急性损伤和过度使用损伤与中老年跑步运动员的训练时长相关。

Acute and overuse injuries correlated to hours of training in master running athletes.

作者信息

Knobloch Karsten, Yoon Uzung, Vogt Peter M

机构信息

Hannover Medical School, Plastic, Hand and Reconstructive Surgery, Carl-Neuberg-Str. I, Hannover 30625, Germany.

出版信息

Foot Ankle Int. 2008 Jul;29(7):671-6. doi: 10.3113/FAI.2008.0671.

DOI:10.3113/FAI.2008.0671

PMID:18785416

Abstract

BACKGROUND

The goal of the study was to determine the rate of running-associated tendinopathy in light of the amount of time training and other risk factors.

MATERIALS AND METHODS

291 elite runners (average age 42 +/- 9 years) who ran an average of 65.2 +/- 28.3 km/week were included with an overall distance of 9,980,852 km (34,416 km/athlete). Descriptive statistics with Chi2-Test, Fisher-Exact-Test and Mann-Whitney-Test were used to calculate relative risks (RR).

RESULTS

The overall injury rate was 0.08/1000 km (2.93/athlete). Overuse injuries (0.07/1000 km) were more frequent than acute injuries (0.01/1000 km). Achilles tendinopathy was the predominant injury (0.02/1000 km) followed by anterior knee pain (0.01/1000 km), and shin splints (0.01/1000 km). Achilles tendon rupture was rarely encountered (0.001/1000 km). At some time, 56.6% of the athletes had an Achilles tendon overuse injury, 46.4% anterior knee pain, 35.7% shin splints, and 12.7% had plantar fasciitis. Mid-portion Achilles tendinopathy was more common (0.01/1000 km) than insertional (0.005/1000 km). An asphalt running surface decreased mid-portion tendinopathy risk (RR 0.47, p = 0.02). In contrast, sand increased the relative risk for mid-portion Achilles tendinopathy tenfold (RR 10, CI 1.12 to 92.8, p = 0.01). Runners with more than 10 years experience had an increased risk (RR 1.6, p = 0.04) for Achilles tendinopathy.

CONCLUSION

Achilles tendinopathy is the most common running-associated tendinopathy followed by runner's knee and shin splints.

摘要

背景

本研究的目的是根据训练时间和其他风险因素来确定跑步相关肌腱病的发生率。

材料与方法

纳入291名精英跑者（平均年龄42±9岁），他们平均每周跑步65.2±28.3公里，总跑步距离达9,980,852公里（每位运动员34,416公里）。使用卡方检验、Fisher精确检验和曼-惠特尼检验等描述性统计方法来计算相对风险（RR）。

结果

总体损伤发生率为0.08/1000公里（2.93/运动员）。过度使用损伤（0.07/1000公里）比急性损伤（0.01/1000公里）更常见。跟腱病是主要损伤类型（0.02/1000公里），其次是前膝疼痛（0.01/1000公里）和胫骨夹板（0.01/1000公里）。跟腱断裂很少见（0.001/1000公里）。在某些时候，56.6%的运动员有跟腱过度使用损伤，46.4%有前膝疼痛，35.7%有胫骨夹板，12.7%有足底筋膜炎。跟腱中部的肌腱病比跟腱附着点处的更常见（0.01/1000公里对0.005/1000公里）。沥青路面可降低跟腱中部肌腱病的风险（RR 0.47，p = 0.02）。相比之下，沙地会使跟腱中部肌腱病的相对风险增加10倍（RR 10，CI 1.12至92.8，p = 0.01）。有超过10年跑步经验的跑者患跟腱病的风险增加（RR 1.6，p = 0.04）。