DiFiori John P, Puffer James C, Aish Bassil, Dorey Frederick
Department of Family Medicine, Division of Sports Medicine, University of California, Los Angeles, USA.
Clin J Sport Med. 2002 Nov;12(6):348-53. doi: 10.1097/00042752-200211000-00005.
To determine the frequency and characteristics of wrist pain in young, nonelite gymnasts over a 1-year training period, and to describe the effects of chronic wrist upon gymnastics training.
Prospective cohort study.
Los Angeles-based gymnastics club.
Forty-seven nonelite female and male gymnasts between 5 and 16 years of age.
Each subject completed an interview-based questionnaire and received a physical exam at the study onset and at the end of 1 year of training. The questionnaire detailed training habits and elicited a history and description of wrist pain.
The frequency of wrist pain and several measures of training were reported at the study onset and at 1 year. Gymnasts with wrist pain were compared with those who were pain-free.
Wrist pain was reported by 57% (27 of 47) of subjects at the study onset. Eighty-nine percent (24 of 27) reported wrist pain both at the study onset and 1 year later. Nineteen gymnasts (40%) were pain-free at each collection. The floor exercise, the pommel horse, and the balance beam were most frequently associated with wrist pain symptoms. Multivariate analysis revealed that adolescent gymnasts between 10 and 14 years of age were significantly more likely to report wrist pain at each survey than those who were either above or below this age range (p = 0.03). Forty-two percent of subjects with wrist pain at each survey reported that the symptoms interfered with training. Only five gymnasts with wrist pain were seen by physicians. Training intensity increased in gymnasts with and without wrist pain. The relative increase within each group was statistically significant among pain-free gymnasts (p = 0.003), but was not for those with wrist pain (p = 0.08).
Wrist pain among young, nonelite gymnasts is common, and appears to persist with continued training in the vast majority of those who report symptoms. Adolescent gymnasts between 10 and 14 years of age training at this level are significantly more likely to have wrist pain. Wrist pain appears to have a negative effect upon training, based upon both self-report and training intensity measures; however, more study is needed with respect to this issue.
确定年轻非精英体操运动员在1年训练期间手腕疼痛的频率及特征，并描述慢性手腕疼痛对体操训练的影响。
前瞻性队列研究。
洛杉矶的体操俱乐部。
47名年龄在5至16岁之间的非精英男女体操运动员。
每位受试者在研究开始时和训练1年末完成一份基于访谈的问卷，并接受体格检查。问卷详细记录了训练习惯，并引出手腕疼痛的病史和描述。
在研究开始时和1年时报告手腕疼痛的频率以及几项训练指标。将有手腕疼痛的体操运动员与无疼痛的运动员进行比较。
在研究开始时，57%（47名中的27名）受试者报告有手腕疼痛。89%（27名中的24名）在研究开始时和1年后均报告有手腕疼痛。19名体操运动员（40%）在每次数据收集时均无疼痛。自由体操、鞍马和平衡木与手腕疼痛症状关联最为频繁。多变量分析显示，10至14岁的青少年体操运动员在每次调查中报告手腕疼痛的可能性显著高于该年龄范围以上或以下的运动员（p = 0.03）。每次调查中有手腕疼痛的受试者中，42%报告症状妨碍了训练。只有5名手腕疼痛的体操运动员看过医生。有手腕疼痛和无手腕疼痛的体操运动员训练强度均增加了。在无疼痛的体操运动员中，每组内的相对增加具有统计学意义（p = 0.003），但有手腕疼痛的运动员则不然（p = ）。
年轻非精英体操运动员手腕疼痛很常见，且在绝大多数报告有症状的运动员中，随着持续训练疼痛似乎会持续存在。在此水平训练的10至14岁青少年体操运动员手腕疼痛的可能性显著更高。基于自我报告和训练强度指标，手腕疼痛似乎对训练有负面影响；然而，关于这个问题还需要更多研究。
