Centre for Human and Applied Physiology, School of Medicine, University of Wollongong, Australia; NSW Football Medicine Association, Australia; Figtree Physiotherapy, Australia.
School of Science and Health, Western Sydney University, Australia; NSW Football Medicine Association, Australia.
J Sci Med Sport. 2019 Jan;22(1):42-47. doi: 10.1016/j.jsams.2018.05.024. Epub 2018 May 31.
This study aimed to conduct the first injury surveillance study in sub-elite football in Australia, using methods from the international football consensus statement.
Descriptive epidemiological study.
1049 sub-elite football players were recruited during the 2016 season. Injury and exposure data was collected by trained Primary Data Collectors (PDCs) who attended every training session and match.
There were 1041 time loss injuries recorded during 52,127h of exposure resulting in an injury incidence rate of 20 injuries/1000h (95% Confidence Interval [CI]: 15.9-23.3). The injury burden (days lost to injury relative to exposure) was 228days lost/1000h. Muscle and ligament injuries were the most prevalent (41% and 26%) and incurred the highest injury burden (83 and 80days lost/1000h, respectively). The most common injuries were observed at the thigh (22%) and ankle (17%), with hamstring (13%) the highest reported muscle injury. The profile of injury severity was: mild - 35%; minor - 29%; moderate - 28% and severe - 8%. Recurrent injuries accounted for 20% of all injuries.
By addressing issues identified with injury recording in sub-elite football, this study found that the injury incidence was twice that observed in previous research in elite and sub-elite football cohorts. Injury burden was also twice that of the elite setting, with similar injuries associated with the highest burden. The results highlight the need for investment into medical provision, facilities, coach education and injury mitigation programmes to reduce healthcare costs to sub-elite players in Australia.
本研究旨在采用国际足球共识声明中的方法,对澳大利亚次精英足球进行首次损伤监测研究。
描述性流行病学研究。
在 2016 赛季期间招募了 1049 名次精英足球运动员。受过培训的初级数据收集员(PDC)在每次训练和比赛中收集损伤和暴露数据。
在 52127 小时的暴露时间中记录了 1041 次非时间损失性损伤,导致损伤发生率为 20 次/1000 小时(95%置信区间[CI]:15.9-23.3)。损伤负担(相对于暴露的损伤天数损失)为 228 天/1000 小时。肌肉和韧带损伤最为常见(分别占 41%和 26%),并导致最高的损伤负担(分别为 83 和 80 天/1000 小时)。最常见的损伤发生在大腿(22%)和脚踝(17%),其中腿筋(13%)是报告最多的肌肉损伤。损伤严重程度的分布为:轻度-35%;轻度-29%;中度-28%和重度-8%。复发性损伤占所有损伤的 20%。
通过解决次精英足球中损伤记录的问题,本研究发现,损伤发生率是之前在精英和次精英足球队列中观察到的两倍。损伤负担也翻了一番,与最高负担相关的是类似的损伤。研究结果强调了需要投资于医疗服务、设施、教练教育和损伤缓解计划,以降低澳大利亚次精英运动员的医疗保健成本。