大學生功能性動作檢測與Y字平衡測試對受傷之預測

Functional Movement Screen and Y-Balance Test as Injury Predictors in College Students

鄧捷(Chieh Teng) ； 阮彥鈞(Yen-Chun Luan) ； 楊珈閣(Chia-Co Yang) ； 蔡詠竹(Yong-Chu Tsai) ； 龍柏蔓(Bo-Man Lung) ； 吳福連(Fu-Lien Wu) ； 王子娟(Wendy Tzyy-Jiuan Wang)

《大專體育學刊》 20卷2期 (2018/06) Pp. 178-190

https://doi.org/10.5297/ser.201806_20(2).0007

摘要

研究已證明功能性動作檢測或Y字平衡測試分別與傷害之間的相關，但同時以兩組測試的分數來預測傷害的研究並不常見；因此，本研究目的為藉由使用此兩組測試，探討體能活躍之大學生賽季前的測試分數對於6個月後傷害發生的預測能力。共有40位體能活躍大學生參與本研究，接受功能性動作檢測之七項測試，並接受Y字平衡測試。所有受試者持續追蹤6個月，記錄其受傷狀況。於追蹤期結束後，分析受傷組與未受傷組之差異，再以多元逐步邏輯斯迴歸分析找出傷害預測因子。研究結果顯示體能活躍之大學生賽季前的測試分數對於6個月後傷害發生的顯著預測因子包括直線前蹲（慣用腳）、肩膀活動度（非慣用手）與Y字平衡測試兩腳前向延伸不對稱性(%)。此迴歸模型之決定係數(Nagelkerke R square)為.711。本研究結論：功能性動作檢測或Y字平衡測試的部分項目有受傷預測力。下肢傷害之預測以功能性動作檢測之「直線前蹲」測試與Y字平衡測試的「兩腳前向延伸不對稱性」為佳，而上肢傷害之預測則以功能性動作檢測之「肩膀活動度」測試較佳。本研究可提供運動訓練人員在賽季前使用功能性動作檢測以及Y字平衡測試，辨識傷害發生危險因子，以找出受傷風險較高的體能活躍之大學生，給予適當訓練，減少傷害之發生。

關鍵字

體能活躍 ； 直線前蹲 ； 肩膀活動度 ； 風險

並列摘要

Although Functional Movement Screen (FMS) and Y Balance Test (YBT) have been demonstrated to associate with injuries, only a few studies have combined these two screening tools to predict the occurrence of future injuries. Thus, in this study, we combined FMS and YBT scores to predict the injury occurrence during a 6-month period in a physically active collegiate population. Forty physically active college students participated in this study, and were tested by the FMS including seven tests and the YBT. After being tested, participants were tracked for six months to identify the occurrence of injuries. Data of the injured and non-injured groups were later analyzed to determine the between-group differences. Significant injury predictors were identified with a regression analysis. Results showed that inline lunge (dominant side) test and shoulder mobility (non-dominant side) test were the significant injury predictors from the FMS, while anterior reach asymmetry was the predictor from the YBT. The Nagelkerke R square from the regression model was .711. This study concluded that combination of some test items from FMS and YBT could predict the injury occurrence. ＂Inline lunge＂ test and ＂anterior reach asymmetry＂ were the better predictors for lower extremity injury risk, while ＂shoulder mobility＂ test was a better predictor for upper extremity injury occurrence. This study suggests that preseason FMS and YBT can be used to identify the risk factors, and assist trainers to find physically active individuals with greater risk of injury. Thus, proper training with the aim of reducing injury occurrence may be implemented before the sports season.

並列關鍵字

physically active ； inline lunge ； shoulder mobility ； risk

參考文獻

教育部體育署（2015）。中華民國104 年運動統計。臺北市：作者。[Sports Administration, Ministry of Education. (2015). Sports statistics of the year 2015. Taipei, Taiwan: Author.]

Azzam, M. G.,Throckmorton, T. W.,Smith, R. A.,Graham, D.,Scholler, J.,Azar, F. M.(2015).The Functional Movement Screen as a predictor of injury in professional basketball players.Current Orthopaedic Practice.26(6),619-623.

Burkhart, S. S.,Morgan, C. D.,Kibler, W. B.(2003).The disabled throwing shoulder: Spectrum of pathology part I: Pathoanatomy and biomechanics.The Journal of Arthroscopic and Related Surgery.19(4),404-420.

Cook, G.,Burton, L.,Hoogenboom, B.(2006).Preparticipation screening: The use of fundamental movements as an assessment of function-Part 1.North American Journal of Sports Physical Therapy.1(2),62-72.

Cook, G.,Burton, L.,Hoogenboom, B.(2006).Preparticipation screening: The use of fundamental movements as an assessment of function-Part 2.North American Journal of Sports Physical Therapy.1(3),132-139.