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基于网络的运动损伤监测的第一个十年:美国高中男生篮球(2005-2006 赛季至 2013-2014 赛季)和美国大学生体育协会男子篮球(2004-2005 赛季至 2013-2014 赛季)的损伤描述性流行病学。

The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Basketball (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Men's Basketball (2004-2005 Through 2013-2014).

机构信息

Division of Athletic Training, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus.

Jameson Crane Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, The Ohio State University, Columbus.

出版信息

J Athl Train. 2018 Nov;53(11):1025-1036. doi: 10.4085/1062-6050-148-17.

Abstract

CONTEXT

The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of boys' and men's basketball injury data.

OBJECTIVE

To describe the epidemiology of injuries sustained in high school boys' basketball in the 2005-2006 through 2013-2014 academic years and collegiate men's basketball in the 2004-2005 through 2013-2014 academic years using Web-based sports injury surveillance.

DESIGN

Descriptive epidemiology study.

SETTING

Online injury surveillance from basketball teams of high school boys (annual average = 100) and collegiate men (annual average = 55).

PATIENTS OR OTHER PARTICIPANTS

Boys' and men's basketball players who participated in practices and competitions during the 2005-2006 through 2013-2014 academic years in high school or the 2004-2005 through 2013-2014 academic years in college.

MAIN OUTCOME MEASURES

Athletic trainers collected time-loss (≥24 hours) injury and exposure data. Injury rates per 1000 athlete-exposures (AEs) were calculated. Injury rate ratios (IRRs) with 95% confidence intervals (CIs) compared injury rates by school size or division, time in season, event type, and competition level.

RESULTS

The High School Reporting Information Online system documented 3056 time-loss injuries during 1 977 480 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 4607 time-loss injuries during 868 631 AEs. The injury rate was higher for college than for high school (5.30 versus 1.55/1000 AE; IRR = 3.43; 95% CI = 3.28, 3.59). The injury rate was higher for competitions than for practices in both high school (IRR = 2.38; 95% CI = 2.22, 2.56) and college (IRR = 2.02; 95% CI = 1.90, 2.14). The most common injuries at both levels were ligament sprains, muscle/tendon strains, and concussions; most injuries affected the ankle, knee, and head/face. Injuries were most often caused by contact with another player or noncontact mechanisms.

CONCLUSIONS

Injury rates were greater among collegiate players compared with high school players and were greater during competitions than practices at both levels. Distributions of injuries by body part, diagnoses, and mechanisms of injury were similar, suggesting that athletes at both levels may benefit from similar injury-prevention strategies.

摘要

背景

通过 High School Reporting Information Online 系统和 National Collegiate Athletic Association Injury Surveillance Program 等网络运动伤害监测项目的出现,有助于获取男孩和男子篮球运动伤害数据。

目的

利用网络运动伤害监测,描述 2005-2006 学年至 2013-2014 学年期间高中男生篮球和 2004-2005 学年至 2013-2014 学年期间大学男生篮球的损伤流行病学。

设计

描述性流行病学研究。

地点

在线监测高中男生(年均 100 人)和大学男生(年均 55 人)篮球队的损伤。

患者或其他参与者

参加 2005-2006 学年至 2013-2014 学年高中或 2004-2005 学年至 2013-2014 学年大学篮球比赛和练习的男篮球运动员。

主要观察指标

运动训练员收集伤停(≥24 小时)损伤和暴露数据。计算每 1000 名运动员暴露(AE)的损伤率。通过学校规模或等级、赛季时间、事件类型和比赛水平比较损伤率比(IRR)和 95%置信区间(CI)。

结果

High School Reporting Information Online 系统记录了 1977480 次 AE 中的 3056 次伤停损伤;National Collegiate Athletic Association Injury Surveillance Program 记录了 868631 次 AE 中的 4607 次伤停损伤。大学的损伤率高于高中(5.30 比 1.55/1000 AE;IRR=3.43;95%CI=3.28,3.59)。高中和大学的比赛损伤率均高于练习(IRR=2.38;95%CI=2.22,2.56 和 IRR=2.02;95%CI=1.90,2.14)。两个水平上最常见的损伤是韧带扭伤、肌肉/肌腱拉伤和脑震荡;大多数损伤影响脚踝、膝盖和头部/面部。损伤最常由与另一名运动员的接触或非接触机制引起。

结论

与高中运动员相比,大学运动员的损伤率更高,且在比赛中比练习中更高。身体部位、诊断和损伤机制的损伤分布相似,这表明两个水平的运动员都可能受益于相似的损伤预防策略。

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