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业余男性橄榄球联盟运动中的损伤发生率:系统评价和荟萃分析。

The Incidence of Injury in Amateur Male Rugby Union: A Systematic Review and Meta-Analysis.

机构信息

Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.

Health Research Institute, University of Limerick, Limerick, Ireland.

出版信息

Sports Med. 2018 Apr;48(4):837-848. doi: 10.1007/s40279-017-0838-4.

DOI:10.1007/s40279-017-0838-4
PMID:29299876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5856893/
Abstract

BACKGROUND

Rugby union is a physically demanding, full-contact team sport that has gained worldwide popularity. The incidence of injury in rugby union has been widely reported in the literature. While comprehensive injury surveillance and prevention programmes have been implemented within the professional game, there is a need for similar strategies in the amateur game. Despite recent increases in the volume of research in rugby, there is little consensus regarding the true incidence rate of match and training injuries in senior amateur male rugby union players.

OBJECTIVE

The aim of the current review was to systematically review the available evidence on the epidemiology of time-loss injuries in senior amateur male rugby union players and to subsequently conduct a meta-analysis of the findings.

METHODS

A comprehensive search of the PubMed, Scopus, SportDiscus and Google Scholar electronic databases was performed using the following keywords; ('rugby' OR 'rugby union') AND ('amateur' OR 'community') AND ('injur*' OR 'pain*'). Six articles regarding the incidence of injury in senior amateur male rugby union players, in both matches and training, were retrieved and included in the meta-analysis to determine the overall incidence rate of match injury, with descriptive analyses also provided for other reported variables.

RESULTS

The overall incidence rate of match injuries within senior amateur rugby union players was 46.8/1000 player hours [95% confidence interval (CI) 34.4-59.2]. Contact events accounted for the majority of injuries, with the tackler more at risk than the player being tackled, and with respective incidence rates of 15.9/1000 player hours (95% CI 12.4-19.5) and 12.2/1000 player hours (95% CI 9.3-15.1).

CONCLUSION

This meta-analysis found that the incidence rate of injury in amateur rugby union players was lower than that in professional players, but higher than the incidences reported in adolescent and youth rugby players. By understanding the true incidence and nature of injuries in rugby, injury prevention strategies can best be implemented. Future prevention strategies may best be aimed towards the tackle area, specifically to the tackler, in order to minimize injury risk.

摘要

背景

橄榄球联盟是一项身体要求高、全接触的团队运动,在全球范围内广受欢迎。橄榄球联盟的受伤发生率在文献中已有广泛报道。虽然在职业比赛中已经实施了全面的伤病情报监测和预防计划,但业余比赛也需要类似的策略。尽管最近在橄榄球研究方面有所增加,但对于高级业余男性橄榄球联盟球员的比赛和训练伤的真实发生率,仍存在较少共识。

目的

本综述的目的是系统地回顾高级业余男性橄榄球联盟球员伤病情报的现有证据,并对这些发现进行荟萃分析。

方法

使用以下关键词对 PubMed、Scopus、SportDiscus 和 Google Scholar 电子数据库进行全面搜索:(“橄榄球”或“橄榄球联盟”)和(“业余”或“社区”)和(“伤”或“疼痛”)。检索到六篇关于高级业余男性橄榄球联盟球员比赛和训练伤发生率的文章,并将其纳入荟萃分析,以确定比赛伤的总体发生率,并对其他报告的变量进行描述性分析。

结果

高级业余橄榄球联盟球员比赛伤的总体发生率为 46.8/1000 球员小时[95%置信区间(CI)34.4-59.2]。接触事件导致了大多数受伤,而铲球者比被铲球者受伤的风险更高,相应的发生率为 15.9/1000 球员小时(95%CI 12.4-19.5)和 12.2/1000 球员小时(95%CI 9.3-15.1)。

结论

本荟萃分析发现,业余橄榄球联盟球员的伤发生率低于职业球员,但高于青少年和青年橄榄球球员的报告发生率。通过了解橄榄球伤的真实发生率和性质,可以最好地实施伤预防策略。未来的预防策略可能最好针对铲球区域,特别是针对铲球者,以最大程度地降低伤风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f173/5856893/58f5544f0fb5/40279_2017_838_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f173/5856893/52495b41a08d/40279_2017_838_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f173/5856893/efcb419789e7/40279_2017_838_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f173/5856893/9b8907b172b1/40279_2017_838_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f173/5856893/58f5544f0fb5/40279_2017_838_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f173/5856893/52495b41a08d/40279_2017_838_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f173/5856893/efcb419789e7/40279_2017_838_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f173/5856893/9b8907b172b1/40279_2017_838_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f173/5856893/58f5544f0fb5/40279_2017_838_Fig4_HTML.jpg

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