超越重返运动：从青少年到成年精英现役女足运动员前交叉韧带损伤史分布图谱
简介
本研究纳入1026名活跃的丹麦女性足球运动员（青年与成年联赛，回复率73%），通过在线问卷调查：（1）ACL损伤史；（2）运动时膝痛情况。结果显示，青年组ACL损伤史患病率为5.0%，成年组为14.8%（精英组近1/6）。运动相关膝痛患病率在青年（24.6%）与成年组（26.0%）间无显著差异，且精英与非精英水平间也无差异。ACL损伤史与运动相关膝痛强相关（…
英文摘要
PURPOSE: This study determines the prevalence of ACL injury history among currently active female football players across age groups and playing levels and examines the association between ACL injury history and activity-related knee pain. METHODS: A total of 1026 active Danish female youth- and senior-league football players were invited to an online questionnaire (response rate: 751 [73%]) on (1) ACL injury history and (2) present knee pain during physical activity. Prevalence was calculated separately according to age (youth vs senior) and playing level (non-elite vs elite). Logistic regression analyses investigated factors associated with the prevalence of ACL injury history and activity-related knee pain, respectively. RESULTS: The prevalence of ACL injury history was 5.0% (95% confidence interval [CI] 3.3%-7.4%) in youth football and 14.8% (95% CI 10.6%-19.8%) in senior football. The prevalence of activity-related knee pain was comparable between youth (24.6%, 95% CI 20.8%-28.7%) and senior football players (26.0%, 95% CI 20.7%-31.9%). Comparable prevalence of ACL injury history and knee pain was reported at elite and non-elite level. ACL injury history was strongly associated with activity-related knee pain (OR = 5.4-8.7, p < 0.0001). CONCLUSION: Playing with a previous ACL injury is common in active female football players, particularly at senior levels (nearly 1 in 6 elite players). The strong association between ACL injury history and activity-related knee pain underscores the long-term negative consequences. This study highlights the need for secondary and tertiary prevention strategies in female football.