Yard E E, Comstock R D
Center for Injury Research and Policy, Columbus Children's Research Institute, Children's Hospital, Columbus, OH 43205, USA.
Scand J Med Sci Sports. 2008 Aug;18(4):491-7. doi: 10.1111/j.1600-0838.2007.00716.x. Epub 2007 Dec 7.
The purpose of this study was to compare the epidemiology of freestyle and Greco-Roman wrestling injuries sustained during a 2006 United States (US) national tournament. A prospective injury surveillance study was conducted at the US 2006 ASICS/Vaughan Cadet and Junior National Championships. There were 83 freestyle- and 55 Greco-Roman-related injuries sustained, with the rate of injury per 1000 athlete-matches higher in freestyle (7.0) compared with Greco-Roman (4.6) wrestling [Rate ratio (RR)=1.51, 95% confidence interval (CI): 1.07-2.12]. Compared with Greco-Roman wrestling, there was a greater proportion of knee injuries in freestyle wrestling [injury proportion ratio (IPR)=4.17, 95% CI: 1.30-13.41]. In GrecoRoman wrestling, there were greater proportions of elbow (IPR=9.11, 95% CI: 1.13-73.59) and head/face/neck (IPR=1.72, 95% CI: 1.10-2.67) injuries and a greater proportion of concussions (IPR=1.95, 95% CI: 0.92-4.12), although the latter was statistically insignificant. Greco-Roman wrestlers sustained a greater proportion of injuries from being driven into the mat (IPR=2.97, 95% CI: 1.72-5.14). There were no statistically significant differences in injury outcome by wrestling style. The differing injury rates and patterns of injury between freestyle and Greco-Roman wrestling are likely due to the different rules between these styles that allow lower leg attacks in freestyle wrestling and encourage the use of throws in Greco-Roman wrestling.
本研究的目的是比较2006年美国全国锦标赛期间自由式和古典式摔跤运动损伤的流行病学情况。在美国2006年阿西克斯/沃恩少年及青年全国锦标赛上开展了一项前瞻性损伤监测研究。自由式摔跤相关损伤有83例，古典式摔跤相关损伤有55例，自由式摔跤每1000运动员比赛场次的损伤发生率（7.0）高于古典式摔跤（4.6）[率比（RR）=1.51，95%置信区间（CI）：1.07 - 2.12]。与古典式摔跤相比，自由式摔跤中膝部损伤的比例更高[损伤比例比（IPR）=4.17，95% CI：1.30 - 13.41]。在古典式摔跤中，肘部损伤（IPR = 9.11，95% CI：1.13 - 73.59）、头部/面部/颈部损伤（IPR = 1.72，95% CI：1.10 - 2.67）以及脑震荡的比例更高（IPR = 1.95，95% CI：0.92 - 4.12），尽管后者在统计学上不显著。古典式摔跤运动员因被摔倒在垫子上而受伤的比例更高（IPR = 2.97，95% CI：1.72 - 5.14）。按摔跤类型划分，损伤结局无统计学显著差异。自由式和古典式摔跤之间不同的损伤发生率和损伤模式可能是由于这两种类型的规则不同，自由式摔跤允许下肢攻击，而古典式摔跤鼓励使用摔法。
