Rejeb Abdallah, Johnson Amanda, Vaeyens Roel, Horobeanu Cosmin, Farooq Abdulaziz, Witvrouw Erik
a Aspetar Orthopaedic and Sports Medicine Hospital , Doha , Qatar.
b Department of Physical Therapy and Motor Rehabilitation , University of Ghent , Ghent , Belgium.
Eur J Sport Sci. 2017 May;17(4):495-502. doi: 10.1080/17461391.2016.1275820. Epub 2017 Jan 18.
The present investigation was carried out to examine the incidence and pattern of injuries in adolescent multisport athletes from youth sports academy. Injury data were prospectively collected from 166 athletes during the seasons from 2009 to 2014. A total of 643 injuries were identified, 559 (87.0%) were time-loss injuries. The overall injury incidence was 5.5 (95% confidence interval CI: 5.1-6.0), the incidence of time-loss injuries was 4.8 (95% CI: 4.4-5.2), the incidence of growth conditions was 1.2 (95% CI: 1.0-1.4) and incidence of serious injuries was 0.6 (95% CI: 0.5-0.8) per 1000 h of exposure. The prevalence of overuse injuries was 50.3%. Growth conditions represented 20.0%. Most of the injuries (67.0%) involved the lower extremities, and both foot and ankle were the most predominant injured body parts (22.0%). Knee injuries were mostly from overuse (50 vs. 23, p = .02), whereas foot and ankle injuries resulted from an acute mechanism (94 vs. 31, p < .0001). Minor and moderate injuries accounted for 87.0%. Muscle, tendon and osteochondrosis injuries accounted for 52.0% of all injuries. Comparing groups, squash sport was having the highest injury incidence (8.5 injuries per athlete). Higher exposure was associated with greater overuse relative risk (RR = 1.03, 95% CI: 1.01-1.014, p < .001). In conclusion, the results of this study identified a high incidence of injuries in this youth sports population. Striking was the prevalence of overuse injuries of 50%, which suggests the need for injury prevention protocols for adolescent highly trained athletes.
本研究旨在调查青少年体育学院多项目青少年运动员的损伤发生率及损伤类型。于2009年至2014年赛季前瞻性收集了166名运动员的损伤数据。共识别出643例损伤，其中559例（87.0%）为导致停训的损伤。总体损伤发生率为5.5（95%置信区间CI：5.1 - 6.0），导致停训的损伤发生率为4.8（95%CI：4.4 - 5.2），生长发育相关状况的发生率为1.2（95%CI：1.0 - 1.4），严重损伤的发生率为每1000小时暴露0.6（95%CI：0.5 - 0.8）。过度使用损伤的患病率为50.3%。生长发育相关状况占20.0%。大多数损伤（67.0%）累及下肢，足部和踝关节是最主要的受伤身体部位（22.0%）。膝关节损伤大多由过度使用导致（50例对23例，p = 0.02），而足部和踝关节损伤多由急性机制引起（94例对31例，p < 0.0001）。轻度和中度损伤占87.0%。肌肉、肌腱和骨软骨损伤占所有损伤的52.0%。比较各项目组，壁球运动的损伤发生率最高（每位运动员8.5次损伤）。更高的暴露与更大的过度使用相对风险相关（RR = 1.03，95%CI：1.01 - 1.014，p < 0.001）。总之，本研究结果表明该青少年体育人群的损伤发生率较高。引人注目的是过度使用损伤的患病率达50%，这表明需要为青少年高水平运动员制定损伤预防方案。
