Gray Shannon E, Finch Caroline F
Monash Injury Research Institute, Monash University, 21 Alliance Lane, Clayton, 3800, Australia.
Australian Centre for Research into Injury in Sports and its Prevention, Federation University Australia, Lydiard Street Sth, Ballarat, 3350, Australia.
Inj Epidemiol. 2015 Dec;2(1):6. doi: 10.1186/s40621-015-0037-4. Epub 2015 Apr 14.
Fitness facilities provide an avenue to engage in physical activity, which is widely encouraged to improve health. However, there is risk of injury. This study aimed to identify the specific causes of injuries sustained at fitness facilities and the activity being participated in, to aid in the development of injury prevention strategies.
Analysis of routinely collected emergency department case-series data were obtained from July 1999 to June 2013. Fitness activity-related injury cases were identified from narratives of injury events, with narrative information recoded into cause of injury and activity at time of injury categories. Recoded data were then analysed.
Overall, 2,873 cases were identified that specified the exact cause of injury associated with injuries that occurred at fitness facilities. Injuries due to overexertion were most common overall (36.2% of all cases), as well as the main cause of injuries related to general free weight activities (52.6% of this activity) and group exercise classes (35.9%). Crush injuries due to falling weights were common for all free weight activities. Falls and awkward landings were common causes of injuries during group exercise classes (28.5% and 25.8%, respectively). Trips and falls were common throughout facilities, as well as from cardiovascular equipment more specifically.
Detailed information on the causes of injuries allows the development of injury prevention strategies for fitness facilities and fitness activities. Facilities should implement risk management strategies to reduce the risk of injuries in their clientele, based on the identified major causes of injury in this study.
健身设施为人们提供了进行体育活动的途径，而体育活动受到广泛鼓励以促进健康。然而，存在受伤风险。本研究旨在确定在健身设施中受伤的具体原因以及当时正在参与的活动，以协助制定 injury prevention strategies。
对1999年7月至2013年6月期间常规收集的急诊科病例系列数据进行分析。从受伤事件的叙述中识别与健身活动相关的损伤病例，并将叙述信息重新编码为受伤原因和受伤时的活动类别。然后对重新编码的数据进行分析。
总体而言，共识别出2873例明确说明了与健身设施中发生的损伤相关的确切受伤原因的病例。总体上，过度劳累导致的损伤最为常见（占所有病例的36.2%），也是与一般自由重量活动相关损伤的主要原因（占该活动损伤的52.6%）以及团体健身课程相关损伤的主要原因（占35.9%）。重物掉落导致的挤压伤在所有自由重量活动中都很常见。摔倒和笨拙着陆是团体健身课程期间受伤的常见原因（分别占28.5%和25.8%）。绊倒和摔倒在整个设施中都很常见，在心血管设备处更具体地说也很常见。
关于受伤原因的详细信息有助于为健身设施和健身活动制定 injury prevention strategies。基于本研究中确定的主要受伤原因，设施应实施风险管理策略以降低其客户受伤的风险。
