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女性参与竞技团体棒或棍类运动的损伤流行病学:系统评价和荟萃分析。

Epidemiology of Injuries in Women Playing Competitive Team Bat-or-Stick Sports: A Systematic Review and a Meta-Analysis.

机构信息

Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), SMB Campus, Federation University Australia, Lydiard Street South, Ballarat, VIC, 3350, Australia.

Monash Health, 246 Clayton Rd, Clayton, VIC, 3168, Australia.

出版信息

Sports Med. 2018 Mar;48(3):617-640. doi: 10.1007/s40279-017-0815-y.

DOI:10.1007/s40279-017-0815-y
PMID:29249082
Abstract

BACKGROUND

Team bat-or-stick sports, including cricket, softball and hockey, are popular among women. However, little is known about the injury profile in this population.

OBJECTIVE

The aim was to describe the incidence, nature and anatomical location of injuries in bat-or-stick sports played by women in a competitive league.

METHODS

This review was prospectively registered (PROSPERO CRD42015026715). CINAHL, MEDLINE, PsycINFO, PubMed, SPORTDiscus were systematically searched from January 2000 to September 2016, inclusive. Peer-reviewed original research articles reporting the incidence, nature and anatomical location of injuries sustained by women aged 18 + years in competitive bat-or-stick sports were included. Two meta-analyses based on injury incidence proportions (injury IP) and injury rates per 1000 person-days of athletic exposure (AE) were performed.

RESULTS

A total of 37 studies satisfied the inclusion criteria, and five had low risk of bias. The weighted injury IP was 0.42 [95% confidence interval (CI) 0.39-0.45]. The weighted injury rate was 6.12 (95% CI 6.05-6.18) overall, and greater in games [15.79 (95% CI 15.65-15.93)] than in practice [3.07 (95% CI 2.99-3.15)]. The ankle was the most commonly injured anatomical location, followed by the hand (including wrist and fingers), knee and head. Soft tissue and ligament injuries were most common types of injuries.

CONCLUSION

Injury prevention in women's sports is a novel and emerging field of research interest. This review highlights that injury incidence is high among female bat-or-stick players, but little information is known about direct causal mechanisms. This review clearly establishes the need for enhancements to injury data collection. Without this information, it will not be possible to develop evidence-based injury prevention interventions.

摘要

背景

团队球类运动,包括板球、垒球和曲棍球,在女性中很受欢迎。然而,对于该人群的损伤情况知之甚少。

目的

旨在描述女性在竞技联盟中参与球类运动时的损伤发生率、性质和解剖部位。

方法

本综述前瞻性注册(PROSPERO CRD42015026715)。从 2000 年 1 月至 2016 年 9 月,系统地检索了 CINAHL、MEDLINE、PsycINFO、PubMed 和 SPORTDiscus,纳入了报告 18 岁及以上女性在竞技球类运动中受伤发生率、性质和解剖部位的同行评审原始研究文章。对基于损伤发生率(损伤 IP)和每 1000 人天运动暴露(AE)的损伤率的两项荟萃分析进行了分析。

结果

共有 37 项研究符合纳入标准,其中 5 项研究的偏倚风险较低。加权损伤 IP 为 0.42(95%CI 0.39-0.45)。总体加权损伤率为 6.12(95%CI 6.05-6.18),比赛中[15.79(95%CI 15.65-15.93)]大于训练中[3.07(95%CI 2.99-3.15)]。最常见的受伤解剖部位是脚踝,其次是手(包括手腕和手指)、膝盖和头部。软组织和韧带损伤是最常见的损伤类型。

结论

女性运动中的损伤预防是一个新颖的、新兴的研究兴趣领域。本综述强调,女性球类运动员的损伤发生率很高,但对于直接的因果机制知之甚少。本综述清楚地确定了需要加强损伤数据的收集。没有这些信息,就不可能制定基于证据的损伤预防干预措施。

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