马来西亚马术损伤的患病率、模式及相关因素：一项横断面研究。

Prevalence, patterns, and correlates of equestrian injuries in Malaysia: A cross-sectional study.

作者信息

Majeedkutty Nizar A, Khairulanuar Nor A B

机构信息

Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universiti Tunku Abdul Rahman, Selangor, Malaysia.

出版信息

J Family Community Med. 2017 Jan-Apr;24(1):18-22. doi: 10.4103/2230-8229.197177.

DOI:10.4103/2230-8229.197177

PMID:28163571

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5248429/

Abstract

BACKGROUND

Equestrian sport carries with it an implicit risk of injury. Despite the frequency of injuries in equestrian sports, there is no published study on injuries of equestrian athletes in Malaysia.

OBJECTIVE

The objective of this study was to determine the prevalence of injuries and its correlates among horseback riders.

SUBJECTS AND METHODS

A web-based standardized questionnaire was used to collect data for this cross-sectional survey. Horseback riders aged 18 years and above were included in the study. Out of 169 participants, 93 were females and 76 were males. The correlation of injuries to gender, age, level of experience, exercise habits, use of safety measures, and type of equestrian sport were determined. Chi-square test was performed to test for statistical significance.

RESULTS

The prevalence was high with 85.8% of the participants reporting symptoms and characteristics of injuries in the past 12 months. The most frequently perceived symptoms reported were in the upper extremities (43.4%) followed by lower extremities (40.7%), head injury (8.3%) and injuries of upper and lower back (3.4%). There was a higher prevalence of injury among female participants (55.03%) than males (42.60%). A significant correlation was found between gender and prevalence of injuries. About 70% of the riders sustained soft tissue injuries. Fifty-five percent of the injured were involved in recreational riding. The most common mechanism of injury was a fall from a horse. Sixty percent of the injured riders did not seek medical attention after being injured, and physiotherapy consultation was even lower with 10.3%.

CONCLUSIONS

The high prevalence of injuries and low rate of medical consultation emphasize the need for education programs on safety in Malaysia. Sessions should be held to improve coaching for riders and instructors, and their knowledge of the nature of the horse, mechanisms of injuries, horse handling, and riding skills to help them host safe equestrian activities.

摘要

背景

马术运动存在潜在的受伤风险。尽管马术运动中受伤情况频发，但马来西亚尚无关于马术运动员受伤情况的公开研究。

目的

本研究旨在确定马术骑手受伤的患病率及其相关因素。

对象与方法

本横断面调查采用基于网络的标准化问卷收集数据。研究纳入年龄在18岁及以上的马术骑手。169名参与者中，93名女性，76名男性。确定受伤情况与性别、年龄、经验水平、运动习惯、安全措施使用情况以及马术运动类型之间的相关性。进行卡方检验以检验统计学显著性。

结果

患病率较高，85.8%的参与者报告在过去12个月中有受伤症状和特征。最常出现的症状是上肢（43.4%），其次是下肢（40.7%）、头部受伤（8.3%）以及上背部和下背部受伤（3.4%）。女性参与者（55.03%）的受伤患病率高于男性（42.60%）。性别与受伤患病率之间存在显著相关性。约70%的骑手遭受软组织损伤。55%的受伤者参与休闲骑行。最常见的受伤机制是从马背上跌落。60%的受伤骑手受伤后未寻求医疗救治，寻求物理治疗咨询的比例更低，为10.3%。