運動員核心能力與膝關節傷害之關係

The Relationship Between Core Muscles Capability and Knee Injuries

10.6194/SCS.202103_(61).0001

黃子涵(Tzu-Han Huang)；宮若語(Ruo-Yu Kung)；張耘齊(Yun-Chi Chang)；林昀徵(Yun-Cheng Lin)；張曉昀(Hsiao-Yun Chang)

核心穩定度 ； 本體感覺 ； 運動傷害 ； core stability ； proprioception ； sports injury

運動教練科學

61期（2021 / 03 / 01）

1 - 9

繁體中文

目的：本研究旨在探討核心肌群控制能力及核心本體感覺表現與膝關節傷害之關聯性。方法：招募健康運動員11位及下背痛運動員11位，使用國際膝部文件委員會主觀膝部評估表（International Knee Documentation Committee Subjective Knee Form, IKDC SKF）進行檢測，將各項會誘發膝關節疼痛之活動的主觀感覺進行量化，並以壓力回饋儀評估核心穩定度及核心本體感覺。結果：研究結果顯示下背痛組在核心穩定壓力值較健康組差，而核心本體感覺壓力在下背痛組的誤差值較健康組大且兩組間達顯著差異。膝關節評估表分數與核心肌群控制能力和核心本體感覺之間僅有中低度的相關。結論：本研究的結果發現核心表現與膝關節疼痛狀況之間的關聯性不顯著，因此難以證實兩者間的關係，但可得知下背痛組的核心表現較健康組為差，若加以發展可以作為偵測下背痛發生風險的一個有效工具。

Purpose: This study aimed to explore the relationship between core muscle control ability and knee injury. Methods: A total of 11 healthy athletes and 11 other athletes with low-back pain were recruited in this study. Using the International Knee Documentation Committee Subjective Knee Form (IKDC SKF) to quantify the subjective painful feel when they engaged in various physical activity and evaluate the core stability and core proprioception with the pressure biofeedback device. Results: The results of this study showed that there is a significant difference between these two teams. The core stability of the low-back pain athletes is significantly less than the healthy group, and the core proprioception of those low-back pain athletes has more significant deviation than the healthy group. There were some minor relationships between the score of IKDC SKF with core stability and core proprioception. Conclusion: This research found no significant relationship between core muscle control ability and knee injury, therefore, it is hard to confirm their relevance. However, low-back pain athletes have worse core stability than the healthy group, with further development of the assessment will be an effective tool to detect the risk factor of low-back pain.

1. 張曉昀,薛雅馨,黃子涵(2019)。輕度下背痛運動員執行核心運動之身體晃動及核心肌群肌電活化。運動教練科學，53，25-41。
   連結：
2. 郭文杰,陳佑,林惠婷,張家豪(2014)。核心肌群對於跳躍表現與落地之探討。運動表現期刊，1(2)，46-51。
   連結：
3. 劉子豪,林惠美,蘇裕欽,黃耀斌,蔡鏞申(2019)。不同年齡層游泳選手與一般生軀體肌力與動作控制能力的比較。華人運動生物力學期刊，16(1)，37-43。
   連結：
4. Abt, J. P.,Smoliga, J. M.,Brick, M. J.,Jolly, J. T.,Lephart, S. M.,Fu, F. H.(2007).Relationship between cycling mechanics and core stability.Journal of Strength and Conditioning Research,21(4),1300-1304.
5. Atkins, S. J.,Bentley, I.,Brooks, D.,Burrows, M. P.,Hurst, H. T.,Sinclair, J. K.(2015).Electromyographic response of global abdominal stabilizers in response to stable-and unstable-base isometric exercise.Journal of Strength and Conditioning Research,29(6),1609-1615.
6. Barbado, D.,Barbado, L. C.,Elvira, J. L. L.,van Dieën, J. H.,Vera-Garcia, F. J.(2016).Sports-related testing protocols are required to reveal trunk stability adaptations in high-level athletes.Gait & Posture,49,90-96.
7. Chaudhari, A. M. W.,Van Horn, M. R.,Monfort, S. M.,Pan, X.,Oñate, J. A.,Best, T. M.(2019).Reducing core stability influences lower extremity biomechanics in novice runners.Medicine and Science in Sports and Exercise,52(6),1347-1353.
8. Cinar-Medeni, O.,Baltaci, G.,Bayramlar, K.,Yanmis, I.(2015).Core stability, knee muscle strength, and anterior translation are correlated with postural stability in anterior cruciate ligament-reconstructed patients.American Journal of Physical Medicine and Rehabilita-tion,94(4),280-287.
9. De Blaiser, C.,De Ridder, R.,Willems, T.,Vanden Bossche, L.,Danneels, L.,Roosen, P.(2019).Impaired core stability as a risk factor for the development of lower extremity overuse injuries: A prospective cohort study.The Ameri-can Journal of Sports Medicine,47(7),1713-1721.
10. De Blaiser, C.,Roosen, P.,Willems, T.,Danneels, L.,Bossche, L. V.,De Ridder, R.(2018).Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review.Physical Therapy in Sport,30,48-56.
11. Durlak, J. A.(2009).How to select, calculate, and interpret effect sizes.Journal of Pediatric Psy-chology,34(9),917-928.
12. Glofcheskie, G. O.,Brown, S. H. M.(2017).Athletic background is related to superior trunk proprioceptive ability, postural control, and neuromuscular responses to sudden perturbations.Human Movement Science,52,74-83.
13. Grooms, D. R.,Grindstaff, T. L.,Croy, T.,Hart, J. M.,Saliba, S. A.(2013).Clinimetric analysis of pressure biofeedback and transversus abdominis function in individuals with stabilization classification low back pain.Journal of Orthopaedic and Sports Physical Therapy,43(3),184-193.
14. Haddas, R.,James, C. R.,Hooper, T. L.(2015).Lower extremity fatigue, sex, and landing performance in a population with recurrent low back pain.Journal of Athletic Training,50(4),378-384.
15. Irrgang, J. J.,Anderson, A. F.,Boland, A. L.,Harner, C. D.,Kurosaka, M.,Neyret, P.(2001).Development and validation of the international knee documentation committee subjective knee form.The American Journal of Sports Medicine,29(5),600-613.
16. Leetun, D. T.,Ireland, M. L.,Willson, J. D.,Ballantyne, B. T.,Davis, I. M.(2004).Core stability measures as risk factors for lower extremity injury in athletes.Medicine and Sci-ence in Sports and Exercise,36(6),926-934.
17. MacKenzie, J. F.,Grimshaw, P. N.,Jones, C. D. S.,Thoirs, K.,Petkov, J.(2014).Muscle activity during lifting: Examining the effect of core conditioning of multifidus and transversus abdominis.Work,47(4),453-462.
18. Moreno Catalá, M.,Schroll, A.,Laube, G.,Arampatzis, A.(2018).Muscle strength and neuromuscular control in low-back pain: Elite athletes versus general population.Frontiers in Neuroscience,12,436.
19. Riva, D.,Bianchi, R.,Rocca, F.,Mamo, C.(2016).Proprioceptive training and injury prevention in a professional men’s basketball team: A six-year prospective study.The Journal of Strength and Conditioning Research,30(2),461-475.
20. Silfies, S. P.,Cholewicki, J.,Reeves, N. P.,Greene, H. S.(2007).Lumbar position sense and the risk of low back injuries in college athletes: A prospective cohort study.BMC Musculo-skeletal Disorder,8,129.
21. Tong, M. H.,Mousavi, S. J.,Kiers, H.,Ferreira, P.,Refshauge, K.,van Dieën, J.(2017).Is there a relationship between lumbar proprioception and low back pain? A systematic review with meta-analysis.Archives of Physical Medicine and Rehabilitation,98(1),120-136.
22. Wilkerson, G. B.,Giles, J. L.,Seibel, D. K.(2012).Prediction of core and lower extremity strains and sprains in collegiate football players: A preliminary study.Journal of Athle-tic Training,47(3),264-272.
23. Willson, J. D.,Dougherty, C. P.,Ireland, M. L.,Davis, I. M.(2005).Core stability and its relationship to lower extremity function and injury.Journal of the American Academy Or-thopaedic Surgeons,13(5),316-325.
24. Zazulak, B. T.,Hewett, T. E.,Reeves, N. P.,Goldberg, B.,Cholewicki, J.(2007).The effects of core proprioception on knee injury: A prospective biomechanical-epidemiological study.The American Journal of Sports Medi-cine,35(3),368-373.
25. 吳俊賢,鄭夏英,吳坤烈,許碧峰(2016)。建立非侵入式關節軟骨健康評估方法：以足球運動員為例。屏東大學體育，2，78-88。
26. 李連輝,呂怡靜,嚴明芳,陳秀熙,謝麗貞(2006)。中文版下背痛標準結果測量之一致性及先期隨機臨床試驗。物理治療，31(4)，237-245。
27. 張曉昀,何賢貞,林志峰,林政毅(2011)。六週懸吊系統運動訓練對慢性下背痛患者之療效。中山醫學雜誌，22(1)，43-51。