2005 - 2007年美国高中足球运动损伤的流行病学情况

The epidemiology of United States high school soccer injuries, 2005-2007.

作者信息

Yard Ellen E, Schroeder Matthew J, Fields Sarah K, Collins Christy L, Comstock R Dawn

机构信息

Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.

出版信息

Am J Sports Med. 2008 Oct;36(10):1930-7. doi: 10.1177/0363546508318047. Epub 2008 Jul 15.

DOI:10.1177/0363546508318047

PMID:18628486

Abstract

BACKGROUND

United States high school soccer participation increased 5 fold over the last 30 years. With increased participation comes increased injury incidence.

HYPOTHESIS

High school soccer injury patterns will vary by gender and type of exposure.

STUDY DESIGN

Descriptive epidemiologic study.

METHODS

Soccer-related injury data were collected over the 2005-2006 and 2006-2007 school years from 100 nationally representative United States high schools via Reporting Information Online (RIO, an Internet-based sports-related injury surveillance system).

RESULTS

Participating certified athletic trainers reported 1524 soccer injuries during 637 446 athlete exposures (AEs), for an injury rate of 2.39 per 1000 AEs, corresponding to a nationally estimated 807 492 soccer-related injuries during the 2005-2006 and 2006-2007 seasons. The injury rate per 1000 AEs was greater during competition (4.77) than practice (1.37) (rate ratio [RR] = 3.49; 95% confidence interval [CI], 3.15-3.87). Overall, the most frequent diagnoses were incomplete ligament sprains (26.8%), incomplete muscle strains (17.9%), contusions (13.8%), and concussions (10.8%). The most commonly injured body sites were the ankle (23.4%), knee (18.7%), head/face (13.7%), and thigh/upper leg (13.1%). Similar proportions of boys (57.9%) and girls (53.9%) returned to activity in <1 week. During competition, girls sustained complete knee ligament sprains requiring surgery at a rate of 26.4 per 100 000 AEs, higher than the rate among boys during competition (1.98 per 100 000 AEs) (RR = 13.3; 95% CI, 3.15-56.35) and among girls during practice (2.34 per 100 000 AEs) (RR = 11.3; 95% CI, 4.31-29.58). Player-to-player contact was more common among competition injuries (injury proportion ratio [IPR] = 2.42; 95% CI, 2.01-2.92), while noncontact mechanisms were more common among practice injuries (IPR = 2.39; 95% CI, 1.90-3.01).

CONCLUSIONS

High school soccer injury patterns vary by gender and type of exposure. Identifying such differences in injury patterns is the important first step in the development of evidence-based, targeted injury prevention efforts.

摘要

背景

在过去30年里，美国高中足球运动的参与人数增长了5倍。随着参与人数的增加，受伤发生率也随之上升。

假设

高中足球运动的受伤模式会因性别和接触类型的不同而有所差异。

研究设计

描述性流行病学研究。

方法

在2005 - 2006学年和2006 - 2007学年期间，通过在线报告信息系统（RIO，一个基于互联网的与体育相关的损伤监测系统），从100所具有全国代表性的美国高中收集了与足球相关的损伤数据。

结果

参与调查的认证运动训练师报告了在637446次运动员暴露（AE）期间发生的1524起足球损伤事件，损伤率为每1000次AE中有2.39起，这相当于在2005 - 2006赛季和2006 - 2007赛季全国范围内估计有807492起与足球相关的损伤。每1000次AE的损伤率在比赛期间（4.77）高于训练期间（1.37）（率比[RR] = 3.49；95%置信区间[CI]，3.15 - 3.87）。总体而言，最常见的诊断结果是不完全韧带扭伤（26.8%）、不完全肌肉拉伤（17.9%）、挫伤（13.8%）和脑震荡（10.8%）。最常受伤的身体部位是脚踝（23.4%）、膝盖（18.7%）、头部/面部（13.7%）和大腿/上腿（13.1%）。男孩（57.9%）和女孩（53.9%）在不到1周内恢复活动的比例相似。在比赛期间，女孩每100000次AE中发生需要手术的完全膝盖韧带扭伤的发生率为26.4，高于男孩在比赛期间的发生率（每100000次AE中有1.98起）（RR = 13.3；95% CI，3.15 - 56.35）以及女孩在训练期间的发生率（每100000次AE中有2.34起）（RR = 11.3；95% CI，4.31 - 29.58）。球员之间的接触在比赛损伤中更为常见（损伤比例比[IPR] = 2.42；95% CI，2.01 - 2.92），而非接触机制在训练损伤中更为常见（IPR = 2.39；95% CI，1.90 - 3.01）。