Department of Physiotherapy, Monash University, Melbourne, Victoria, Australia.
Sports Science and Medicine Department, Women's Tennis Association, St Petersburg, Florida, USA.
Br J Sports Med. 2018 Jun;52(11):723-729. doi: 10.1136/bjsports-2017-097865. Epub 2017 Oct 26.
The physical demands of professional tennis combined with high training/match loads can contribute to musculoskeletal injury. The objectives of this study were to (1) describe the type, location and severity of injuries sustained during a 12-month tennis season in a cohort of professional female tennis players on the Women's Tennis Association (WTA) tour and (2) prospectively investigate associations between training/match loads and injury.
52 WTA players competing at the Australian Open (2015) consented to participate. Injuries reported to WTA medical staff were classified using tennis-specific guidelines. Individual match exposure data were collected for all matches played at international level in 2015 and expressed per 1000 hours of WTA competition matchplay (MP) and 1000 match exposures (MEs). Variables associated with the number of injuries in the season and loss of time from competition were identified with regression analysis.
The injury incidence rate (IR) was 56.6 (95% CI: 49.5 to 64.6) per 1000 hours of MP or 62.7 (95% CI: 54.8 to 71.6) per 1000 MEs, although the IR of injuries resulting in loss of time from competition was lower (12.8 per 1000 hours of MP, 92 injuries/100 players). Lower limb (51%) and muscle/tendon (50%) injuries were the most common site and type of injury. Common specific injury site subcategories were the thigh, shoulder/clavicle, ankle and knee in order of frequency. Various measures of match load were significantly associated with injury.
This study prospectively analysed injury profiles, including severity across an entire season of professional tennis, and investigated the relationship between training/match loads and injury. These data may help medical professionals develop injury risk identification and prevention programmes.
职业网球运动的身体要求加上高强度的训练/比赛负荷可能会导致肌肉骨骼损伤。本研究的目的是：（1）描述在 WTA 巡回赛中职业女性网球运动员的一个赛季中发生的损伤的类型、部位和严重程度；（2）前瞻性研究训练/比赛负荷与损伤之间的关系。
参加 2015 年澳大利亚网球公开赛的 52 名 WTA 球员同意参与此项研究。向 WTA 医务人员报告的损伤使用网球特异性指南进行分类。收集 2015 年所有在国际水平上进行的比赛的个人比赛暴露数据，并按每 1000 小时 WTA 比赛比赛（MP）和每 1000 次比赛暴露（ME）表示。使用回归分析确定与赛季中损伤数量和比赛损失时间相关的变量。
损伤发生率（IR）为每 1000 小时 MP 56.6（95%CI：49.5 至 64.6）或每 1000 ME 62.7（95%CI：54.8 至 71.6），尽管导致比赛损失时间的损伤的 IR 较低（每 1000 小时 MP 12.8，92 名运动员/100 名运动员受伤）。下肢（51%）和肌肉/肌腱（50%）损伤是最常见的损伤部位和类型。常见的特定损伤部位亚类依次为大腿、肩/锁骨、脚踝和膝盖。各种比赛负荷测量指标与损伤显著相关。
本研究前瞻性地分析了损伤情况，包括整个职业网球赛季的严重程度，并研究了训练/比赛负荷与损伤之间的关系。这些数据可能有助于医疗专业人员制定损伤风险识别和预防计划。
