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新手跑步者与跑步相关损伤的预后及预后因素:一项前瞻性队列研究。

Prognosis and prognostic factors of running-related injuries in novice runners: A prospective cohort study.

作者信息

Fokkema Tryntsje, Burggraaff Robert, Hartgens Fred, Kluitenberg Bas, Verhagen Evert, Backx Frank J G, van der Worp Henk, Bierma-Zeinstra Sita M A, Koes Bart W, van Middelkoop Marienke

机构信息

Department of General Practice, Erasmus MC, University Medical Center Rotterdam, The Netherlands.

Department of General Practice, Erasmus MC, University Medical Center Rotterdam, The Netherlands.

出版信息

J Sci Med Sport. 2019 Mar;22(3):259-263. doi: 10.1016/j.jsams.2018.09.001. Epub 2018 Sep 7.

Abstract

OBJECTIVES

To investigate the prognosis and possible prognostic factors of running-related injuries (RRIs) in novice runners.

DESIGN

Prospective cohort study.

METHODS

Participants of Start to Run, a 6-weeks course for novice runners in The Netherlands, were asked to participate in this study. Before the start of the course a baseline questionnaire, on demographics, physical activity and perceived health, was sent to runners willing to participate. The 26- or 52-weeks follow-up questionnaires assessed information on RRIs and their duration. Only participants that sustained a RRI during follow-up were included in the analyses. An injury duration of 10weeks or shorter was regarded as a relatively good prognosis, while an injury duration of more than 10weeks was defined as a poor prognosis. To determine the associations between baseline characteristics and injury prognosis and between injury location and injury prognosis, multivariable logistic regression analyses were performed.

RESULTS

347 participants (48.8%) sustained an RRI during follow-up. The RRIs had an overall median duration of eight weeks (range: 1-52weeks). Participants with a previous RRI were more likely to have a poor prognosis (OR 2.31; 95%CI 1.12-4.79), while a calf injury showed a trend towards an association with a relatively good prognosis (OR 0.49; 95%CI 0.22-1.11).

CONCLUSIONS

The duration of RRIs in novice runners is relatively long, with only calf injuries being associated with a good prognosis. This emphasizes the need of injury prevention measures in novice runners and adequate support during and after an RRI, especially in runners with a previous injury.

摘要

目的

探讨初跑者中与跑步相关损伤(RRIs)的预后及可能的预后因素。

设计

前瞻性队列研究。

方法

邀请参加荷兰一项为期6周的初跑者课程“开始跑步”的参与者参与本研究。在课程开始前,向愿意参与的跑步者发送一份关于人口统计学、身体活动和自我感知健康状况的基线调查问卷。26周或52周的随访问卷评估了RRIs及其持续时间的信息。仅将随访期间发生RRIs的参与者纳入分析。损伤持续时间为10周或更短被视为预后相对较好,而损伤持续时间超过10周被定义为预后不良。为了确定基线特征与损伤预后之间以及损伤部位与损伤预后之间的关联,进行了多变量逻辑回归分析。

结果

347名参与者(48.8%)在随访期间发生了RRIs。RRIs的总体中位持续时间为8周(范围:1 - 52周)。既往有RRIs的参与者预后较差的可能性更大(OR 2.31;95%CI 1.12 - 4.79),而小腿损伤显示出与相对较好预后相关的趋势(OR 0.49;95%CI 0.22 - 1.11)。

结论

初跑者中RRIs的持续时间相对较长,只有小腿损伤与良好预后相关。这强调了初跑者预防损伤措施的必要性,以及在RRIs期间和之后提供充分支持的必要性,特别是对于既往有损伤的跑步者。

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