Schneider S, Sauer J, Berrsche G, Löbel C, Sommer D K, Schmitt H
Mannheimer Institut für Public Health, Sozial- und Präventivmedizin, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg, Ludolf-Krehl-Straße 7-11, 68167, Mannheim, Deutschland.
ATOS Klinik Heidelberg, Deutsches Gelenkzentrum Heidelberg, Heidelberg, Deutschland.
Schmerz. 2019 Feb;33(1):57-65. doi: 10.1007/s00482-018-0309-3.
Joint pain may be an early indicator of biomechanical stress. During adolescence the physical development, including the development of the musculoskeletal system, is still ongoing and joint pain requires special attention, especially among young athletes.
Young athletes from the highest national basketball leagues in Germany were questioned about prevalence, location, context and coping strategies concerning joint pain.
Data were derived from the German "Adolescents' and Childrens' Health in Elite Basketball study" (ACHE study). Analyses were based on an online survey of 182 elite basketball players between 13 and 19 years of age from 46 German teams, conducted between April 2016 and June 2016.
In the highest German leagues 2 out of 3 players suffered from joint pain at the time of the survey (7-day prevalence 64.6%). Pain in the lower extremities occurred most frequently. The 7‑day prevalence for knee and leg pain reached up to 40% and foot pain up to 21%. For 84% of all players, occasional consumption of analgesics was the norm and 40% took them frequently. The consumption of several medicinal substances, especially of cyclooxygenase inhibitors, such as ibuprofen and diclofenac, is widespread among adolescent elite basketball players as 1 out of 7 athletes (13%) used medicinal substances despite being pain-free and 5% used it prophylactically with the purpose of preventing pain.
From the point of view of pain medicine, it is not only the high prevalence of pain that is remarkable but also the widespread use of analgesics without a prescription and the misguided conception of adolescent competitive athletes that such medications have preventive effects.
关节疼痛可能是生物力学压力的早期指标。在青春期，包括肌肉骨骼系统在内的身体发育仍在进行，关节疼痛需要特别关注，尤其是在年轻运动员中。
对来自德国最高级别国家篮球联赛的年轻运动员进行询问，了解关节疼痛的患病率、部位、相关情况及应对策略。
数据来源于德国“精英篮球运动中青少年和儿童健康”（ACHE研究）。分析基于2016年4月至2016年6月对来自46支德国球队的182名13至19岁精英篮球运动员进行的在线调查。
在德国最高级别联赛中，三分之二的运动员在调查时患有关节疼痛（7天患病率64.6%）。下肢疼痛最为常见。膝盖和腿部疼痛的7天患病率高达40%，足部疼痛高达21%。在所有运动员中，84%的人偶尔服用镇痛药，40%的人经常服用。几种药物的使用，尤其是环氧化酶抑制剂，如布洛芬和双氯芬酸，在青少年精英篮球运动员中很普遍，因为七分之一的运动员（13%）即使没有疼痛也使用药物，5%的人预防性使用药物以预防疼痛。
从疼痛医学的角度来看，不仅疼痛的高患病率值得关注，而且非处方镇痛药的广泛使用以及青少年竞技运动员认为此类药物有预防作用的错误观念也值得关注。
