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头部撞击协议修改后澳大利亚精英级男、女板球运动员脑震荡和头部撞击的发生率。

Incidence of Concussion and Head Impacts in Australian Elite-Level Male and Female Cricketers After Head Impact Protocol Modifications.

机构信息

Cricket Australia, Melbourne, Victoria, Australia.

Sports Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia.

出版信息

Sports Health. 2019 Mar/Apr;11(2):180-185. doi: 10.1177/1941738118811315. Epub 2018 Nov 16.

DOI:10.1177/1941738118811315
PMID:30444677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6391555/
Abstract

BACKGROUND

: Concussion in sport is a topic of growing interest in Australia and worldwide. To date, relatively few studies have examined the true incidence of concussion in cricket.

HYPOTHESIS

: Concussion in cricket is more common than current literature suggests.

STUDY DESIGN

: Descriptive epidemiology study.

LEVEL OF EVIDENCE

: Level 4.

METHODS

: This is a prospective registry and subsequent analysis of head impacts and concussions in elite-level male and female cricketers in Australia over 2 seasons (2015-2016 and 2016-2017). A total of 172 male and 106 female domestic and international players in 2015-2016 and 179 males and 98 females in 2016-2017 were included.

RESULTS

: There were 92 head impacts (29 concussions) in men's matches and 15 head impacts (8 concussions) in women's matches. Match incidence rates per 1000 player days were 7.2 head impacts (2.3 concussions) in elite male cricket and 3.7 head impacts (2.0 concussions) in elite female cricket. This equates to a head impact every 2000 balls and concussion every 9000 balls in male domestic cricket. Concussion rates per 1000 player-match hours were 0.4 for elite males and 0.5 for elite females; 53% of head impacts in females were diagnosed as concussions compared with 32% in males, and 83% of concussions resulted in missing no more than 1 game.

CONCLUSION

: The rate of concussion in cricket is higher than previously appreciated; however, the majority of patients recovered quickly, and players generally did not miss much playing time as a result. The institution of concussion policies after head impact, including player substitution, appears to have had an effect on increasing reporting of symptoms, resulting in an increase in diagnosis of concussion.

CLINICAL RELEVANCE

: Concussion in cricket is not as infrequent as previously assumed. Ongoing review of the rules and regulations is required to ensure that protection of player welfare lies in parallel with other sporting codes.

摘要

背景

在澳大利亚和全球范围内,运动性脑震荡是一个日益受到关注的话题。迄今为止,相对较少的研究调查了板球运动中脑震荡的真实发生率。

假设

板球运动中的脑震荡比当前文献所表明的更为常见。

研究设计

描述性流行病学研究。

证据水平

4 级。

方法

这是一项针对澳大利亚精英级男女板球运动员在两个赛季(2015-2016 年和 2016-2017 年)中头部撞击和脑震荡的前瞻性登记和后续分析。2015-2016 年共纳入 172 名男性和 106 名女性国内外球员,2016-2017 年纳入 179 名男性和 98 名女性。

结果

男子比赛中有 92 次头部撞击(29 次脑震荡),女子比赛中有 15 次头部撞击(8 次脑震荡)。精英男子板球比赛中每 1000 名球员天发生 7.2 次头部撞击(2.3 次脑震荡),精英女子板球比赛中每 1000 名球员天发生 3.7 次头部撞击(2.0 次脑震荡)。这相当于在国内男子板球比赛中每 2000 个球就会发生一次头部撞击,每 9000 个球就会发生一次脑震荡。精英男性每 1000 名球员-比赛小时的脑震荡率为 0.4,精英女性为 0.5;女性中有 53%的头部撞击被诊断为脑震荡,而男性为 32%,83%的脑震荡患者只需休息一场比赛。

结论

板球运动中的脑震荡发生率高于先前的认识;然而,大多数患者恢复迅速,球员因此错过的比赛时间通常不多。头部撞击后实施脑震荡政策,包括球员换人,似乎对增加症状报告产生了影响,从而导致脑震荡的诊断增加。

临床相关性

板球运动中的脑震荡并不像之前假设的那样罕见。需要不断审查规则和条例,以确保保护运动员的福利与其他运动项目并行不悖。

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