Thévenod C, Lironi A, Le Coultre C
Clinique et Policlinique de Chirurgie pédiatrique, Hôpitaux universitaires genevois.
Rev Epidemiol Sante Publique. 2000 Jun;48(3):271-80.
During the last decade, in-line skating has become an increasingly popular activity. Along with the number of reports, highlighting the number of injuries and their degree of severity, in-line skating injuries have to be considered a growing public health issue. The objective of this work is to report epidemiological knowledge about in-line skate injuries and ways of prevention. A thorough search of all reports and publications on the subject was performed through the Medline database and in references of selected publications. There are numerous case series studies and several observational ones, most of them undertaken in North America. In-line skates are used for recreation, sports, and transportation, in a variety of settings (parks, streets, bike path, etc.) and by most of age groups (5 to 71 years, median generally about 15). The most common site of injury is the wrist and forearm, although other parts of the body can be severely injured. Age, sex, physical training level, formal instruction level, lack of wearing of protective gear, skating location, may be risk factors for injury. Some preventive measures were proposed by a number of research workers (information campaigns, wearing of protective gear, instruction, laws, etc.). Several preventive attempts were undertaken but no one was appraised. In-line skates are used by all age groups and for a variety of activities. In-line skating is related to a great number of factors, such as cultural, social, geographic, urban and behavioural factors. Therefore, groups at risk for injury are very different. Emergence of an important type of injury should lead to the development of analytic epidemiological studies, based on particular groups of in-line skaters, in order to describe them, to identify and quantify risk factors and to design preventive measures, and then to appraise their efficiency.
在过去十年中，轮滑已成为一项越来越受欢迎的活动。随着报告数量的增加，突出了受伤人数及其严重程度，轮滑损伤不得不被视为一个日益严重的公共卫生问题。这项工作的目的是报告有关轮滑损伤的流行病学知识和预防方法。通过Medline数据库以及所选出版物的参考文献，对所有关于该主题的报告和出版物进行了全面搜索。有大量的病例系列研究和一些观察性研究，其中大多数是在北美进行的。轮滑用于娱乐、运动和交通，在各种环境（公园、街道、自行车道等）中，大多数年龄组（5至71岁，中位数通常约为15岁）都在使用。最常见的受伤部位是手腕和前臂，尽管身体的其他部位也可能受到严重伤害。年龄、性别、体育训练水平、正规指导水平、缺乏佩戴防护装备、轮滑地点可能是受伤的危险因素。一些研究人员提出了一些预防措施（宣传活动、佩戴防护装备、指导、法律等）。进行了几次预防尝试，但没有一次得到评估。所有年龄组都使用轮滑进行各种活动。轮滑与许多因素有关，如文化、社会、地理、城市和行为因素。因此，受伤风险群体差异很大。一种重要类型损伤的出现应促使基于特定轮滑群体开展分析性流行病学研究，以便描述这些群体、识别和量化危险因素、设计预防措施，然后评估其效果。
