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橄榄球联盟中的上肢损伤:一项队列研究的结果。

Upper limb injury in rugby union football: results of a cohort study.

机构信息

Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia.

出版信息

Br J Sports Med. 2013 Apr;47(6):374-9. doi: 10.1136/bjsports-2012-091224. Epub 2012 Aug 17.

DOI:10.1136/bjsports-2012-091224
PMID:22904294
Abstract

BACKGROUND

There have been few in-depth studies of upper limb injury epidemiology in rugby union football, despite reports that they accounted for between 14% and 28% of all rugby injuries.

OBJECTIVE

To report on upper limb injury incidence, injury severity and to identify the risk factors associated with upper limb injuries, for example, level of play, season (years) and playing position.

DESIGN

Prospective cohort study across five rugby seasons from 2004 to 2008.

SETTING

Formal rugby competitions-suburban, provincial and international.

PARTICIPANTS

1475 adult male rugby players in Colts, Grade and Elite competitions.

MAIN OUTCOME MEASUREMENTS

An upper limb injury resulting in a missed game and its characteristics.

RESULTS

A total of 61 598 athletic exposures (AE) and 606 upper limb injuries were recorded. About 66% of the injuries were to the shoulder. The overall upper limb injury incidence rate (IIR) was 9.84 injuries/1000 AE (95% CI 9.06 to 10.62). Statistically significant associations were found between upper limb injuries and level of play; and between shoulder injuries and playing position (p<0.05). No association was found between upper limb and shoulder injuries and study year. The overall upper limb IIR decreased as the level of play increased; 10.74 upper limb injuries/1000 AE (95% CI 9.93 to 11.56) in Colts to 6.07 upper limb injuries/1000 AE (95% CI 5.46 to 6.69) in Elite.

CONCLUSIONS

The upper limb IIR decreased as the level of play increased indicating that age, level of skill and playing experience may be risk factors for upper limb injury.

摘要

背景

尽管有报道称上肢损伤占橄榄球联盟足球所有损伤的 14%至 28%,但关于上肢损伤的深入研究却很少。

目的

报告上肢损伤的发生率、损伤严重程度,并确定与上肢损伤相关的风险因素,例如比赛级别、赛季(年)和比赛位置。

设计

2004 年至 2008 年五个橄榄球赛季的前瞻性队列研究。

设置

正规橄榄球比赛-郊区、省级和国际。

参与者

2004 年至 2008 年五个橄榄球赛季的 1475 名成年男性橄榄球运动员,包括科尔特斯、年级和精英组。

主要观察指标

因上肢损伤而错过比赛的情况及其特征。

结果

共记录了 61598 次体育活动暴露(AE)和 606 例上肢损伤。约 66%的损伤发生在肩部。上肢总体损伤发生率(IIR)为 9.84 例/1000AE(95%CI 9.06-10.62)。在不同比赛级别和不同肩伤部位之间,上肢损伤与比赛级别之间存在统计学显著关联(p<0.05)。研究年份与上肢和肩部损伤之间无关联。随着比赛级别升高,上肢总体 IIR 下降;科尔特斯组为 10.74 例/1000AE(95%CI 9.93-11.56),精英组为 6.07 例/1000AE(95%CI 5.46-6.69)。

结论

随着比赛级别的升高,上肢 IIR 下降,表明年龄、技能水平和比赛经验可能是上肢损伤的风险因素。

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