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男女高中足球运动员大腿肌肉拉伤发生率及损伤模式的比较

Comparison of Thigh Muscle Strain Occurrence and Injury Patterns Between Male and Female High School Soccer Athletes.

作者信息

Cross Kevin M, Gurka Kelly K, Saliba Susan, Conaway Mark, Hertel Jay

出版信息

J Sport Rehabil. 2018 Sep 1;27(5):451-459. doi: 10.1123/jsr.2016-0178. Epub 2018 Aug 11.

Abstract

CONTEXT

Thigh muscle strains are among the most common injuries in high school soccer for both males and females. Similar results have been reported among college soccer players, specifically for hamstring strains. In college soccer, males have a higher injury rate than women, although they share common injury characteristics. Currently, no studies exist comparing the injury rate or injury characteristics of thigh muscle strains between sexes playing high school soccer.

OBJECTIVE

To compare thigh muscle strain injury rates and injury event characteristics among sexes participating in high school soccer.

DESIGN

Descriptive epidemiology study.

SETTING

A total of 100 nationally representative high schools that participated in the High School Sports-Related Injury Surveillance System, Reporting Information Online.

PARTICIPANTS

High school soccer athletes who had a thigh muscle strain.

MAIN OUTCOME MEASURES

Injury rates of thigh muscle strains were calculated between sexes. The occurrence of the following variables during a thigh muscle injury was compared between sexes: grade level, age, level of play, event type, time of practice, time of competition, basic injury mechanism, soccer activity, player position, field location, practice type, and time of season.

RESULTS

Males had a lower injury rate of thigh muscle strains during competition than females (rate ratio = 0.66; 95% confidence interval, 0.47-0.93). No differences between sexes existed in the distribution of first-time or recurrent event characteristics. When combining sexes, recurrent strains (93%) occurred more frequently on the offensive side of the field than first-time strains (59%), P < .001. The majority of strains occurred among the varsity players (71%), during running activities (60%) and practices (58%).

CONCLUSIONS

Males were less likely to sustain a thigh muscle strain during competitions, but no other differences existed between sexes. The events surrounding all thigh muscle strains may be described with some common properties. Consideration of these characteristics may assist in the development of preventive and rehabilitative programs as well as direct future research on thigh muscle strains among high school soccer players.

摘要

背景

大腿肌肉拉伤是高中男女足球运动员中最常见的伤病之一。在大学足球运动员中也有类似的结果报道,尤其是腘绳肌拉伤。在大学足球中,男性的受伤率高于女性,尽管他们有共同的受伤特征。目前,尚无研究比较高中男女足球运动员大腿肌肉拉伤的受伤率或受伤特征。

目的

比较参加高中足球的男女之间大腿肌肉拉伤的受伤率和受伤事件特征。

设计

描述性流行病学研究。

地点

总共100所具有全国代表性的高中,这些学校参与了高中体育相关伤害监测系统,即在线报告信息系统。

参与者

有大腿肌肉拉伤的高中足球运动员。

主要观察指标

计算男女之间大腿肌肉拉伤的受伤率。比较男女在大腿肌肉受伤期间以下变量的发生情况:年级、年龄、比赛水平、事件类型、训练时间、比赛时间、基本受伤机制、足球活动、球员位置、场地位置、训练类型和赛季时间。

结果

男性在比赛期间大腿肌肉拉伤的受伤率低于女性(率比=0.66;95%置信区间,0.47-0.93)。首次或复发性事件特征的分布在男女之间没有差异。当合并男女数据时,复发性拉伤(93%)在球场进攻侧的发生频率高于首次拉伤(59%),P<0.001。大多数拉伤发生在大学代表队球员中(71%),在跑步活动期间(60%)和训练期间(58%)。

结论

男性在比赛期间发生大腿肌肉拉伤的可能性较小,但男女之间不存在其他差异。所有大腿肌肉拉伤周围的事件可能具有一些共同特征。考虑这些特征可能有助于制定预防和康复计划,并指导未来对高中足球运动员大腿肌肉拉伤的研究。

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