Newcastle University, Newcastle upon Tyne, UK.
Newcastle University, Newcastle upon Tyne, UK. ; The English Football Association at Wembley Stadium, North London, UK.
Orthop J Sports Med. 2014 Apr 17;2(4):2325967114529703. doi: 10.1177/2325967114529703. eCollection 2014 Apr.
There are little published data on factors relating to low back pain in the younger athletic population.
Independent predictors of recovery and return to participation in sports could be determined by event analysis, which investigates the impacts of covariates, including age, position, and injury type, on the risk of delayed recovery after injury.
Descriptive epidemiology study.
This study examined 41 English Premiership soccer academy squads consisting of 12,306 player seasons for the incidence of lower back injury, injury severity, and investigated time to recovery in relation to potential risk factors. Injury risk was assessed for different times in a match and season, mechanism of injury, player position, player age, and competitive compared with noncompetitive play.
A total of 310 (3.0% of all injuries sustained in the population) lumbar spine injuries were recorded. Overall, 10,265 training days (median, 14 days; interquartile range, 8-30 days) were lost. The risk of injury increased as the first half progressed and was maintained throughout the second half with a contact mechanism and with increasing age. Neither competitive play compared with noncompetitive play nor player position had an effect on injury incidence. Prognostic factors for poor recovery were bony injuries and increasing age.
These findings indicate that prolonged absence from training after a back injury is seen, especially in bony injuries and in older adolescents. It is suggested that there should be a low threshold for investigation of adolescent patients with back pain in the hope of early appropriate management of more severe diagnoses.
关于年轻运动员群体中与下腰痛相关的因素，发表的数据很少。
通过事件分析可以确定与恢复和重返运动相关的独立预测因素，该分析研究了包括年龄、位置和损伤类型等协变量对受伤后恢复延迟风险的影响。
描述性流行病学研究。
本研究调查了 41 个英格兰超级足球学院的 12306 名球员赛季中发生的下腰痛的发病率、损伤严重程度，并研究了与潜在危险因素相关的恢复时间。根据比赛和赛季中的不同时间、损伤机制、球员位置、球员年龄以及竞技与非竞技比赛来评估损伤风险。
共记录了 310 例（人群中所有损伤的 3.0%）腰椎损伤。总体而言，损失了 10265 个训练日（中位数为 14 天；四分位距为 8-30 天）。随着比赛上半场的进行，损伤风险增加，并在下半场持续保持，接触机制和年龄的增加也会导致损伤风险增加。与非竞技比赛相比，竞技比赛或球员位置均不会影响损伤发生率。预后不良的恢复的预测因素是骨损伤和年龄增加。
这些发现表明，尤其是在骨损伤和青少年中，受伤后从训练中长时间缺席的情况很常见。建议对腰痛的青少年患者进行调查，阈值应较低，以早期对更严重的诊断进行适当管理。
