讲点武德

005 什么？运动损伤竟然也男女有别？

30 Apr 2024

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*本期内容涉及到很多医学术语，我们尽量用通俗的语言进行表达，并在shownotes里配图来方便大家理解2021年发表在Sports Medicine的荟萃分析显示，样本量35689人，40.8%的女性，运动水平覆盖业余到职业运动员，男女跑者在运动损伤发生率方面不存在显著的性别差异，女性为20.8/100人，男行为20.4/100人。损伤类型来说，女性更高概率发生骨应力性损伤Bone stress injuries，而男性更容易发生跟腱的损伤。短距离，小于10km的比赛可能是女性跑者运动损伤的一个危险因素。需要注意的是，在这项研究中，运动损伤的定义是至少导致停训一天的损伤。而一旦加入那些并没有严重到导致停训的损伤，或从具体的损伤部位来看，那么性别差异可能是相当明显的随着个性化医疗和训练的发展，我们越来越认识到性别差异在训练中的差异性，但我们尚无法在大数据量的调查或者综述层面看到显著性的差异，可能由于女性的运动参与者相较男性仍然太少，而参与相关调查和科研的人数更少，致使出现了运动科研领域的沉默区域和幸存者偏差。2:45 前交叉韧带（ACL）的损伤风险和髂胫束综合征（IBTS）7:35 人体的动力链8:25 不同性别应该进行不同的针对性训练或功能性训练11:22 青少年损伤风险的性别差异14:30 女性更容易发生前交叉韧带（ACL）损伤的生理机制16:40 女性的足弓塌陷18:36 在参加运动前要有基本的体能和力量储备23:00 在基础体能基础上要进行针对性的功能性训练27:45 女性尤其要进行力量训练和功能性训练37:00 目前具有足够水平和认知的教练的缺乏40:41 男性和女性在肌肉类型上的差异42:00 CrossFit的损伤大多集中在肩部，更要针对性进行肩部小肌群训练45:22 对CrossFit运动和CFer的一些理解48:21 侯老师对损伤性别差异的总结50:30 大猫针对损伤性别差异做的一些功课总结参考文献1. Sex-Specific Differences in Running Injuries: A Systematic Review with Meta-Analysis and Meta-Regression. DOI:10.1007/s40279-020-01412-72. Interventions for preventing lower limb soft-tissue running injuries. DOI:10.1002/14651858.CD001256.3. Injuries in runners; a systematic review on risk factors and sex differences. DOI: 10.1371/journal.pone.0114937. 4. A retrospective case-control analysis of 2002 running injuries. DOI:10.1136/bjsm.36.2.95. 5. Recommendations on Youth Participation in Ultra-Endurance Running Events: A Consensus Statement. DOI: 10.1007/s40279-021-01441-w.6. Injury in CrossFit®: A Systematic Review of Epidemiology and Risk Factors. DOI:10.1080/00913847.2020.1864675.7. Sex differences in injury rates in team-sport athletes: A systematic review and meta-regression analysis. DOI: 10.1016/j.jshs.2021.04.003.8. Triathlon Injuries: Transitioning from Prevalence to Prediction and Prevention. DOI:10.1249/JSR.0000000000000417.9. Sports injuries and illnesses during the London Summer Olympic Games 2012. DOI: 10.1136/bjsports-2013-092380. 10. Sports injury and illness incidence in the Rio de Janeiro 2016 Olympic Summer Games: A prospective study of 11274 athletes from 207 countries. DOI:10.1136/bjsports-2017-097956.11. Narrative Review of Sex Differences in Muscle Strength, Endurance, Activation, Size, Fiber Type, and Strength Training Participation Rates, Preferences, Motivations, Injuries, and Neuromuscular Adaptations. DOI:10.1519/JSC.0000000000004329.12. Ultrasound of sports injuries of the musculoskeletal system: gender differences. DOI:10.1007/s40477-020-00438-x.13. Sex Differences in Common Sports Injuries. DOI:10.1016/j.pmrj.2018.03.008.14. The Menstrual Cycle, Sex Hormones, and Anterior Cruciate Ligament Injury15. Sex Differences in Common Sports-Related Injuries. DOI:10.1177/1942602X19840809.

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3ª PARTE | 17 DIC 2025 | EL PARTIDAZO DE COPE

01 Jan 1970

El Partidazo de COPE

13:00H | 21 DIC 2025 | Fin de Semana

01 Jan 1970

Fin de Semana

12:00H | 21 DIC 2025 | Fin de Semana

01 Jan 1970

Fin de Semana

10:00H | 21 DIC 2025 | Fin de Semana

01 Jan 1970

Fin de Semana

13:00H | 20 DIC 2025 | Fin de Semana

01 Jan 1970

Fin de Semana

12:00H | 20 DIC 2025 | Fin de Semana

01 Jan 1970

Fin de Semana

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讲点武德

005 什么？运动损伤竟然也男女有别？

This episode hasn't been transcribed yet

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3ª PARTE | 17 DIC 2025 | EL PARTIDAZO DE COPE

13:00H | 21 DIC 2025 | Fin de Semana

12:00H | 21 DIC 2025 | Fin de Semana

10:00H | 21 DIC 2025 | Fin de Semana

13:00H | 20 DIC 2025 | Fin de Semana

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