IOC Medical Commission, Lausanne, Switzerland.
Br J Sports Med. 2010 Sep;44(11):772-80. doi: 10.1136/bjsm.2010.076992.
Identification of high-risk sports, including their most common and severe injuries and illnesses, will facilitate the identification of sports and athletes at risk at an early stage.
To analyse the frequencies and characteristics of injuries and illnesses during the XXI Winter Olympic Games in Vancouver 2010.
All National Olympic Committees' (NOC) head physicians were asked to report daily the occurrence (or non-occurrence) of newly sustained injuries and illnesses on a standardised reporting form. In addition, the medical centres at the Vancouver and Whistler Olympic clinics reported daily on all athletes treated for injuries and illnesses.
Physicians covering 2567 athletes (1045 females, 1522 males) from 82 NOCs participated in the study. The reported 287 injuries and 185 illnesses resulted in an incidence of 111.8 injuries and 72.1 illnesses per 1000 registered athletes. In relation to the number of registered athletes, the risk of sustaining an injury was highest for bobsleigh, ice hockey, short track, alpine freestyle and snowboard cross (15-35% of registered athletes were affected in each sport). The injury risk was lowest for the Nordic skiing events (biathlon, cross country skiing, ski jumping, Nordic combined), luge, curling, speed skating and freestyle moguls (less than 5% of registered athletes). Head/cervical spine and knee were the most common injury locations. Injuries were evenly distributed between training (54.0%) and competition (46.0%; p=0.18), and 22.6% of the injuries resulted in an absence from training or competition. In skeleton, figure and speed skating, curling, snowboard cross and biathlon, every 10th athlete suffered from at least one illness. In 113 illnesses (62.8%), the respiratory system was affected.
At least 11% of the athletes incurred an injury during the games, and 7% of the athletes an illness. The incidence of injuries and illnesses varied substantially between sports. Analyses of injury mechanisms in high-risk Olympic winter sports are essential to better direct injury-prevention strategies.
确定高风险运动项目,包括其最常见和最严重的损伤和疾病,将有助于在早期识别处于风险中的运动项目和运动员。
分析 2010 年温哥华第 21 届冬季奥运会期间的损伤和疾病发生情况。
要求各国国家奥委会(NOC)的首席医师使用标准化报告表,每日报告新发生的损伤和疾病(或未发生)的情况。此外,温哥华和惠斯勒奥运诊所的医疗中心每日报告所有接受治疗的运动员的损伤和疾病情况。
共有来自 82 个 NOC 的 2567 名运动员(女运动员 1045 名,男运动员 1522 名)的医师参与了研究。报告的 287 例损伤和 185 例疾病导致每千名注册运动员的损伤发生率为 111.8 例,疾病发生率为 72.1 例。与注册运动员人数相比,俯式冰橇、冰球、短道速滑、高山自由式滑雪和单板滑雪障碍追逐的损伤风险最高(每个项目中,15%-35%的注册运动员受到影响),北欧两项、越野滑雪、跳台滑雪、北欧两项、无舵雪橇、冰壶、速度滑冰和自由式滑雪坡面障碍技巧的损伤风险最低(注册运动员人数的不足 5%)。头部/颈椎和膝关节是最常见的损伤部位。损伤在训练(54.0%)和比赛(46.0%;p=0.18)中分布均匀,22.6%的损伤导致运动员无法参加训练或比赛。在俯式冰橇、花样滑冰、速度滑冰、冰壶、单板滑雪障碍追逐和北欧两项中,每 10 名运动员中就有 1 人至少患有 1 种疾病。在 113 例疾病(62.8%)中,呼吸系统受到影响。
在比赛期间,至少有 11%的运动员发生了损伤,7%的运动员发生了疾病。不同运动项目的损伤和疾病发生率差异较大。对高风险奥运冬季运动项目的损伤机制进行分析,对于更好地指导损伤预防策略至关重要。