrant knee mechanics associated with PFP are sustained throughout the maturational process in young female athletes.
机译：背景：女运动员是在相对于男运动员开发Patelloforal疼痛（PFP）的风险增加。成熟的独特效果可以是风险的化合物。假设/目的：目的是评估适应青春期成熟的神经肌肉控制机制，并确定其对PFP发育的相对贡献。假设异常着陆力学（降低的矢状平面和增加的前横平面运动学和动力学）将与PFP的风险增加相关。研究设计：队列研究;证据水平，2.方法：有506名高中女运动员完成了详细的病史，前膝痛尺度，以及诊断PFP的膝关节检查，并出席后续预约。运动员进行了滴垂直跳转任务用力板，用标准三维生物力学分析产生的生物力学措施，用于将参与者分为高风险的膝盖和臀部着陆曲线以进行PFP的开发。膝盖着陆轮廓中使用的生物力学措施包括运动，峰值膝关节角度，峰值膝盖展示矩和峰 - 峰横向平面膝关节的矢状平面膝关节范围。臀部着陆轮廓中使用的生物力学措施包括运动，峰值伸展矩，峰值升压时刻和峰值髋峰矩阵的矢状平面臀部范围。测试在2年的运动特定的季前赛任用中进行，并记录了普国特地位，登记型材和PFP开发的变化。结果：具有高风险髋关节着陆型材的女运动员经历了髋部屈曲和减少的绑架器，旋转器和伸展矩。在随访时转移到产后淘汰状态的高风险髋关节着陆曲线的参与者具有较高的赔率（差距，2.1 [95％CI，1.1-4.0]; p = .02）移动到低风险的臀部着陆轮廓与那些没有达到后续行动邮寄地位的人相比。高风险膝盖着陆型材的参与者经历了膝关节屈曲和膝关节绑架，外置绑定器和外部转子时刻增加了。青春期成熟与随访中的高风险膝盖着陆型材的变化无关。结论：预先对产后地位的进展可能对高风险髋关节力学的保护作用，但在成熟期间没有在高风险膝关系中的类似调整。这些数据表明，在青春期之前，适用于PFP可能会有助于PFP，而与PFP相关的异常膝关系在户籍中的年轻女运动员中的成熟过程中持续。

著录项

  • 来源
    《American Journal of Sports Medicine》 |2018年第11期|共11页
  • 作者

    Ryan T. Galloway; Yingying Xu; Timothy E. Hewett; Kim Barber Foss; Adam W. Kiefer; Christopher A. DiCesare; Robert A. Magnussen; Jane Khoury; Kevin R. Ford; Jed A. Diekfuss; Dustin Grooms; Gregory D. Myer; Alicia M. Montalvo;

  • 作者单位

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

    Investigation performed at Cincinnati Children’s Hospital Medical Center Cincinnati Ohio USA;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 运动医学;
  • 关键词

    patellofemoral pain syndrome; anterior knee pain; biomechanics; neuromuscular control; knee valgus; puberty;

    机译：Patellofemoral疼痛综合征;前膝部疼痛;生物力学;神经肌肉控制;膝盖旋流;青春期;

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