Orchard John, Hoskins Wayne
Sports Medicine at Sydney University, Sydney, Australia.
Clin J Sport Med. 2007 May;17(3):192-6. doi: 10.1097/JSM.0b013e3180547527.
To compare the most commonly used and proposed injury definitions for surveillance systems in team sports and attempt to assess their suitability for consensus definitions in terms of reliability and functionality.
The PubMed and SportDiscus databases were searched for papers on team sports that discussed consensus definitions or compared various definitions of injury.
A continuum between the most broad "tissue damage" definition and the most narrow "match time loss only" definition was developed.
A "match time loss only" injury definition can be reliably and accurately applied but only captures a small percentage of the total pool of all "tissue damage" injuries. There are some inherent biases in using a match time loss only definition (late season matches, matches with unequal breaks between games), but these are clearly visible. All other definitions improve the volume of data captured but suffer serious theoretical and/or practical flaws with respect to accuracy and reliability. No study using a broad definition has demonstrated good reliability to date (eg, using 2 independent recorders at the same team).
A "match time loss only" injury definition is the most accurate and reliable of those commonly used in team sports. Other injury definitions are broader and may be more appropriate for individual team and specific injury studies. However, a match time loss definition is the most accurate and reliable tool for comparing injury rates at different teams and between different seasons within teams. Hence, we recommend this as the basis for the injury definition in a consensus statement.
比较团队运动中监测系统最常用的和提议的损伤定义，并试图从可靠性和功能性方面评估它们作为共识定义的适用性。
检索PubMed和SportDiscus数据库，查找关于团队运动中讨论共识定义或比较各种损伤定义的论文。
构建了一个从最宽泛的“组织损伤”定义到最狭窄的“仅比赛时间损失”定义的连续统一体。
“仅比赛时间损失”的损伤定义能够可靠且准确地应用，但仅涵盖所有“组织损伤”的一小部分。仅使用比赛时间损失定义存在一些固有偏差（赛季后期比赛、比赛间休息时间不等的比赛），但这些偏差很明显。所有其他定义增加了所捕获的数据量，但在准确性和可靠性方面存在严重的理论和/或实际缺陷。迄今为止，尚无使用宽泛定义的研究证明具有良好的可靠性（例如，在同一团队使用2名独立记录员）。
“仅比赛时间损失”的损伤定义是团队运动中常用定义里最准确和可靠的。其他损伤定义更宽泛，可能更适用于个别团队和特定损伤研究。然而，比赛时间损失定义是比较不同团队间以及团队内不同赛季损伤发生率的最准确和可靠工具。因此，我们建议将此作为共识声明中损伤定义的基础。
