Are Hip Physical Examination Findings Predictive of Future Lower-Body Injury Rates in Elite Adolescent Female Soccer Athletes at Minimum 5-Year Follow-Up?
| Autor: | John A Merlo, Abby L Cheng, Heidi Prather, Robert H. Brophy, Devyani Hunt, Ted Yemm |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Gerontology
medicine.medical_specialty Adolescent Rotation Cumulative Trauma Disorders Movement Population Biophysics MEDLINE Physical Therapy Sports Therapy and Rehabilitation Physical examination Context (language use) 03 medical and health sciences 0302 clinical medicine Risk Factors Soccer Epidemiology medicine Humans Orthopedics and Sports Medicine Prospective Studies Child education Physical Examination 030222 orthopedics education.field_of_study Hip medicine.diagnostic_test biology Multiple Trauma business.industry Athletes Rehabilitation Lumbosacral Region 030229 sport sciences biology.organism_classification Lower Extremity Elite Female business Follow-Up Studies Cohort study |
| Zdroj: | Journal of Sport Rehabilitation. 29:476-482 |
| ISSN: | 1543-3072 1056-6716 |
| Popis: | Context: Although elite adolescent female soccer athletes have unique injury risk factors and management challenges, limited epidemiological data exist for this population. Objective: To describe lower-body injury patterns and to determine whether a screening hip physical examination is predictive of future injuries in elite adolescent female soccer athletes. Design: Prospective cohort study. Setting: One US premier soccer club. Participants: One hundred seventy-seven female soccer athletes aged 10–18 years (mean [SD] 14.6 [1.8] y) completed a demographic questionnaire and screening hip physical examination that included range of motion and provocative tests. Interventions: At least 5 years after baseline screening, athletes completed an electronic follow-up injury survey. Injury was defined as pain that interfered with sporting activity. Main Outcome Measures: In addition to descriptive analyses of athletes’ injury profiles, associations between players’ baseline demographics and subsequent injury profiles were evaluated using chi-square tests, and potential predictors of injury based on players’ baseline hip examinations were evaluated using multivariable logistic regression. Results: Ninety-four of 177 athletes (53%) were contacted for follow-up, and 88/94 (93.6%) completed the survey. With mean follow-up of 91.9 (9.3) months (range 66–108 mo), 42/88 (47.7%) reported sustaining a new lower-body injury. The low back was the most common injury region (16/42, 38.1%). Almost half of all injured athletes (20/42, 47.6%) sustained overuse injuries, and 16/42 (38.1%) had an incomplete recovery. Higher body mass index and reaching menarche were associated with sustaining an injury (P = .03 and .04, respectively). Athletes’ baseline hip examinations were not predictive of their subsequent rate of lower-body, lumbopelvic, overuse, or incomplete recovery injury (all P > .05). Conclusions: Lower-body injuries were common in elite adolescent female soccer athletes, with over one third of injured athletes reporting permanent negative impact of the injury on their playing ability. Baseline hip physical examinations were not associated with future injury rate. |
| Databáze: | OpenAIRE |
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