Tampere Research Center of Sports Medicine, UKK Institute, Tampere, Finland.
Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
Br J Sports Med. 2019 Feb;53(3):165-171. doi: 10.1136/bjsports-2018-099218. Epub 2018 Aug 14.
To investigate the prevalence and burden of overuse injuries in children's football as well as player characteristics and their association with overuse injury risk.
This investigation is based on the control arm (10 clubs) of a randomised controlled trial investigating prevention of injuries in youth football. We conducted a prospective 20-week follow-up study on overuse injuries among Finnish football players (n=733, aged 9-14 years). Each week, we sent a text message to players' parents to ask if the player had sustained any injury during the past week. Players with overuse problem were interviewed over the phone using an overuse injury questionnaire. The main outcome measures were prevalence of all overuse injuries and substantial overuse injuries (those leading to moderate or severe reductions in participation or performance) and injury severity.
The average response rate was 95%. In total, 343 players (46.8%) reported an overuse problem while in the study. The average weekly prevalence of all overuse problems and substantial overuse problems was 12.8% and 6.0%, respectively. Injuries affecting the knee had the highest weekly prevalence (5.7% and 2.4% for all and substantial knee problems, respectively). Girls had a higher likelihood of knee problems (OR 2.70; 95% CI 1.69 to 4.17), whereas boys had a higher likelihood of heel problems (OR 2.82; 95% CI 1.07 to 7.44). The likelihood of reporting an overuse problem increased with age (OR 1.21; 95% CI 1.00 to 1.47).
Overuse injuries are prevalent in children's competitive football. Knee overuse injuries represent the greatest burden on participation and performance.
ISRCTN14046021.
调查儿童足球中过度使用损伤的流行率和负担，以及运动员特征及其与过度使用损伤风险的关系。
本研究基于一项随机对照试验的对照臂（10 个俱乐部），该试验旨在研究青少年足球运动损伤的预防。我们对芬兰足球运动员（n=733，年龄 9-14 岁）进行了一项前瞻性 20 周随访研究，以研究过度使用损伤。每周，我们都会向球员的家长发送一条短信，询问球员在过去一周是否受过伤。有过度使用问题的球员会通过电话接受过度使用损伤问卷的采访。主要结局指标是所有过度使用损伤和大量过度使用损伤（导致参与或表现中度或重度下降的损伤）的患病率以及损伤严重程度。
平均回复率为 95%。在研究期间，共有 343 名（46.8%）球员报告有过度使用问题。所有过度使用问题和大量过度使用问题的平均每周患病率分别为 12.8%和 6.0%。影响膝关节的损伤每周患病率最高（所有膝关节问题和大量膝关节问题分别为 5.7%和 2.4%）。女孩膝关节问题的可能性更高（OR 2.70；95%CI 1.69 至 4.17），而男孩跟腱问题的可能性更高（OR 2.82；95%CI 1.07 至 7.44）。报告过度使用问题的可能性随年龄增长而增加（OR 1.21；95%CI 1.00 至 1.47）。
过度使用损伤在儿童竞技足球中很常见。膝关节过度使用损伤对参与和表现的负担最大。
ISRCTN84403206。
