Kaplan Yonatan, Myklebust Grethe, Nyska Meir, Palmanovich Ezequiel, Victor Jan, Witvrouw Erik
Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium,
Knee Surg Sports Traumatol Arthrosc. 2014 Jan;22(1):26-32. doi: 10.1007/s00167-012-2335-5. Epub 2012 Dec 19.
American flag football is a non-tackle, contact sport with many moderate to severe contact-type injuries reported. A previous prospective injury surveillance study by the authors revealed a high incidence of injuries to the fingers, face, knee, shoulder and ankle. The objectives of the study were to conduct a pilot-prospective injury prevention study in an attempt to significantly reduce the incidence and the severity of injuries as compared to a historical cohort, as well as to provide recommendations for a future prospective injury prevention study.
A prospective injury prevention study was conducted involving 724 amateur male (mean age: 20.0 ± 3.1 years) and 114 female (mean age: 21.2 ± 7.2 years) players. Four prevention measures were implemented: the no-pocket rule, self-fitting mouth guards, ankle braces (for those players with recurrent ankle sprains) and an injury treatment information brochure. An injury surveillance questionnaire was administered to record all time-loss injuries sustained in game sessions.
There was a statistically significant reduction in the number of injured players, the number of finger/hand injuries, the incidence rate and the incidence proportion between the two cohorts (p < 0.05).
This one-season pilot prevention study has provided preliminary evidence that finger/hand injuries can be significantly reduced in flag football. Prevention strategies for a longer, prospective, randomised-controlled injury prevention study should include the strict enforcement of the no-pocket rule, appropriate head gear, the use of comfortable-fitting ankle braces and mouth guards, and changing the blocking rules of the game.
美式旗帜橄榄球是一项无擒抱的接触性运动，据报道有许多中度至重度的接触型损伤。作者之前的一项前瞻性损伤监测研究显示，手指、面部、膝盖、肩部和脚踝受伤的发生率很高。本研究的目的是开展一项前瞻性损伤预防试点研究，试图与历史队列相比，显著降低损伤的发生率和严重程度，并为未来的前瞻性损伤预防研究提供建议。
开展了一项前瞻性损伤预防研究，涉及724名男性业余球员（平均年龄：20.0±3.1岁）和114名女性业余球员（平均年龄：21.2±7.2岁）。实施了四项预防措施：无口袋规则、自行适配的护齿、脚踝护具（针对那些反复脚踝扭伤的球员）以及一份损伤治疗信息手册。发放了一份损伤监测问卷，以记录在比赛期间发生的所有导致停赛的损伤。
两个队列之间，受伤球员数量、手指/手部损伤数量、发生率和发病比例均有统计学意义的显著降低（p<0.05）。
这项为期一个赛季的预防试点研究提供了初步证据，表明在旗帜橄榄球运动中手指/手部损伤可显著减少。对于一项更长期的前瞻性随机对照损伤预防研究，预防策略应包括严格执行无口袋规则、使用合适的头部装备、使用舒适适配的脚踝护具和护齿，以及改变比赛的阻挡规则。
