Agel Julie, Palmieri-Smith Riann M, Dick Randall, Wojtys Edward M, Marshall Stephen W
University of Minnesota, Minneapolis, MN, USA.
J Athl Train. 2007 Apr-Jun;42(2):295-302.
To review 16 years of NCAA injury surveillance data for women's volleyball and to identify potential areas for injury prevention initiatives.
Participation in NCAA women's volleyball has increased greatly over the past 16 years. As with all sports, women participating in volleyball assume an inherent risk of injury each time they practice or participate in a game. In order for clinicians to better understand the risks associated with volleyball, it is critical to gather data that illustrates injury rates and patterns among volleyball athletes. Furthermore, with knowledge of injury mechanisms and risk factors comes the ability to initiate prevention strategies to minimize future injury.
Over the past 16 years, the rate of injury in a game situation was slightly higher than in practice (4.58 versus 4.10 game injuries per 1000 athlete-exposures, rate ratio = 1.1, 95% confidence interval = -1.0, 1.2, P < .01). A total of 2216 injuries from more than 50 000 games and 4725 injuries from more than 90 000 practices were reported. The lower extremity accounted for more than 55% of all game and practice injuries, with ankle ligament sprains representing 44.1% of game injuries and 29.4% of practice injuries. Approximately 20% of all game injuries involved the upper extremity. The majority of injuries during a game situation occurred while athletes were in one of the front 3 positions. A player landing on another player and contact with the floor each accounted for 21% of game injuries.
Ankle injuries appear to be the most common injuries in women's volleyball. Future preventive efforts should focus on preventing first-time ankle sprains and acute traumatic knee injuries, as well as reducing the risk of ankle sprain recurrence.
回顾美国大学体育协会（NCAA）16年的女子排球伤病监测数据，确定预防伤病措施的潜在领域。
在过去16年中，参加NCAA女子排球运动的人数大幅增加。与所有运动一样，参加排球运动的女性每次训练或参加比赛时都承担着受伤的固有风险。为了让临床医生更好地了解与排球相关的风险，收集说明排球运动员伤病率和模式的数据至关重要。此外，了解损伤机制和风险因素后，就有能力启动预防策略，以尽量减少未来的伤病。
在过去16年中，比赛中的伤病率略高于训练中的伤病率（每1000次运动员暴露，比赛伤病率为4.58，训练伤病率为4.10，率比=1.1，95%置信区间=-1.0，1.2，P<0.01）。共报告了来自50000多场比赛的2216例伤病和来自90000多次训练的4725例伤病。下肢伤病占所有比赛和训练伤病的55%以上，其中踝关节韧带扭伤占比赛伤病的44.1%，训练伤病的29.4%。所有比赛伤病中约20%涉及上肢。比赛中大多数伤病发生在运动员处于前三个位置之一时。一名运动员踩到另一名运动员以及与地面接触各占比赛伤病的21%。
踝关节伤病似乎是女子排球中最常见的伤病。未来的预防工作应侧重于预防首次踝关节扭伤和急性创伤性膝关节损伤，以及降低踝关节扭伤复发的风险。
