מתוך medicontext.co.il
By Peggy Peck
DALLAS (Reuters Health) – Girls and women who play soccer, basketball, or volleyball are two to eight times more likely to injure the anterior cruciate ligament (ACL) than boys and men playing the same sports in the same positions. Research presented here at the 69th annual meeting of the American Academy of Orthopedic Surgeons indicates that the risk of ACL injuries in women can be cut by 88% with a specialized neuromuscular proprioceptive training program.
Dr. Bert R. Mandelbaum, of the Santa Monica Orthopedic and Sports Medicine Research Foundation in Santa Monica, California, and colleagues compared the rate of knee injuries in 1041 female soccer players between the ages of 14 and 18 from 52 teams in the Coast Soccer League of Southern California. The injury rate of these subjects, who were enrolled in the Prevent injury and Enhance Performance (PEP) program during the 2000 soccer season, was compared with that of 1902 aged-matched players from 95 teams in the same league who did not enroll in the PEP course.
At the end of the season, the PEP-trained group had only two ACL tears compared with 32 ACL tears in the control group, Dr. Mandelbaum reported.
Co-author Dr. Letha Griffin, of the University of Georgia in Atlanta, told Reuters Health that the program teaches girls to "run, jump, and pivot like boys." She said that even the casual observer watching boys and girls play soccer can spot differences. "Girls run and pivot in a stiff-legged upright posture. Boys, on the other hand, have knees bent and play low to the ground."
Dr. Griffin said that many orthopedic surgeons have offered different theories to explain the gender differences in ACL injuries. "Anatomy, of course, is a popular explanation," she said. "Others have theorized that hormones may play a role, but anatomy cannot be changed, and hormones should not be manipulated," she said. But biomechanics "can and should be manipulated," to prevent injury, she said.
The PEP program is a comprehensive training system that consists of a special 20-minute warm-up that includes special avoidance techniques, stretching, strengthening, plyometric activities, and sports-specific agilities. The program concentrates on "running, jumping, and pivoting with knees bent," said Dr. Griffin, who is head physician for all sports teams at the University of Georgia
e-Med Tools
קצר קולע וממוקד
e-Med סמינרים
אי-מד תחקירים
Medscape Tools
Journal Club
מרכזי מידע ושירות
Facebook
מידע למפרסם
מאגר תרופות
מאגר אנשי המקצוע
אינדקס שימושי
חדשות משה"ב
eMed HealthClub
מחקרים קליניים
השאירו תגובה
רוצה להצטרף לדיון?תרגישו חופשי לתרום!