MacDonald Kerry J, Palacios-Derflingher Luz Maria, Emery Carolyn A, Meeuwisse Willem H
University of Calgary Faculty of Kinesiology, Kerry MacDonald, Calgary, Canada.
University of Calgary, Kinesiology and medicine, Calgary, Canada.
Int J Sports Med. 2018 Oct;39(11):860-866. doi: 10.1055/a-0577-4639. Epub 2018 Aug 13.
A time-loss injury definition continues to be the most widely used injury definition despite evidence that it fails to accurately capture overuse injuries. An overuse injury questionnaire, using an "all complaints" definition has been created to address the limitation of a time-loss definition. The main aim of this work was to determine the effect that injury definition and registration methodology has on the collection of knee injuries among elite level volleyball players. To reach this goal, seventy-two volleyball players were prospectively followed over 32-weeks. Time-loss injuries were captured using an individual injury report form (IIRF). Study participants completed an overuse injury questionnaire (mOIQ) via a weekly short message service (SMS). The IIRF captured 15 time-loss knee injuries in 72 study participants (20%). Based on the mOIQ, 84.7% of participants reported having a knee problem and 66.7% sustained a substantial knee problem. All IIRF knee injuries captured were also registered by the mOIQ. Agreement on the specific diagnosis occurred for 66.7% of injuries resulting in a moderate Kappa score of 0.51. In conclusion, an overuse injury questionnaire provided a greater understanding of the magnitude and burden of knee injuries in this population.
尽管有证据表明误工损伤定义无法准确涵盖过度使用损伤，但它仍然是使用最广泛的损伤定义。为解决误工定义的局限性，已创建了一份采用“所有主诉”定义的过度使用损伤调查问卷。这项工作的主要目的是确定损伤定义和登记方法对精英水平排球运动员膝关节损伤收集情况的影响。为实现这一目标，对72名排球运动员进行了为期32周的前瞻性跟踪。使用个人损伤报告表（IIRF）记录误工损伤。研究参与者通过每周的短信服务（SMS）完成一份过度使用损伤调查问卷（mOIQ）。IIRF在72名研究参与者中记录了15例误工膝关节损伤（20%）。根据mOIQ，84.7%的参与者报告有膝关节问题，66.7%遭受了严重的膝关节问题。IIRF记录的所有膝关节损伤也被mOIQ记录。66.7%的损伤在具体诊断上达成一致，kappa评分中等，为0.51。总之，一份过度使用损伤调查问卷能让人们更好地了解该人群膝关节损伤的程度和负担。
