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瑞典优秀田径运动员肌肉骨骼损伤的患病率。

Prevalence of musculoskeletal injuries in Swedish elite track and field athletes.

机构信息

Section of Social Medicine and Public Health, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.

出版信息

Am J Sports Med. 2012 Jan;40(1):163-9. doi: 10.1177/0363546511425467. Epub 2011 Nov 3.

DOI:10.1177/0363546511425467
PMID:22053325
Abstract

BACKGROUND

Little is known of injury patterns in track and field (athletics). Injury prevalence has been proposed as the most appropriate measure of the injury rate in sports where athletes are at risk for overuse problems.

PURPOSE

To ascertain 1-year retrospective and current prevalence of injury in elite track and field athletes to help plan injury prevention programs for this sport.

STUDY DESIGN

Descriptive epidemiology study.

METHODS

Two hundred seventy-eight youth (16 years old) and adult athletes from an eligible study population of 321 athletes were included.

RESULTS

The 1-year retrospective injury prevalence was 42.8% (95% confidence interval [CI], 36.9%-49.0%); the point prevalence was 35.4% (95% CI, 29.7%-41.4%). The diagnosis group displaying the highest injury prevalence was inflammation and pain in the gradual onset category (1-year prevalence, 20.9%; 95% CI, 16.2%-26.2%; and point prevalence, 23.2%; 95% CI, 18.4%-28.7%). A strong tendency for higher 1-year prevalence of 16.5% (95% CI, 12.2%-21.4%) than point prevalence of 8.5% (95% CI, 5.5%-12.5%) was recorded for sudden onset injuries in the diagnosis group sprain, strain, and rupture. The body region showing the highest injury prevalence was the knee and lower leg with 15.0% (95% CI, 11.0%-19.8%) 1-year prevalence and 13.7% (95% CI, 9.8%-18.3%) point prevalence, followed by the Achilles tendon, ankle, and foot/toe with 11.7% (95% CI, 8.2%-16.1%) 1-year prevalence and 11.4% (95% CI, 7.9%-15.8%) point prevalence.

CONCLUSION

The injury prevalence is high among Swedish elite track and field athletes. Most of the injuries affect the lower extremities and are associated with a gradual onset. Although it is associated with a potential recall bias, the 1-year retrospective prevalence measure captured more sudden onset injuries than the point prevalence measure. Future prospective studies in track and field are needed to identify groups of athletes at increased risk.

摘要

背景

在田径运动(田径运动)中,人们对受伤模式知之甚少。在运动员易发生过度使用问题的运动中,受伤发生率已被提议作为衡量受伤率的最合适指标。

目的

确定精英田径运动员的 1 年回顾性和当前受伤发生率,以帮助为此项运动制定伤害预防计划。

研究设计

描述性流行病学研究。

方法

从 321 名符合条件的运动员中选取了 278 名青年(16 岁)和成年运动员。

结果

1 年回顾性受伤发生率为 42.8%(95%置信区间[CI],36.9%-49.0%);现患率为 35.4%(95%CI,29.7%-41.4%)。诊断组中炎症和疼痛呈逐渐发作的发病率最高(1 年发病率为 20.9%;95%CI,16.2%-26.2%;现患率为 23.2%;95%CI,18.4%-28.7%)。在诊断组扭伤、拉伤和撕裂伤中,突然发作的损伤的 1 年发生率为 16.5%(95%CI,12.2%-21.4%),明显高于现患率 8.5%(95%CI,5.5%-12.5%)。发病率最高的身体部位是膝盖和小腿,1 年发病率为 15.0%(95%CI,11.0%-19.8%),现患率为 13.7%(95%CI,9.8%-18.3%),其次是跟腱、脚踝和脚/脚趾,1 年发病率为 11.7%(95%CI,8.2%-16.1%),现患率为 11.4%(95%CI,7.9%-15.8%)。

结论

瑞典精英田径运动员的受伤发生率较高。大多数受伤都影响下肢,且与逐渐发作有关。尽管这与潜在的回忆偏倚有关,但 1 年回顾性发病率测量比现患率测量更能捕捉到突发性损伤。需要对田径运动进行未来的前瞻性研究,以确定受伤风险较高的运动员群体。

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