McHardy Andrew, Pollard Henry, Luo Kehui
Macquarie Injury Management Group, Department of Health & Chiropractic, Macquarie University, Sydney, New South Wales, Australia.
Am J Sports Med. 2007 Aug;35(8):1354-60. doi: 10.1177/0363546507300188. Epub 2007 Mar 26.
BACKGROUND: Considering its popularity, little epidemiologic literature exists on golf injuries. HYPOTHESIS: The low back is the most common injury location for golf-related injury. Most golf injuries occur as a result of the golf swing, and occur mostly at impact. The variables age, handicap, practice habits, and warm-up habits are associated with injury. METHODS: A prospective survey over 1 year was used to study golf injuries among 588 golfers at 8 Australian golf clubs. Information collected included golfers' injuries sustained during the year, location of injury, onset, mechanism of injury, and whether injury occurred during the golf swing or at another time. Additional information was sought on the type of treatment received after injury. Logistic regression was used to examine the epidemiologic patterns of golf-related injury and any possible risk factors for the injury. RESULTS: The overall 1-year incidence rate of golf injury was 15.8 injuries per 100 golfers, which equates to a range of 0.36 to 0.60 injuries/1000 hours/person. Recurrent injuries were most common, while injuries were more likely to occur over time as opposed to an acute onset. The lower back was the most common injury site (18.3%), closely followed by the elbow/forearm (17.2%), foot/ankle (12.9%), and shoulder/upper arm (11.8%). A total of 46.2% of all injuries were reportedly sustained during the golf swing, and injury was most likely to occur at the point of ball impact (23.7%), followed by the follow-through (21.5%). Multivariate analysis revealed that the amount of game play (odds ratio [OR] = 3.73, 95% confidence interval [CI] 1.29-10.75) and the last time clubs were changed (OR = 0.32, 95% CI 0.12-0.86) were significantly associated with the risk of golf injury (P < .05). Other factors such as age, gender, handicap, practice habits, and warm-up habits were not significantly associated with golf injury. CONCLUSIONS: Nearly 16% of Australian amateur golfers may expect to sustain a golf-related injury per year. The injuries in golf are most likely sustained in the lower back region as a result of the golf swing. Based on statistical analysis, only game play and a changing of clubs seem to be significantly associated with risk of injury after adjusting for other risk factors (P < .05). Other factors such as age, gender, handicap, practice habits, and warm-up habits were not significant.
背景:鉴于高尔夫运动的普及程度,关于高尔夫运动损伤的流行病学文献却很少。 假设:下背部是高尔夫相关损伤最常见的部位。大多数高尔夫运动损伤是由高尔夫挥杆动作导致的,且大多发生在击球瞬间。年龄、差点、练习习惯和热身习惯等变量与损伤有关。 方法:通过一项为期1年的前瞻性调查,研究澳大利亚8家高尔夫俱乐部的588名高尔夫球手的运动损伤情况。收集的信息包括球手在这一年中遭受的损伤、损伤部位、发病情况、损伤机制,以及损伤是否发生在高尔夫挥杆过程中或其他时间。还询问了损伤后接受的治疗类型等额外信息。采用逻辑回归分析来研究高尔夫相关损伤的流行病学模式以及损伤的任何可能风险因素。 结果:高尔夫运动损伤的总体1年发病率为每100名球手15.8例损伤,相当于0.36至0.60例损伤/1000小时/人。重复性损伤最为常见,且损伤更倾向于随着时间推移发生,而非急性发作。下背部是最常见的损伤部位(18.3%),紧随其后的是肘部/前臂(17.2%)、足部/脚踝(12.9%)和肩部/上臂(11.8%)。据报告,所有损伤中有46.2%发生在高尔夫挥杆过程中,损伤最有可能发生在击球点(23.7%),其次是随挥动作阶段(21.5%)。多变量分析显示,打球次数(优势比[OR]=3.73,95%置信区间[CI]1.29 - 10.75)和上次更换球杆的时间(OR = 0.32,95%CI 0.12 - 0.86)与高尔夫运动损伤风险显著相关(P < 0.05)。年龄、性别、差点、练习习惯和热身习惯等其他因素与高尔夫运动损伤无显著关联。 结论:近16%的澳大利亚业余高尔夫球手每年可能会遭受与高尔夫运动相关的损伤。高尔夫运动中的损伤最有可能因高尔夫挥杆动作而发生在下背部区域。基于统计分析,在调整其他风险因素后,只有打球次数和更换球杆似乎与损伤风险显著相关(P < 0.05)。年龄、性别、差点、练习习惯和热身习惯等其他因素并不显著。
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