首页|基于功能性动作筛查纠正训练的训前热身模式在预防训练伤中的研究

基于功能性动作筛查纠正训练的训前热身模式在预防训练伤中的研究

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目的 旨在将基于功能性动作筛查(FMS)的纠正训练融入热身环节,探究基于FMS的纠正训练的训前热身模式在训练伤中的预防作用.方法 前瞻性选取2021年12月-2022年5月陆军军医大学同一年级52名学员为研究对象,随机分为试验组和对照组,各26名,两组均为男性,年龄21~24岁,平均22.4岁.两组人员在开始时均进行FMS测试,对照组采取慢跑、高抬腿、肌肉拉伸等传统热身方式进行,试验组根据FMS测试结果设计个性化纠正性动作,并根据动作特点将其融入动态拉伸、核心激活和专项热身三个环节.训练强度为每周3次,持续6个月.研究结束时再次进行FMS测试和体能测试,并随访1年内训练伤发生情况.结果 6个月后试验组动作不对称率从52人次下降到36人次(40.0%vs.27.7%,x2=4.397,P=0.036,95%CI:1.035~2.929);试验组FMS总分、跨栏步得分、直线弓步得分、肩关节活动度得分、FMS 得分≥14 分人数比例均高于对照组[(15.26±1.78)分vs.(13.31±2.11)分、(2.26±0.58)分 vs.(1.88±0.68)分、(2.41±0.56)分 vs.(2.04±0.52)分、(2.59±0.49)分vs.(2.12±0.75)分、80.8%vs.53.9%,P<0.05],且试验组跨栏上步动作得分和肩部灵活性得分较前明显提高[(2.26±0.58)分vs.(1.81±0.47)分、(2.59±0.49)分vs.(2.19±0.69)分,P<0.05].随访1年内训练伤情况并与同期比较,试验组训练伤发生率降低(x2=4.591,P=0.032),其中肩部和踝部的训练伤降低最显著.热身新模式总体满意度为88.46%.纠正训练后试验组100米复合短跑成绩显著提高(P=0.002).结论 基于FMS纠正训练的训前热身模式能改善机体灵活性和稳定性,提升运动控制能力,减少训练伤发生.
A warm-up mode based on functional movement screen(FMS)corrective exercises in the prevention of training-related injuries
Objective To integrate the corrective exercises based on functional movement screen(FMS)into the warm-up session and to explore the preventive effect on training-related injuries.Methods A total of 52 students of the same grade in the Army Medical University were prospectively selected for training from Dec.2021 to May 2022.They were randomly divided into observation group and control group,with 26 subjects in each group.All of them were males aged 21-24 years,mean 22.4 years.Both groups underwent FMS tests at the beginning.Subjects in the control group took traditional warm-up modes of jogging,high knees,muscle stretching,and others;while those in the observation group took personalized corrective exercises designed based on the FMS test results,and the actions were integrated into dynamic stretching,core activation and special warm-up mode.The training in-tensity was three times a week for six months.FMS tests and physical fitness tests were re-performed at the end of 6-month training,and the incidence of training-related injuries was followed up until 1 year.Results At 6 months of training,the asymmetry rate of training actions was significantly reduced from 52 to 36 person-time in the observation group(40.0%vs.27.7%,x2=4.397,P=0.036,95%CI:1.035-2.929),but the asymmetry rate in the control group revealed no significant difference.Moreover,compared with the control group,the observation group at 6 months showed much higher total FMS scores(15.26±1.78 vs.13.31±2.11)and scores for the actions of hurdle(2.26±0.58 vs.1.88±0.68),straight lunge(2.41±0.56 vs.2.04±0.52),shoulder motion(2.59±0.49 vs.2.12±0.75),and the percent of subjects with a FMS score ≥ 14(80.8%vs.53.9%,all P<0.05).The scores for hurdle and shoulder motion in the observation group were significantly improved than those before training(2.26±0.58 vs.1.81±0.47;2.59±0.49 vs.2.19±0.69,both P<0.05).During the 1 year follow-up,the incidence of training-related injuries was decreased in the observation group(x2=4.591,P=0.032),especially for the shoulder and ankle regions.The overall satisfaction rate of the new warm-up mode was 88.46%.After the corrective train-ing,the 100 m compound sprint performance of the observation group was significantly improved(P=0.002).Conclusion The integrated warm-up mode based on FMS corrective exercises can improve the flexibility and stability of the body,enhance the ability of motor control,and reduce the occurrence of training-related injuries.

Training-related injuriesFunctional movement screenCorrective exercisesWarm-up

曾小燕、陈振、张利祥、王泽文、王晓霞、李春宝、任谦、徐源

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陆军军医大学第二附属医院普外科,重庆 400037

陆军卫勤训练基地军事共同与部队管理教研室,重庆 400038

陆军军医大学第二附属医院骨科,重庆 400037

陆军军医大学医学心理学院,重庆 400038

解放军总医院第四医学中心骨科医学部,北京 100039

陆军军医大学大坪医院,重庆 400042

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训练伤 功能运动评估 纠正性动作 热身

军委后勤保障部卫生局军事训练伤防治专项课题陆军军医大学科技创新能力提升专项军事医学预研项目陆军军医大学科技创新能力提升专项军事医学预研项目

21XLS052019XYY152019XYY19

2024

创伤外科杂志
第三军医大学,大坪医院,野战外科研究所

创伤外科杂志

CSTPCD
影响因子:1.017
ISSN:1009-4237
年,卷(期):2024.26(10)