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新西兰榄球联盟中致伤的危险因素:队列研究。

Risk factors for injury in rugby union football in New Zealand: a cohort study.

机构信息

University of Otago, Injury Prevention Research Unit, Dunedin, New Zealand.

出版信息

Br J Sports Med. 2012 Feb;46(2):95-102. doi: 10.1136/bjsports-2011-090272. Epub 2011 Dec 21.

DOI:10.1136/bjsports-2011-090272
PMID:22190761
Abstract

OBJECTIVE

To identify risk factors for injury in amateur club rugby.

DESIGN

Prospective cohort design; with follow-up over the 2004 season.

SETTING

Amateur club rugby in New Zealand. Participants Seven hundred and four male rugby players, aged 13 years and over. Assessment of risk factors The study investigated the independent effect on injury incidence of age, ethnicity, rugby experience, height, weight, body mass index, physical activity, cigarette smoking, previous injury, playing while injured, grade, position, training, time of season, warm-up, foul play, weather conditions, ground conditions and protective equipment. Generalised Poisson regression was used to estimate the effect of each factor after adjusting for all other factors.

MAIN OUTCOME MEASURES

Game injury, defined as 'any event that resulted in an injury requiring medical attention or causing a player to miss at least one scheduled game or team practice'.

RESULTS

A total of 704 players, representing 6263 player-games, contributed information on injury and exposure. Evidence was obtained of the effect on injury incidence of increasing age, Pacific Island versus Maori ethnicity (injury rate ratio (IRR)=1.48, 1.03-2.13), ≥40 h strenuous physical activity per week (IRR=1.54, 1.11-2.15), playing while injured (IRR=1.46, 1.20-1.79), very hard ground condition (IRR=1.50, 1.13-2.00), foul-play (IRR=1.87, 1.54-2.27) and use of headgear (IRR=1.23, 1.00-1.50).

CONCLUSIONS

Opportunities for injury prevention might include promoting injury-prevention measures more vigorously among players of Pacific Island ethnicity, ensuring injured players are fully rehabilitated before returning to play, reducing the effects of ground hardness through ground preparation and stricter enforcement of the laws relating to foul play.

摘要

目的

确定业余俱乐部橄榄球运动中受伤的风险因素。

设计

前瞻性队列设计;对 2004 赛季进行随访。

地点

新西兰业余俱乐部橄榄球。

参与者

704 名男性橄榄球运动员,年龄 13 岁及以上。

风险因素评估

研究调查了年龄、种族、橄榄球经验、身高、体重、体重指数、身体活动、吸烟、既往损伤、带伤比赛、级别、位置、训练、赛季时间、热身、犯规行为、天气条件、地面条件和防护装备对损伤发生率的独立影响。使用广义泊松回归在调整所有其他因素后估计每个因素的作用。

主要结果测量

比赛损伤,定义为“任何导致需要医疗注意的事件或导致球员至少错过一场预定比赛或团队练习的事件”。

结果

704 名球员(代表 6263 名球员-比赛)提供了损伤和暴露情况的信息。研究结果表明,年龄增长、太平洋岛民与毛利人种族(损伤率比(IRR)=1.48,1.03-2.13)、每周剧烈体力活动≥40 小时(IRR=1.54,1.11-2.15)、带伤比赛(IRR=1.46,1.20-1.79)、地面非常坚硬(IRR=1.50,1.13-2.00)、犯规行为(IRR=1.87,1.54-2.27)和使用头盔(IRR=1.23,1.00-1.50)与损伤发生率相关。

结论

预防损伤的机会可能包括更积极地在太平洋岛民运动员中推广损伤预防措施,确保受伤运动员在重返比赛前完全康复,通过地面准备减少地面硬度的影响,并更严格地执行与犯规行为有关的法律。

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