Brown J C, Verhagen E, Knol D, Van Mechelen W, Lambert M I
Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Scand J Med Sci Sports. 2016 Feb;26(2):221-5. doi: 10.1111/sms.12414. Epub 2015 Jan 31.
Rugby Union ("rugby") participants have a higher than average risk of injury compared with participants of other popular team sports. BokSmart, a nationwide injury prevention program was launched in South Africa in mid-2009, with the goal of reducing catastrophic head/neck (serious) injuries in players. The program provides injury prevention information to coaches and referees. This study investigated if BokSmart has been associated with a reduction in these injuries. The BokSmart program collected data on all South African rugby-related serious injuries since 2008. Using a Poisson regression, injury numbers were compared pre-BokSmart (2008-2009) to the years post-implementation (2010-2013). Player numbers were assumed to be constant throughout this evaluation: junior = 529,483; senior = 121,663. In junior players, the "post-BokSmart" period had 2.5 less annual serious injuries than "pre-BokSmart" (incidence rate ratio: 0.6, 95% confidence interval: 0.5-0.7, P < 0.000). In contrast, there was no significant difference in these periods in seniors. The absence of effect in seniors may be a result of fewer players or of differences in effectiveness of BokSmart in this group--future studies should investigate these questions.
与其他流行的团队运动参与者相比，英式橄榄球联盟（“橄榄球”）参与者受伤风险高于平均水平。2009年年中，南非启动了一项全国性的预防受伤计划BokSmart，目标是减少球员头部/颈部灾难性（严重）受伤情况。该计划向教练和裁判提供预防受伤信息。本研究调查了BokSmart是否与这些受伤情况的减少有关。BokSmart计划收集了自2008年以来所有与南非橄榄球相关的严重受伤数据。使用泊松回归分析，将BokSmart实施前（2008 - 2009年）与实施后几年（2010 - 2013年）的受伤人数进行比较。在整个评估过程中，假定球员人数保持不变：青少年组 = 529,483人；成年组 = 121,663人。在青少年球员中，“BokSmart实施后”期间每年的严重受伤人数比“BokSmart实施前”少2.5起（发病率比：0.6，95%置信区间：0.5 - 0.7，P < 0.000）。相比之下，成年组在这两个时期没有显著差异。成年组没有效果可能是由于球员较少，或者是BokSmart在该组中的效果存在差异——未来的研究应该调查这些问题。
