Department of Sports Medicine, Royal Netherlands Lawn Tennis Association, Amersfoort, The Netherlands.
Amsterdam Collaboration on Health and Safety in Sport, Department of Public and Occupational Health & Amsterdam Movement Sciences, VU University Medical Center, Amersfoort, The Netherlands.
Br J Sports Med. 2018 May;52(9):611-615. doi: 10.1136/bjsports-2016-097050. Epub 2017 Feb 16.
The aim of this study was to determine whether there is a difference in the prevalence of tennis injuries between the four most common court surfaces in the Netherlands, including hard court, clay, sand-fill artificial grass and red-sand-fill artificial grass. Natural grass was not included in this study.
This was a repeated cross-sectional study over 6 months, involving members of the Royal Netherlands Lawn Tennis Association (KNLTB). A monthly questionnaire was sent to a random sample of 20 000 KNLTB members, stratified by their club's playing surface. The questionnaire included questions on court surface, tennis exposure and physical complaints, using the Oslo Sports Trauma Research Centre questionnaire on health problems.
A total of 3656 (18%) of the 20 000 invited members completed at least one of the monthly questionnaires [mean age 49 years (15)]. A total of 4047 injuries were reported by 1957 respondents. Of these injuries, 3246 (80%) were overuse and 801 (20%) were acute. There were no statistically significant differences in injury prevalence between groups who played primarily on any one of the four court surfaces. However, players who played on multiple surfaces had a higher injury prevalence, particularly of overuse injuries, than those who primarily played on one court surface. Compared with the other court surfaces, there was a higher prevalence of lower limb overuse injuries when playing on hard court.
There is no significant difference in the overall prevalence of injury on clay, hard court, sand-fill artificial grass and red-sand-fill artificial grass.
本研究旨在确定在荷兰最常见的四种场地表面（硬地、红土、沙填充人工草皮和红沙填充人工草皮）中，网球损伤的发生率是否存在差异。本研究不包括天然草皮。
这是一项为期 6 个月的重复横断面研究，涉及荷兰皇家网球协会（KNLTB）的成员。每月向 KNLTB 成员的随机样本发送一份问卷，该样本按其俱乐部的场地表面分层。问卷包括场地表面、网球暴露和身体投诉的问题，使用奥斯陆运动创伤研究中心的健康问题问卷。
在 20000 名受邀成员中，共有 3656 名（18%）成员完成了至少一份月度问卷[平均年龄 49 岁（15 岁）]。1957 名受访者共报告了 4047 起损伤。其中，3246 起（80%）为过度使用，801 起（20%）为急性损伤。在主要在四种场地表面中的任何一种上打球的人群中，损伤发生率没有统计学上的显著差异。然而，在多种场地上打球的运动员比主要在一种场地上打球的运动员受伤的发生率更高，尤其是过度使用损伤。与其他场地表面相比，在硬地球场上打球时下肢过度使用损伤的发生率更高。
在红土、硬地、沙填充人工草皮和红沙填充人工草皮上，总体损伤发生率没有显著差异。
