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一项精英国家级青少年网球项目多年的损伤流行病学分析。

A multi-year injury epidemiology analysis of an elite national junior tennis program.

机构信息

School of Exercise Science, Australian Catholic University, Australia; Game Insight Group, Tennis Australia, Australia; Performance, Tennis Australia, Australia.

School of Exercise Science, Australian Catholic University, Australia.

出版信息

J Sci Med Sport. 2019 Jan;22(1):11-15. doi: 10.1016/j.jsams.2018.06.006. Epub 2018 Jun 19.

DOI:10.1016/j.jsams.2018.06.006
PMID:29958840
Abstract

OBJECTIVES

To profile multi-year injury incidence and severity trends in elite junior tennis players from a national program.

DESIGN

Prospective cohort.

METHODS

Injury data was collated by sex, age and region for all nationally-supported Australian junior players (58m, 43f 13-18y) between 2012-2016. Injury was defined as a physical complaint from training/matchplay interrupting training/matchplay determined by presiding physiotherapists and doctors. Severity represented the days of interrupted training/matchplay per injury. Injury incidence was reported per 1000 exposure hours. Incidence rate change and rate ratios (RR) ±95% confidence intervals were used to assess changes over time.

RESULTS

No difference in male and female injury incidence existed (2.7±0.0 v 2.8±0.0) yet male injuries were more severe (3.6±0.6 v 1.1±0.9 days). The lumbar spine was the most commonly and severely injured region in both sexes (4.3±0.2, 9.9±1.4d). Shoulder injuries were the second most common in both sexes (3.1±0.2) and with the second highest severity in males (7.3±1.4d). Knee injuries were also common in males (2.3±0.2) yet potentially reduced over time (0.4±0.6 RR) as pelvis/buttock injuries increased (3.4±14.0 RR). Females had high trunk and abdominal injury incidences (2.5±0.3). Independent of sex, the injury incidence increased with age from 2.0±0.1 (13y) to 2.9±0.1 (18y).

CONCLUSIONS

Despite no sex-based difference in injury incidence, male injuries resulted in more interrupted days of training/matchplay. The lumbar spine and shoulder were the most commonly injured body regions in both sexes. The number of injuries sustained by players also increased as they aged.

摘要

目的

分析全国青少年网球精英计划中多年来的损伤发生率和严重程度趋势。

设计

前瞻性队列研究。

方法

对 2012-2016 年期间所有接受全国支持的澳大利亚青少年球员(58 名男性,43 名女性,年龄 13-18 岁)的性别、年龄和地区的损伤数据进行了汇总。损伤定义为训练/比赛中因身体不适而中断训练/比赛的情况,由主治物理治疗师和医生判定。严重程度表示每个损伤导致的中断训练/比赛的天数。损伤发生率以每 1000 个暴露小时的发生率表示。采用发病率变化和发病率比(RR)±95%置信区间来评估随时间的变化。

结果

男性和女性的损伤发生率无差异(2.7±0.0 比 2.8±0.0),但男性损伤更为严重(3.6±0.6 比 1.1±0.9 天)。腰椎是男女最常见和最严重受伤的部位(4.3±0.2,9.9±1.4 天)。肩部损伤在男女中均为第二常见(3.1±0.2),在男性中严重程度第二高(7.3±1.4 天)。膝关节损伤在男性中也很常见(2.3±0.2),但随着骨盆/臀部损伤的增加(3.4±14.0 RR),可能会随时间减少(0.4±0.6 RR)。女性躯干和腹部损伤发生率较高(2.5±0.3)。与性别无关,损伤发生率随年龄从 13 岁时的 2.0±0.1 增加到 18 岁时的 2.9±0.1。

结论

尽管男女损伤发生率无差异,但男性损伤导致更多的训练/比赛中断天数。腰椎和肩部是男女最常见的受伤部位。随着球员年龄的增长,他们受伤的次数也增加了。

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