Zazryn T, Cameron P, McCrory P
Department of Epidemiology and Preventive Medicine, Monash University, Central and Eastern Clinical School, Alfred Hospital, Commercial Road, Melbourne 3004, Australia.
Br J Sports Med. 2006 Aug;40(8):670-4. doi: 10.1136/bjsm.2006.025924. Epub 2006 Jun 28.
There is concern over the potential for a high incidence of injury in boxing. This is despite a lack of prospective data evaluating the risk for modern day participants. Updated, reliable data with a focus on potential exposure to injury for both amateur and, especially, professional boxers is required.
To determine the epidemiology of injury and exposure of amateur and professional boxers in Victoria, Australia.
A prospective cohort study with one year follow up was carried out over 2004-2005. Thirty three amateur and 14 active professional boxers registered with either Boxing Victoria Inc (amateurs) or the Professional Boxing and Combat Sports Board of Victoria (professionals) volunteered. Exposure at training and competition was measured, and any injuries sustained during this participation were recorded.
Twenty one injuries were sustained by the cohort during the follow up period. Most were to the head region (71%; 95% confidence interval -3.7 to 89.4), with concussion being the most common (33%). An overall injury rate of 2.0 injuries per 1000 hours of boxing was calculated.
The high exposure experienced by the boxers (as a result of considerable training time) indicated that boxing has acute injury rates comparable to, and often lower than, those found in other contact and non-contact sports. Further, acute injuries during training appear to be less common and severe than those sustained in bouts.
拳击运动中受伤发生率可能较高，这引发了人们的担忧。尽管缺乏评估现代参与者风险的前瞻性数据，但仍需更新、可靠的数据，重点关注业余拳击手尤其是职业拳击手可能面临的受伤风险。
确定澳大利亚维多利亚州业余和职业拳击手的受伤情况及受伤风险。
在2004 - 2005年期间开展了一项为期一年随访的前瞻性队列研究。33名业余拳击手和14名现役职业拳击手自愿参与，他们分别在维多利亚州拳击协会（业余拳击手）或维多利亚州职业拳击与综合格斗运动委员会（职业拳击手）注册。测量了训练和比赛中的暴露情况，并记录了参与期间所受的任何损伤。
随访期间该队列共发生21起损伤。大多数损伤发生在头部区域（71%；95%置信区间 -3.7至89.4），脑震荡最为常见（33%）。计算得出每1000小时拳击运动的总体损伤率为2.0次损伤。
拳击手经历的高暴露水平（由于大量的训练时间）表明，拳击运动的急性损伤率与其他接触性和非接触性运动相当，且通常更低。此外，训练期间的急性损伤似乎比比赛中所受的损伤更不常见且程度较轻。
