美国大学生体育协会男子和女子冰球项目上肢损伤的流行病学研究。
Epidemiology of Upper Extremity Injuries in NCAA Men's and Women's Ice Hockey.
机构信息
Department of Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
School of Medicine, Tulane University, New Orleans, Louisiana, USA.
出版信息
Am J Sports Med. 2018 Aug;46(10):2521-2529. doi: 10.1177/0363546518781338. Epub 2018 Jul 5.
BACKGROUND
Ice hockey is a physically demanding sport where athletes are susceptible to a variety of injuries. Several studies reported the overall injury rates in ice hockey; however, there is a paucity of information on upper extremity (UE) injuries among collegiate ice hockey players.
PURPOSE
To describe the epidemiology of UE injuries among collegiate male and female ice hockey players with NCAA (National Collegiate Athletic Association) injury surveillance data from 2004-2005 to 2013-2014.
STUDY DESIGN
Descriptive epidemiology study.
METHODS
Data were obtained from the NCAA Injury Surveillance Program for all UE injuries sustained during the academic years 2004-2005 to 2013-2014. Injury rates, rate ratios (RRs), and injury proportion ratios were reported with 95% CIs.
RESULTS
During the 10 years studied, the overall rate of UE injuries for men was higher than that for women (236 vs 125 injuries per 100,000 athlete-exposures [AEs]; RR, 1.89; 95% CI, 1.67-2.15). UE injuries sustained during either pre- or postseason were approximately 3 times higher for men than for women (preseason: 149 vs 53 per 100,000 AEs; RR, 2.83; 95% CI, 1.69-4.74; postseason: 143 vs 49 per 100,000 AEs; RR, 2.91; 95% CI, 1.33-6.38). The overall injury rate was highest during the regular season (men: 257 per 100,000 AEs; 95% CI, 242-272; women: 143 per 100,000 AEs; 95% CI, 126-160). Additionally, the injury rate for men and women was higher during competition than practice (men: 733 vs 83 per 100,000 AEs; 95% CI, 687-780 and 75-92; women: 303 vs 64 per 100,000 AEs; 95% CI, 259-348 and 52-76). The most common injury observed was acromioclavicular joint sprain (men, 29.1%; women, 13.8%). For both groups, acromioclavicular joint injuries accounted for most non-time loss, moderate time loss (2-13 days), and severe time loss (≥14 days) injuries.
CONCLUSION
Men and women sustained a significant number of UE injuries playing collegiate ice hockey during the period studied, with acromioclavicular joint sprain being the most common UE injury and the one that most frequently led to significant time loss. These data may provide insight for future injury prevention and guide improvements in training.
背景
冰球是一项对身体要求很高的运动，运动员容易受到各种伤害。几项研究报告了冰球的总体受伤率；然而，关于大学生冰球运动员上肢（UE）受伤的信息却很少。
目的
描述 NCAA（美国大学体育协会）损伤监测数据中 2004-2005 学年至 2013-2014 学年期间男、女大学生冰球运动员 UE 损伤的流行病学情况。
研究设计
描述性流行病学研究。
方法
从 NCAA 损伤监测计划中获取所有在 2004-2005 学年至 2013-2014 学年期间发生的 UE 损伤的数据。报告了损伤率、率比（RR）和损伤比例比，并给出了 95%置信区间（CI）。
结果
在所研究的 10 年中，男性的 UE 损伤总发生率高于女性（每 100,000 名运动员暴露[AE]中男性为 236 例，女性为 125 例；RR，1.89；95%CI，1.67-2.15）。男性在 preseason 和 postseason 发生的 UE 损伤大约是女性的 3 倍（ preseason：男性为 149 例，女性为 53 例；RR，2.83；95%CI，1.69-4.74；postseason：男性为 143 例，女性为 49 例；RR，2.91；95%CI，1.33-6.38）。常规赛期间的整体损伤率最高（男性：每 100,000 AE 中 257 例；95%CI，242-272；女性：每 100,000 AE 中 143 例；95%CI，126-160）。此外，男性和女性在比赛中受伤的比例高于训练（男性：每 100,000 AE 中 733 例，每 100,000 AE 中 83 例；95%CI，687-780 和 75-92；女性：每 100,000 AE 中 303 例，每 100,000 AE 中 64 例；95%CI，259-348 和 52-76）。最常见的损伤是肩锁关节扭伤（男性，29.1%；女性，13.8%）。对于两组来说，肩锁关节损伤导致了大多数非时间损失、中度时间损失（2-13 天）和严重时间损失（≥14 天）损伤。
结论
在研究期间，男性和女性在参加大学生冰球比赛中遭受了大量的 UE 损伤，肩锁关节扭伤是最常见的 UE 损伤，也是导致时间损失最常见的损伤。这些数据可能为未来的损伤预防提供参考，并指导训练的改进。
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