預防前十字韌帶受傷的運動訓練模式

Training Program for Prevention of Anterior Cruciate Ligament Injury

10.6162/SRR.2014.131.07

唐誌陽(Chih-Yang Taun)

膝關節 ； 非接觸 ； 介入 ； knee joint ； non-contact ； intervention

大專體育

131期（2014 / 12 / 31）

42 - 51

繁體中文

膝關節是人類身體內最大的關節，支撐著人體的重量、膝蓋的屈曲和伸直。前十字韌帶(Anterior Cruciate Ligament, ACL)損傷約有7成發生於運動中（跳躍、急停、變換方向等各種動作），其中有7成是屬於非接觸型損傷。運動員一旦ACL受到損傷後要再回到競技場上，都需要6個月以上的治療與復健。現在，世界各國將焦點集中於如何能有效的預防與降低ACL損傷。不管預防ACL損傷運動模式介入訓練的長或短，都能達到一定的預防效果；然而，介入期間過長會影響到正規訓練，選手也會感到乏味，短時間有效率的方案，較為大多數運動團隊接受與實施。未來研究方向，可以將預防ACL損傷運動模式推廣至國高中、大學代表隊或社會隊，探討是否能有效降低ACL的損傷。

The knee joint is the largest joint in the human body, sustaining the body weight and allowing legs to bend and straighten. An estimation of 70% Anterior Cruciate Ligament (ACL) injuries occurred during jumping, stopping suddenly, and changing directions and 70% of those injuries were through the non-contact mechanism. Athletes with ACL injuries usually need more than 6 months of treatment and rehabilitation before returning to the sport. Nowadays, countries all over the world strive to prevent and reduce ACL injuries. The prevention program for ACL injuries may reach the effects to some extents regardless the length of intervention. However, if the intervention program takes far too long, athletes may feel bored. A short and efficient program is often preferred and executed by most sport teams. Future research directions could promote the effective prevention program among high schools, universities, or club teams and investigate the efficiency in reducing ACL injuries.

1. Women's Japan Basketball League. (2007). WJBL 外傷予防プログラム【DVD】。東京：作者。
2. Arendt, E.,Dick, R.(1995).Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature.The American Journal of Sports Medicine,23(6),694-701.
3. Boden, B. P.,Dean, G. S.,Feagin, J. A., Jr.,Garrett, W. E., Jr.(2000).Mechanisms of anterior cruciate ligament injury.Orthopedics,23(6),573-578.
4. Caraffa, A.,Cerulli, G.,Projetti, M.,Aisa, G.,Rizzo, A.(1996).Prevention of anterior cruciate ligament injuries in soccer. A prospective controlled study of proprioceptive training.Knee Surgery, Sports Traumatology, Arthroscopy,4(1),19-21.
5. Daniel, D. M.,Stone, M. L.,Sachs, R.,Malcom, L.(1985).Instrumented measurement of anterior knee laxity in patients with acute anterior cruciate ligament disruption.The American Journal of Sports Medicine,13(6),401-407.
6. Devita, P.,Skelly, W. A.(1992).Effect of landing stiffness on joint kinetics and energetic in the lower extremity.Medicine and Science in Sports and Exercise,24(1),108-115.
7. Dunn, W. R.,Lyman, S.,Lincoln, A. E.,Amoroso, P. J.,Wickiewicz, T.,Marx, R. G.(2004).The effect of anterior cruciate ligament reconstruction on the risk of knee reinjury.The American Journal of Sports Medicine,32(8),1906-1914.
8. Flynn, R. K.,Pedersen, C. L.,Birmingham, T. B.,Kirkley, A.,Jackowski, D.,Fowler, P. J.(2005).The familial predisposition toward tearing the anterior cruciate ligament: A case control study.The American Journal of Sports Medicine,33(1),23-28.
9. Gottlob, C. A.,Baker, C. L., Jr.,Pellisser, J. M.,Colvin, L.(1999).Cost effectiveness of anterior cruciate ligament reconstruction in young adults.Clinical Orthopaedics and Related Research,367,272-282.
10. Gwinn, D. E.,Wilckens, J. H.,McDevitt, E. R.,Ross, G.,Kao, T. C.(2000).The relative incidence of anterior cruciate ligament injury in men and women at the United States Naval Academy.The American Journal of Sports Medicine,28(1),98-102.
11. Hewett, T. E.,Myer, G. D.,Ford, K. R.,Heidt, R. S., Jr.,Colosimo, A. J.,McLean, S. G.(2005).Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: A prospective study.The American Journal of Sports Medicine,33(4),492-501.
12. LaPrade, R. F.,Burnett, Q. M., II(1994).Femoral intercondylar notch stenosis and correlation to anterior cruciate ligament injuries. A prospective study.The American Journal of Sports Medicine,22(2),198-202.
13. Louw, Q. A.,Manilall, J.,Grimmer, K. A.(2008).Epidemiology of knee injuries among adolescents: A systematic review.British Association of Sport and Medicine,42(1),2-10.
14. Malinzak, R. A.,Colby, S. M.,Kirkendall, D. T.,Yu, B.,Garrett, W. E.(2001).A comparison of knee joint motion patterns between men and women in selected athletic tasks.Clinical Biomechanics,16(5),438-445.
15. Mandelbaum, B. R.,Silvers, H. J.,Watanabe, D. S.,Knarr, J. F.,Thomas, S. D.,Griffin, L. Y.(2005).Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up.The American Journal of Sports Medicine,33(7),1003-1010.
16. McCauley, T. R.,Moses, M.,Kier, R.,Lynch, J. K.,Baeton, J. W.,Jokl, P.(1994).MR diagnosis of tears of anterior cruciate ligament of the knee: Importance of ancillary findings.American Journal of Roentgenology,162(1),115-119.
17. McLean, S. G.,Lipfert, S. W.,van den Bogert, A. J.(2004).Effect of gender and defensive opponent on the biomechanics of sidestep cutting.Medicine and Science in Sports and Exercise,36(6),1008-1016.
18. Micheli, L. J.,Metzl, J. D.,Di Canzio, J.,Zurakowski, D.(1999).Anterior cruciate ligament reconstructive surgery in adolescent soccer and basketball players.Clinical Journal of Sport Medicine,9(3),138-141.
19. Paterno, M. V.,Myer, G. D.,Ford, K. R.,Hewett, T. E.(2004).Neuromuscular training improves single-limb stability in young female athletes.The Journal of Orthopaedic and Sports Physical Therapy,34(6),305-316.
20. Rose, N. E.,Gold, S. M.(1996).A comparison of accuracy between clinical examination and magnetic resonance imaging in the diagnosis of meniscal and anterior cruciate ligament tears.Arthroscopy,12(4),398-405.
21. Uhorchak, J. M.,Scoville, C. R.,Williams, G. N.,Arciero, R. A.,St. Pierre, P.,Taylor, D. C.(2003).Risk factors associated with noncontact injury of the anterior cruciate ligament: A prospective four-year evaluation of 859 West Point cadets.The American Journal of Sports Medicine,31(6),831-842.
22. Yu, B.,Lin, C. F.,Garrett, W. E.(2006).Lower extremity biomechanics during the landing of a stop-jump task.Clinical Biomechanics,21(3),297-305.
23. 三木英之、清水結(2012)。前十字靭帯損傷予防の効果と展望—バスケットボールにおける取り組み。日本臨床スポーツ医学会誌，29(11)，1147-1154。
24. 佐々木理恵子、浦辺幸夫、山中悠紀、平田和彥、木村浩彰、越智光夫(2010)。膝前十字靱帯損傷予防プログラムにおける全身反応時間の変化。日本臨床スポーツ医学会誌，18(1)，100-107。
25. 浦辺幸夫、宮下浩二、田中浩介、越田専太郎、佐々木理恵子、石井良昌(2007)。膝前十字靱帯損傷予防プログラムの実施効果。日本臨床スポーツ医学会誌，15(2)，270-277。
26. 鈴川仁人、永野康冶、玉置龍也、中村絵美、清水結、赤池敦(2011)。中学生バスケットボール選手の着地動作における性差と下肢外傷予防プログラムの効果。リハビリテーションひろば，49，49-56。
27. 黒澤尚編、星川吉光編、高尾良英編、坂西英夫編、川野哲英編(2001)。スポーツ外傷学Ⅳ下肢。東京:???。

1. 丁毅銘(2017)。預防及減少前十字韌帶損傷之運動訓練探討。嘉大體育健康休閒期刊，16(3)，105-118。