Gebert Angela, Gerber Markus, Pühse Uwe, Faude Oliver, Stamm Hanspeter, Lamprecht Markus
Lamprecht und Stamm Sozialforschung und Beratung, Zürich, Switzerland / Department of Sport, Exercise and Health, University of Basel, Switzerland.
Department of Sport, Exercise and Health, University of Basel, Switzerland.
Swiss Med Wkly. 2018 Dec 15;148:w14690. doi: 10.4414/smw.2018.14690. eCollection 2018 Dec 3.
Injury prevention in amateur soccer has been promoted in recent years, but only a few studies have addressed long-term changes in injury incidence in amateur soccer. However, better knowledge of changes with respect to injury incidences and causes could make an important contribution to improving prevention strategies.
The aim of this study was to investigate the long-term development of injury incidence in Swiss amateur soccer with respect to level of play, injury causes and injury characteristics.
A representative sample of about 1000 Swiss amateur soccer coaches was interviewed by telephone in 2004, 2008 and 2015. They were asked to recall their last game and to report details on all injuries. For every injury, the coaches were asked to remember injury characteristics and causes. The same procedure was repeated for all games that took place during the previous 4 weeks. Additionally, all training injuries in the previous 4 weeks were recorded in detail.
The incidence of game injuries decreased between the years 2004 and 2008 from 15.1 (95% confidence interval [CI] 14.2–16.0) to 13.3 (95% CI 12.4–14.2) injuries per 1000 hours, and increased between the years 2008 and 2015 to 16.5 (95% CI 15.5–17.4) injuries per 1000 hours. Between 2004 and 2015, the rate of contact injuries during games increased by 19.1%. The incidence of foul play injuries in games increased by 25.5% between 2008 and 2015. The rise in total training injury incidence between the years 2004 (2.4, 95% CI 2.2–2.7) and 2015 (2.9, 95% CI 2.6–3.1) was caused by a 22.2% higher rate of noncontact injuries. During the same period, game and training injury incidences increased across all amateur soccer leagues without exception, but these changes did not reach statistical significance. In 2015, the incidence of injuries leading to medical attention was higher than in 2004 (game 20.0%, training 37.5%).
There is evidence that injury incidence in Swiss amateur soccer has increased in past years.  .
近年来，业余足球运动中的损伤预防工作得到了推广，但仅有少数研究关注业余足球运动损伤发生率的长期变化。然而，更深入了解损伤发生率和原因的变化，可能会对改进预防策略做出重要贡献。
本研究旨在调查瑞士业余足球运动中损伤发生率在比赛水平、损伤原因和损伤特征方面的长期发展情况。
2004年、2008年和2015年，通过电话采访了约1000名瑞士业余足球教练，选取具有代表性的样本。要求他们回忆上一场比赛，并报告所有损伤的详细情况。对于每一起损伤，教练们需记住损伤特征和原因。对前4周内举行的所有比赛重复相同的程序。此外，详细记录了前4周内所有的训练损伤情况。
2004年至2008年期间，比赛损伤发生率从每1000小时15.1起（95%置信区间[CI]14.2 - 16.0）降至13.3起（95%CI 12.4 - 14.2），2008年至2015年期间又升至每1000小时16.5起（95%CI 15.5 - 17.4）。2004年至2015年期间，比赛中接触性损伤的发生率上升了19.1%。2008年至2015年期间，比赛中不正当行为导致的损伤发生率上升了25.5%。2004年（2.4，95%CI 2.2 - 2.7）至2015年（2.9，95%CI 2.6 - 3.1）期间，总训练损伤发生率的上升是由非接触性损伤发生率高出22.2%所致。在同一时期，所有业余足球联赛的比赛和训练损伤发生率无一例外地都有所上升，但这些变化未达到统计学显著性。2015年，需要就医的损伤发生率高于2004年（比赛20.0%，训练37.5%）。
有证据表明瑞士业余足球运动的损伤发生率在过去几年有所上升。
