Heerey et al recently published a valuable article regarding the reactive nature of current approaches to hip osteoarthritis (OA) in athletes.1 We agree primary prevention is a desirable path to decrease the incidence of hip OA and pain, but as stated, reducing workloads is challenging as it corresponds with (and worsens) critical sport development timelines of talent identification and skill acquisition.1 We believe addressing physical literacy, another crucial aspect associated with skeletal loading during adolescence, is warranted. Revisiting the challenges of load monitoring during vulnerable skeletal development time periods is also needed.2 These align with the Oxford consensus, which advocates for load monitoring.3 This article will address physical literacy and periodisation as potential strategies to optimise force vectors experienced at the hip in youth athletes during critical skeletal developmental stages. We suggest this as a line of research that can be investigated by multiple independent researchers. Adolescent athletes are often deficient in physical literacy: the ability to move with poise, economy and confidence in a variety of movement patterns (squatting, lunging, hinging, etc).4 Achievement of movement quality (physical literacy) promotes strength, endurance and balance.2 We theorise that when young persons properly execute these patterns within multiple planes, the pelvis may better align to manage forces experienced at the weight-bearing hip.2 Pelvis control is …

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不可能的任务——也许不是？预防运动员髋部骨关节炎


Heerey 等人最近发表了一篇关于运动员髋部骨关节炎 (OA) 当前方法的反应性质的有价值的文章。1 我们同意一级预防是降低髋部 OA 和疼痛发生率的理想途径，但如上所述，减少工作量具有挑战性，因为它与人才识别和技能获取的关键体育发展时间表相对应（并恶化）。1我们认为，解决体育素养问题是有必要的，这是与青春期骨骼负荷相关的另一个重要方面。还需要重新审视脆弱骨骼发育时期负荷监测的挑战。2 这些与倡导负荷监测的牛津共识一致。3 本文将讨论身体素养和周期化作为优化髋部所经历的力矢量的潜在策略在骨骼发育关键阶段的青少年运动员中。我们建议将此作为可由多个独立研究人员进行调查的一系列研究。青少年运动员往往缺乏身体素养：能够在各种运动模式（下蹲、弓步、铰链等）中保持镇定、经济和自信地移动。4 运动质量（身体素养）的实现可促进力量、耐力和平衡.2 我们的理论是，当年轻人在多个平面内正确执行这些模式时，骨盆可能会更好地对齐以管理承重臀部所经历的力量。2 骨盆控制是……