Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway.
Br J Sports Med. 2013 May;47(8):495-502. doi: 10.1136/bjsports-2012-091524. Epub 2012 Oct 4.
Current methods for injury registration in sports injury epidemiology studies may substantially underestimate the true burden of overuse injuries due to a reliance on time-loss injury definitions.
To develop and validate a new method for the registration of overuse injuries in sports.
A new method, including a new overuse injury questionnaire, was developed and validated in a 13-week prospective study of injuries among 313 athletes from five different sports, cross-country skiing, floorball, handball, road cycling and volleyball. All athletes completed a questionnaire by email each week to register problems in the knee, lower back and shoulder. Standard injury registration methods were also used to record all time-loss injuries that occurred during the study period.
The new method recorded 419 overuse problems in the knee, lower back and shoulder during the 3-month-study period. Of these, 142 were classified as substantial overuse problems, defined as those leading to moderate or severe reductions in sports performance or participation, or time loss. Each week, an average of 39% of athletes reported having overuse problems and 13% reported having substantial problems. In contrast, standard methods of injury registration registered only 40 overuse injuries located in the same anatomical areas, the majority of which were of minimal or mild severity.
Standard injury surveillance methods only capture a small percentage of the overuse problems affecting the athletes, largely because few problems led to time loss from training or competition. The new method captured a more complete and nuanced picture of the burden of overuse injuries in this cohort.
由于依赖于失时损伤定义，当前用于运动损伤流行病学研究的损伤登记方法可能会大大低估过度使用损伤的真实负担。
开发和验证一种新的运动过度使用损伤登记方法。
在一项为期 13 周的、涉及来自越野滑雪、地板球、手球、公路自行车和排球五个不同运动项目的 313 名运动员的前瞻性损伤研究中，开发并验证了一种新方法，包括一个新的过度使用损伤问卷。所有运动员每周通过电子邮件完成一份问卷，以登记膝关节、下背部和肩部的问题。还使用标准损伤登记方法记录研究期间发生的所有失时损伤。
新方法在 3 个月的研究期间记录了膝关节、下背部和肩部的 419 个过度使用问题。其中，142 个被归类为严重过度使用问题，定义为那些导致运动表现或参与度中度或严重下降或失时的问题。每周，平均有 39%的运动员报告有过度使用问题，13%报告有严重问题。相比之下，标准的损伤登记方法仅登记了 40 个位于相同解剖区域的过度使用损伤，其中大多数为轻度或中度严重程度。
标准的损伤监测方法仅捕获了影响运动员的过度使用问题的一小部分，主要是因为很少有问题导致训练或比赛失时。新方法更全面、更细致地描绘了该队列中过度使用损伤的负担。
