Department of Public Health, Section of Sport Science, Aarhus University, Aarhus C, Denmark.
Department Of Orthopedics, Hospital of South-western Denmark, Esbjerg and Centre for Research in Childhood Health, IOB, University of Southern Denmark, Odense, Denmark.
Scand J Med Sci Sports. 2018 Apr;28(4):1424-1434. doi: 10.1111/sms.13049. Epub 2018 Feb 15.
Current methods of sports injury surveillance are limited by lack of medical validation of self-reported injuries and/or incomplete information about injury consequences beyond time loss from sport. The aims of this study were to (a) evaluate the feasibility of the SMS, Phone, and medical Examination injury surveillance (SPEx) system (b) to evaluate the proportion of injuries and injury consequences reported by SPEx when compared to outcomes from a modified version of the Oslo Sports Trauma Research Centre (OSTRC) Overuse Injury Questionnaire. We followed 679 elite adolescent handball players over 31 weeks using the SPEx system. During the last 7 weeks, we also implemented a modified OSTRC questionnaire in a subgroup of 271 players via telephone interviews. The weekly response proportions to the primary SPEx questions ranged from 85% to 96% (mean 92%). SMS responses were received from 79% of the participants within 1 day. 95% of reported injuries were classified through the telephone interview within a week, and 67% were diagnosed by medical personnel. Comparisons between reported injuries from SPEx and OSTRC demonstrated fair (κ = 39.5% [25.1%-54.0%]) to substantial prevalence-adjusted bias-adjusted kappa (PABAK = 66.8% [95% CI 58.0%-75.6%]) agreement. The average injury severity score difference between SPEx and the OSTRC approach was -0.2 (95% CI -3.69-3.29) of possible 100 with 95% limits of agreement from(-14.81-14.41). These results support the feasibility and validity of the SPEx injury surveillance system in elite youth sport. Future studies should evaluate the external validity of SPEx system in different cohorts of athletes.
目前的运动损伤监测方法受到缺乏对自我报告损伤的医学验证和/或运动损伤后果信息不完整的限制。本研究的目的是：(a)评估 SMS、电话和医学检查损伤监测（SPEx）系统的可行性；(b)比较 SMS 与改良版奥斯陆运动创伤研究中心（OSTRC）过度使用损伤问卷（Overuse Injury Questionnaire）的结果，评估 SPEx 报告的损伤和损伤后果的比例。我们使用 SPEx 系统对 679 名精英青少年手球运动员进行了 31 周的随访。在最后 7 周，我们还通过电话访谈在 271 名运动员中实施了改良的 OSTRC 问卷。主要 SPEx 问题的每周响应比例在 85%至 96%（平均 92%）之间。参与者中有 79%在 1 天内通过短信回复。95%的报告损伤在一周内通过电话访谈进行了分类，其中 67%由医务人员诊断。SPEx 报告的损伤与 OSTRC 之间的比较显示，一致性为中度（κ=39.5%[25.1%-54.0%]）至高度（PABAK=66.8%[95%可信区间 58.0%-75.6%]）。SPEx 与 OSTRC 方法之间的平均损伤严重程度评分差异为-0.2（95%可信区间-3.69-3.29），可能为 100 的 95%置信区间为（-14.81-14.41）。这些结果支持了精英青年运动中 SPEx 损伤监测系统的可行性和有效性。未来的研究应该评估 SPEx 系统在不同运动员队列中的外部有效性。
