Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, PO Box 4014, Ullevaal Stadion, 0406 Oslo, Norway.
Br J Sports Med. 2009 Dec;43(13):966-72. doi: 10.1136/bjsm.2009.066936.
Overuse injuries may represent as much of a problem as do acute injuries in many sports. This paper reviews key concepts related to the methodology for recording overuse symptoms. Results from the FIVB Volleyball Injury Study were used to compare two different recording methods. The aim of this paper was to provide recommendations on how standardised methodology can be developed to quantify overuse injuries in surveillance studies. Using beach volleyball data, a "traditional" cohort study approach using a time-loss injury definition suggested that injury risk was very low. In contrast, the data from a survey of past and present pain problems in the shoulder, knees and low back demonstrated that these were prevalent. The following recommendations are made: (1) studies should be prospective, with continuous or serial measurements of symptoms; (2) valid and sensitive scoring instruments need to be developed to measure pain and other relevant symptoms; (3) prevalence and not incidence should be used to report injury risk; (4) severity should be measured based on functional level and not time loss from sports. In conclusion, new approaches are needed to develop more appropriate methodology to quantify overuse injuries in studies.
在许多运动项目中，过度使用损伤的问题可能不亚于急性损伤。本文回顾了与过度使用症状记录方法相关的关键概念。本文旨在提供如何制定标准化方法的建议，以便在监测研究中量化过度使用损伤。使用沙滩排球数据，使用时间损失损伤定义的“传统”队列研究方法表明，损伤风险非常低。相比之下，对肩部、膝盖和下背部过去和现在疼痛问题的调查数据表明，这些问题普遍存在。建议如下：（1）研究应为前瞻性的，对症状进行连续或定期测量；（2）需要开发有效和敏感的评分工具来测量疼痛和其他相关症状；（3）应使用患病率而不是发病率来报告损伤风险；（4）应根据功能水平而不是运动损失来衡量严重程度。总之，需要新的方法来制定更合适的方法来量化研究中的过度使用损伤。
