2013 - 2014至2014 - 2015年美国大学生体育协会男女排球运动损伤的描述性流行病学
Descriptive Epidemiology of Injuries Sustained in National Collegiate Athletic Association Men's and Women's Volleyball, 2013-2014 to 2014-2015.
作者信息
Baugh Christine M, Weintraub Gil S, Gregory Andrew J, Djoko Aristarque, Dompier Thomas P, Kerr Zachary Y
机构信息
Interfaculty Initiative in Health Policy, Harvard University, Cambridge, Massachusetts.
Harvard Medical School, Boston, Massachusetts.
出版信息
Sports Health. 2018 Jan/Feb;10(1):60-69. doi: 10.1177/1941738117733685. Epub 2017 Oct 6.
BACKGROUND
There were 18,844 volleyball players in the National Collegiate Athletic Association (NCAA) in the 2014-2015 academic year. Little research has examined sex-based differences among these athletes.
PURPOSE
To examine injury epidemiology in NCAA men's and women's volleyball athletes.
STUDY DESIGN
Descriptive epidemiology study.
LEVEL OF EVIDENCE
Level 3.
METHODS
Injury surveillance data from the 2013-2014 through 2014-2015 academic years were obtained from the NCAA Injury Surveillance Program for 6 men's and 33 women's collegiate volleyball teams. Injury rates per 1000 athlete-exposures (AEs) and injury rate ratios (IRRs) with 95% CIs were calculated. Time-loss (TL) injuries resulted in participation restriction for at least 24 hours, and non-time-loss (NTL) injuries resulted in participation restriction of less than 24 hours.
RESULTS
Overall, 83 and 510 injuries were reported in men and women, respectively, leading to injury rates of 4.69 and 7.07 per 1000 AEs. The injury rate was greater in women than men (IRR, 1.51; 95% CI, 1.19-1.90). TL injury rates were 1.75 and 2.62 per 1000 AEs for men and women, respectively. The ankle was the most commonly injured body part among TL injuries (men, 25.8%; women, 24.3%); the knee was the most commonly injured body part among NTL injuries (men, 25.5%; women, 16.3%). Among TL injuries, common diagnoses included sprains (men, 25.8%; women, 31.2%) and concussions (men, 19.4%; women, 14.8%). Most TL concussions were due to ball contact (men, 83.3%; women, 53.6%). Compared with men, women had a greater NTL overuse injury rate (IRR, 3.47; 95% CI, 1.61-7.46). Compared with women, men had a greater TL injury rate associated with ball contact (IRR, 2.24; 95% CI, 1.07-4.68).
CONCLUSION
There are differences in injury patterns and rates between male and female intercollegiate volleyball players. Although a limited-contact sport, a notable number of concussions were sustained, mostly from ball contact.
CLINICAL RELEVANCE
Understanding injury patterns may aid clinicians in injury diagnosis, management, and prevention.
背景
在2014 - 2015学年，美国国家大学体育协会（NCAA）中有18844名排球运动员。很少有研究考察这些运动员之间基于性别的差异。
目的
研究NCAA男子和女子排球运动员的损伤流行病学。
研究设计
描述性流行病学研究。
证据水平
3级。
方法
从NCAA损伤监测项目中获取了2013 - 2014学年至2014 - 2015学年6支男子和33支女子大学排球队的损伤监测数据。计算了每1000运动员暴露次数（AE）的损伤率以及95%置信区间的损伤率比（IRR）。失能（TL）损伤导致至少24小时的参赛限制，非失能（NTL）损伤导致少于24小时的参赛限制。
结果
总体而言，男子和女子分别报告了83例和510例损伤，导致每1000 AE的损伤率分别为4.69和7.07。女子的损伤率高于男子（IRR，1.51；95% CI，1.19 - 1.90）。男子和女子每1000 AE的TL损伤率分别为1.75和2.62。在TL损伤中，脚踝是最常受伤的身体部位（男子，25.8%；女子，24.3%）；在NTL损伤中，膝盖是最常受伤的身体部位（男子，25.5%；女子；16.3%）。在TL损伤中，常见诊断包括扭伤（男子，25.8%；女子，31.2%）和脑震荡（男子，19.4%；女子，14.8%）。大多数TL脑震荡是由于球接触所致（男子，83.3%；女子，53.6%）。与男子相比，女子的NTL过度使用损伤率更高（IRR，3.47；95% CI，1.61 - 7.46）。与女子相比，男子与球接触相关的TL损伤率更高（IRR，2.24；95% CI，1.07 - 4.68）。
结论
男女大学生排球运动员在损伤模式和发生率上存在差异。尽管排球是一项接触有限的运动，但仍有相当数量的脑震荡发生，大多是由球接触导致的。
临床意义
了解损伤模式可能有助于临床医生进行损伤诊断、管理和预防。
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