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老年足球运动员腹股沟损伤的流行病学:前瞻性研究的系统评价。

The epidemiology of groin injury in senior football: a systematic review of prospective studies.

机构信息

Division of Community Medicine, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden Football Research Group, Linköping, Sweden.

Football Research Group, Linköping, Sweden Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.

出版信息

Br J Sports Med. 2015 Jun;49(12):792-7. doi: 10.1136/bjsports-2015-094705. Epub 2015 Apr 1.

DOI:10.1136/bjsports-2015-094705
PMID:25833901
Abstract

BACKGROUND

Groin injuries are troublesome in men's and women's football.

AIM

To review the literature on the epidemiology of groin injury in senior football and compare injury occurrence between sexes.

METHODS

Studies were identified through a search of PubMed, EMBASE, CINAHL and Web of Science, in the reference lists of the selected articles and the authors' bibliographies. The number of injuries, percentage of groin injury from all injuries and rate of groin injury per 1000 h were extracted. Exposure and injury data were aggregated across included studies and the absolute differences in groin injury proportion and rate of groin injury were compared between sexes. Risk of bias was assessed using a 5-item checklist.

RESULTS

34 articles met the study criteria and were included. The proportion of groin injury in club-seasonal football was 4-19% in men and 2-14% in women. Aggregated data analysis (29 studies) showed a higher relative proportion of groin injury in men than in women (12.8% vs 6.9%, absolute difference 5.9%, 95% CI 4.6% to 7.1%). The rate of groin injury varied from 0.2 to 2.1/1000 h in men and 0.1 to 0.6/1000 h in women's club football, and aggregated analysis (23 studies) showed a more than two-fold higher rate in men (0.83/1000 h vs 0.35/1000 h, rate ratio 2.4, 95% CI 2.0 to 2.9). High risk of bias was identified for participant selection (18 studies), exposure (17 studies) and precision estimate (16 studies).

CONCLUSIONS

Groin injuries are frequent in senior football and are more common in men than women. Future research needs to be of higher quality.

摘要

背景

腹股沟损伤在男子和女子足球中较为常见。

目的

综述高级别足球中腹股沟损伤的流行病学,并比较男女损伤发生情况。

方法

通过检索 PubMed、EMBASE、CINAHL 和 Web of Science,以及对入选文献的参考文献和作者参考文献进行检索,确定研究。提取损伤例数、腹股沟损伤占所有损伤的百分比和每 1000 h 的腹股沟损伤率。汇总纳入研究的暴露和损伤数据,并比较男女间腹股沟损伤比例和腹股沟损伤率的绝对差异。采用 5 项检查表评估偏倚风险。

结果

34 篇文章符合研究标准并被纳入。在俱乐部赛季中,男性腹股沟损伤的比例为 4%-19%,女性为 2%-14%。汇总数据分析(29 项研究)显示,男性腹股沟损伤的相对比例高于女性(12.8%比 6.9%,绝对差异 5.9%,95%CI 4.6%至 7.1%)。男性俱乐部足球中腹股沟损伤的发生率为 0.2 至 2.1/1000 h,女性为 0.1 至 0.6/1000 h,汇总分析(23 项研究)显示,男性发生率高出两倍以上(0.83/1000 h 比 0.35/1000 h,发生率比 2.4,95%CI 2.0 至 2.9)。参与者选择(18 项研究)、暴露(17 项研究)和精度估计(16 项研究)的偏倚风险较高。

结论

腹股沟损伤在高级别足球中较为常见,且男性比女性更为常见。未来的研究需要更高质量。

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