Flexibility, Stretching Injury：灵活性，拉伸损伤.pdf

Flexibility, Stretching Injury Is “flexibility” associated with injury? Does “stretching” increase, decrease or have no effect on “injury”? Flexibility Injury Risk  Clinical premise -“hypermobility”, assessed by multi-joint “laxity”, predisposes to injury Beighton Score Joint Action ROM Score Elbow extension 10° 1 1 Knee extension 10° 1 1 Thumb apposition to ant forearm 1 1 5th finger ext 90° 1 1 Forward flexion Palms flat on floor 1 / knees straight Total maximum possible score 9 Flexibility Injury Risk Hypermobility and sports injuries in junior netball players Smith et al. British Journal of Sports Medicine 2005 Flexibility Injury Risk Clinical premise -“u-shaped” association between flexibility and musculoskeletal injury k Hypoflexible Hyperflexible s i R y r u j n I Flexibility Flexibility Injury Risk Score for sit and reach with associated incidence and relative risk (RR) of lower extremity injuries during training (95% confidence intervals) sit-reach min-max N injury incidence RR (95%CI) Q1 Low -23 to -4 61 49.2% 2.5 (1.5, 4.2) Q2 -4 to 1 60 38.3% 1.9 (1.1, 3.4) Q3 1 to 7 60 20.0% 1.0 Q4 7 to 13 60 33.3% 1.7 (0.9, 3.1) Q5 High 13 to 24 62 43.6% 2.2 (1.3, 3.8) Jones et al. (1993) Med Sci Sport Exerc Stretching Reduces Injury  Hartig Henderson (1999