大学生运动员脑震荡与下肢损伤之间的关联
Association Between Concussion and Lower Extremity Injuries in Collegiate Athletes.
作者信息
Gilbert Frances C, Burdette G Trey, Joyner A Barry, Llewellyn Tracy A, Buckley Thomas A
机构信息
Department of Intercollegiate Athletics, University of North Georgia, Dahlonega, Georgia.
School of Health and Kinesiology, Georgia Southern University, Statesboro, Georgia.
出版信息
Sports Health. 2016 Nov/Dec;8(6):561-567. doi: 10.1177/1941738116666509. Epub 2016 Sep 20.
BACKGROUND
Concussions have been associated with elevated musculoskeletal injury risk; however, the influence of unreported and unrecognized concussions has not been investigated.
HYPOTHESIS
The purpose of this study was to examine the association between concussion and lower extremity musculoskeletal injury rates across a diverse array of sports among collegiate student-athletes at the conclusion of their athletic career. The hypothesis was that there will be a positive association between athletes who reported a history of concussions and higher rates of lower extremity injuries.
STUDY DESIGN
Cross-sectional study.
LEVEL OF EVIDENCE
Level 3.
METHODS
Student-athletes (N = 335; 62.1% women; mean age, 21.2 ± 1.4 years) from 13 sports completed a reliable injury history questionnaire. Respondents indicated the total number of reported, unreported, and potentially unrecognized concussions as well as lower extremity injuries including ankle sprains, knee injuries, and muscle strains. Chi-square analyses were performed to identify the association between concussion and lower extremity injuries.
RESULTS
There were significant associations between concussion and lateral ankle sprain ( P = 0.012), knee injury ( P = 0.002), and lower extremity muscle strain ( P = 0.031). There were also significant associations between reported concussions and knee injury ( P = 0.003), unreported concussions and knee injury ( P = 0.002), and unrecognized concussions and lateral ankle sprain ( P = 0.001) and lower extremity muscle strains ( P = 0.006), with odds ratios ranging from 1.6 to 2.9.
CONCLUSION
There was a positive association between concussion history and lower extremity injuries (odds ratios, 1.6-2.9 elevated risk) among student-athletes at the conclusion of their intercollegiate athletic careers.
CLINICAL RELEVANCE
Clinicians should be aware of these elevated risks when making return-to-participation decisions and should incorporate injury prevention protocols.
背景
脑震荡与肌肉骨骼损伤风险升高有关；然而，未报告和未识别的脑震荡的影响尚未得到研究。
假设
本研究的目的是在大学生运动员运动生涯结束时，研究脑震荡与不同运动项目中下肢肌肉骨骼损伤发生率之间的关联。假设是，报告有脑震荡病史的运动员与下肢损伤发生率较高之间存在正相关。
研究设计
横断面研究。
证据水平
3级。
方法
来自13个运动项目的学生运动员（N = 335；62.1%为女性；平均年龄21.2±1.4岁）完成了一份可靠的损伤史问卷。受访者指出报告的、未报告的和可能未识别的脑震荡总数以及下肢损伤，包括脚踝扭伤、膝盖损伤和肌肉拉伤。进行卡方分析以确定脑震荡与下肢损伤之间的关联。
结果
脑震荡与外侧脚踝扭伤（P = 0.012）、膝盖损伤（P = 0.002）和下肢肌肉拉伤（P = 0.031）之间存在显著关联。报告的脑震荡与膝盖损伤（P = 0.003）、未报告脑震荡与膝盖损伤（P = 0.002）、未识别脑震荡与外侧脚踝扭伤（P = ）和下肢肌肉拉伤（P = 0.006）之间也存在显著关联，比值比在1.6至2.9之间。
结论
在大学生运动员校际运动生涯结束时，脑震荡病史与下肢损伤之间存在正相关（比值比，风险升高1.6 - 2.9）。
临床意义
临床医生在做出恢复参赛决定时应意识到这些升高的风险，并应纳入损伤预防方案。
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