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易发性对职业足球运动员损伤发生率的影响:多中心队列研究。

The effect of hypermobility on the incidence of injury in professional football: A multi-site cohort study.

机构信息

Liverpool Football Club, Liverpool, UK; Faculty of Health and Social Sciences, Leeds Beckett University, Leeds, UK.

Liverpool Football Club, Liverpool, UK.

出版信息

Phys Ther Sport. 2016 Sep;21:7-13. doi: 10.1016/j.ptsp.2015.12.006. Epub 2015 Dec 30.

DOI:10.1016/j.ptsp.2015.12.006
PMID:27428527
Abstract

BACKGROUND

A recent study demonstrated joint hypermobility increased the incidence of injury in an elite football team utilising a univariate statistical model.

OBJECTIVES

To compare injury incidence between hypermobile and non-hypermobile elite football players incorporating a multi-site design and multivariate inferential statistics.

METHODS

80 players comprising 3 English Championship football teams were followed prospectively during the 2012-2013 season. Joint hypermobility was assessed according to the 9-point Beighton Criteria at the start of the study period. A cut-off score of ≥4 categorised a participant as hypermobile. Player exposure and time-loss injuries were recorded throughout.

RESULTS

Mean ± standard deviation incidence of injuries was 9.2 ± 10.8 injuries/1000 h. The prevalence of hypermobility was 8.8%. Hypermobiles had a tendency for higher injury incidence (mean [95% confidence interval] difference, 5.2 [0.9-2.7] injuries/1000 h; p = 0.06). Cox regression analyses found training exposure to be highly significant in terms of injury risk (p < 0.001) for all participants. Non-hypermobiles had a lower injury risk (p = 0.11), according to the Cox model, which is suggestive but not conclusive that hypermobility predisposes injury risk.

CONCLUSIONS

Hypermobility showed a trend towards increased risk of injury. Training exposure is a significant injury risk factor in elite football.

摘要

背景

最近的一项研究表明,在使用单变量统计模型的情况下,关节过度活动会增加精英足球队受伤的发生率。

目的

通过多部位设计和多元推理统计,比较过度活动和非过度活动的精英足球运动员的受伤发生率。

方法

80 名球员组成了 3 支英格兰冠军球队,在 2012-2013 赛季期间进行了前瞻性随访。在研究开始时,根据 9 点 Beighton 标准评估关节过度活动。得分≥4 分的参与者被归类为过度活动者。记录了球员的暴露和失能性损伤情况。

结果

平均[±]标准差的损伤发生率为 9.2[±]10.8 损伤/1000 小时。过度活动的患病率为 8.8%。过度活动者的损伤发生率有升高的趋势(平均[95%置信区间]差异,5.2[0.9-2.7]损伤/1000 小时;p=0.06)。Cox 回归分析发现,对于所有参与者,训练暴露是受伤风险的高度显著因素(p<0.001)。根据 Cox 模型,非过度活动者的受伤风险较低(p=0.11),这表明过度活动可能增加受伤风险,但并非结论性证据。

结论

过度活动显示出受伤风险增加的趋势。训练暴露是精英足球中一个重要的受伤风险因素。

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