高中运动员前交叉韧带损伤预防方案实施率极低且面临可克服的障碍
简介
一项针对22所高中522支运动队的调查显示，仅3.5%的队伍使用了ACL损伤预防项目（AIPP），尽管87.1%的教练及训练人员知晓其存在。最常见的实施障碍是缺乏受过培训的人员（43.6%）和训练时间限制（33.0%）。该结果提示，推广AIPP的关键在于解决人员培训与时间分配问题，以降低青少年运动员的ACL损伤发生率。
英文摘要
PURPOSE: To assess the rates of usage of anterior cruciate ligament injury prevention programs (AIPPs) among high school athletes and identify barriers to implementation. METHODS: After Institutional Review Board exemption, high school sports teams covered by a regional multispecialty orthopaedic practice were identified. Athletic directors, trainers, and coaches for each school were contacted for completion of a survey on (1) sex, level, size, and coaching/training staff of each team; (2) incidence of anterior cruciate ligament injuries among players over the past 5 years; (3) team's use of AIPPs; and (4) interest and perceived barriers related to AIPP use. RESULTS: Thirty-eight representatives from 522 teams (54.0% boys' teams, 46.0% girls' teams) across 22 high schools responded to the survey. Eighteen teams (3.5%) were found to use AIPPs. The 27 (87.1%) of the 31 representatives from the remaining 504 teams reported being aware of the existence of AIPPs. The most common barrier reported against implementing AIPPs was a lack of trained staff (43.6%), followed by time constraints (33.0%). CONCLUSIONS: Despite widespread knowledge of AIPPs across high school athletic team coaching and training staff, only 3.5% of teams currently utilize these programs. Most common barriers to implementing these programs include a lack of trained staff and time restraints during training. CLINICAL RELEVANCE: Numerous AIPPs show promising results, but their adoption remains inconsistent. It is important to evaluate the awareness and implementation of AIPPs among coaches and trainers and investigate barriers to their adoption. Information from this study may help increase the use of AIPPs and thereby reduce the incidence of anterior cruciate ligament injuries in young athletes.