Williams Sean, Trewartha Grant, Kemp Simon, Cross Matthew J, Brooks John H M, Fuller Colin W, Taylor Aileen E, Stokes Keith A
Department for Health, University of Bath, Bath, United Kingdom of Great Britain and Northern Ireland.
Health, Bath, University of Bath, United Kingdom of Great Britain and Northern Ireland.
Int J Sports Med. 2017 Sep;38(10):791-798. doi: 10.1055/s-0043-114862. Epub 2017 Jul 31.
An eight-season (2005/06-2012/13) prospective cohort design was used to record time-loss injuries in 15 English Premiership teams. Data pertaining to a total of 1 556 players and 9 597 injuries (8 180 subsequent) were included in the analysis. Injuries subsequent to an index injury were classified as (1) New: different site; (2) Local: same site (and different type); or (3) Recurrent: same site and type. The severity of subsequent injuries (days missed) was compared with their related index injury. The proportions of early (<2 months), late (2-12 months) and delayed (>12 months) subsequent injuries were compared across injury classifications and diagnosis groupings. The majority of subsequent injuries (70%) were classified as new injuries, with 14% local and 16% recurrent. A large proportion of recurrent subsequent injuries (42%) occurred within two months of return-to-play. Subsequent injuries were not more severe than their corresponding index injury (effect sizes <0.20). Specific local and recurrent subsequent injury diagnoses with the highest risk of occurring within two months of return-to-play were: 'neck muscle strain', 'ankle joint capsule sprain', and 'cervical nerve root' injuries. These findings may be used to drive targeted secondary prevention efforts, such as reconsideration of return-to-play protocols for neck muscle strain injuries.
采用八赛季（2005/06 - 2012/13）前瞻性队列设计，记录15支英超球队的时间损失性损伤情况。分析纳入了总共1556名球员和9597例损伤（其中8180例为后续损伤）的数据。索引损伤后的后续损伤分为：（1）新发：不同部位；（2）局部：相同部位（且不同类型）；或（3）复发：相同部位和类型。将后续损伤的严重程度（缺勤天数）与其相关的索引损伤进行比较。比较了不同损伤分类和诊断分组中早期（<2个月）、晚期（2 - 12个月）和延迟（>12个月）后续损伤的比例。大多数后续损伤（70%）被分类为新发损伤，14%为局部损伤，16%为复发损伤。很大一部分复发的后续损伤（42%）发生在重返赛场后的两个月内。后续损伤并不比其相应的索引损伤更严重（效应量<0.20）。在重返赛场后两个月内发生风险最高的特定局部和复发后续损伤诊断为：“颈部肌肉拉伤”、“踝关节囊扭伤”和“颈神经根”损伤。这些发现可用于推动有针对性的二级预防工作，例如重新考虑颈部肌肉拉伤损伤的重返赛场方案。
