Division of Exercise Science and Sports Medicine, Department of Human Biology, University of Cape Town, Cape Town, South Africa
Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health and Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.
Inj Prev. 2019 Aug;25(4):313-320. doi: 10.1136/injuryprev-2018-042871. Epub 2018 Jul 5.
Though rare, rugby union carries a risk for serious injuries such as acute spinal cord injuries (ASCI), which may result in permanent disability. Various studies have investigated injury mechanisms, prevention programmes and immediate medical management of these injuries. However, relatively scant attention has been placed on the player's experience of such an injury and the importance of context.
The aim of this study was to explore the injury experience and its related context, as perceived by the catastrophically injured player.
A qualitative approach was followed to explore the immediate, postevent injury experience. Semi-structured interviews were conducted with 48 (n=48) players who had sustained a rugby-related ASCI.
Four themes were derived from the data. Participants described the context around the which may be valuable to help understand the mechanism of injury and potentially minimise risk. Participants also described certain to their injury, which included descriptions of foul play and aggression, unaccustomed playing positions, pressure to perform and unpreparedness. The included signs and symptoms of ASCI that is important to recognise by first aiders, fellow teammates, coaches and referees. Lastly, participants described the e which has implications for all ASCI first responders.
All rugby stakeholders, including players, first responders, coaches and referees, may gain valuable information from the experiences of players who have sustained these injuries. This information is also relevant for rugby safety initiatives in shaping education and awareness interventions.
尽管橄榄球运动中发生严重伤害（如急性脊髓损伤）的情况较为罕见，但仍存在这种风险，可能导致永久性残疾。已有多项研究调查了这些损伤的机制、预防方案和紧急医疗处理，但对于运动员受伤的体验及其所处环境的重要性，关注相对较少。
本研究旨在探究灾难性损伤运动员对受伤经历及其相关环境的看法。
采用定性方法来探究受伤后的即时体验。对 48 名（n=48）遭遇橄榄球相关急性脊髓损伤的运动员进行了半结构式访谈。
从数据中得出了 4 个主题。参与者描述了受伤周围的环境，这可能有助于理解损伤机制并潜在地降低风险。参与者还描述了某些与受伤相关的情况，包括犯规和暴力行为、不习惯的比赛位置、表现压力和准备不足。预警信号包括急性脊髓损伤的症状和体征，这对于急救人员、队友、教练和裁判识别非常重要。最后，参与者描述了紧急情况，这对所有急性脊髓损伤急救人员都有影响。
所有橄榄球相关人员，包括运动员、急救人员、教练和裁判，都可以从遭受这些损伤的运动员的经历中获得宝贵信息。这些信息也与橄榄球安全倡议相关，有助于制定教育和意识干预措施。
