Ruhr-Universität Bochum, Fakultät für Sportwissenschaft, Lehr- und Forschungsbereich Sportmedizin und Sporternährung, Gesundheitscampus-Nord 10, 44801, Bochum, Germany.
Verwaltungs-Berufsgenossenschaft (VBG), Bezirksverwaltung Bergisch Gladbach, Kölner Str. 20, 51429, Bergisch Gladbach, Germany.
Knee Surg Sports Traumatol Arthrosc. 2020 May;28(5):1656-1664. doi: 10.1007/s00167-019-05623-y. Epub 2019 Jul 19.
The purpose of this study was to analyse unique injury data of the national statutory accident insurance for the two highest divisions in German male football (Bundesliga and 2. Bundesliga) over three consecutive seasons regarding inter-season, inter-division and inter-team differences.
This was a prospective observational open cohort study over the seasons 2014/2015, 2015/2016 and 2016/2017. Every acute injury that was registered by clubs or physicians with the German statutory accident insurance for professional athletes (VBG) as part of occupational accident reporting and that led to time loss and/or to medical attention, was included.
The complete sample consisted of 1449 players. The study covered 2663.5 player seasons with an observed match exposure of 69,058 h and a projected training exposure of 529,136 h. In total, 7493 injuries were included. The overall incidence rate was 12.5 (± 0.28) injuries per 1000 exposure hours, which translated into match and training rates of 47.0 (± 1.62) and 8.02 (± 0.24) injuries per 1000 h, respectively.
Findings of 2.7 injuries per player and season underline the need of effective preventive approaches. Higher injury incidences in seasons after international tournaments suggest an increasing risk of injury with increasing number of matches. However, large differences between the single teams from the same division indicate that a reduction in the injury burden is generally possible. Continuing the presented injury surveillance might be helpful to identify injury trends in the future and to evaluate the effectiveness of preventive approaches under real-life conditions.
Level II.
本研究旨在分析德国男足两个最高级别联赛（德甲和德乙）连续三个赛季国家法定意外保险的独特损伤数据，比较赛季间、联赛内和球队间的差异。
这是一项针对 2014/2015、2015/2016 和 2016/2017 三个赛季的前瞻性观察性开放队列研究。所有由俱乐部或医生向德国职业运动员法定意外保险机构（VBG）报告的因职业事故导致的急性损伤，包括导致失时和/或需要医疗关注的损伤，均被纳入研究。
完整样本包括 1449 名球员。研究涵盖了 2663.5 个球员赛季，观察到的比赛暴露时间为 69058 小时，预计训练暴露时间为 529136 小时。共纳入 7493 例损伤。总体发生率为 12.5（±0.28）/1000 暴露小时，相当于比赛和训练的发生率分别为 47.0（±1.62）和 8.02（±0.24）/1000 小时。
每个球员和赛季 2.7 例的损伤发生率表明需要采取有效的预防措施。国际比赛后赛季的损伤发生率较高提示随着比赛次数的增加，受伤风险逐渐增加。然而，同一联赛中不同球队之间的巨大差异表明，总体上减少损伤负担是有可能的。继续进行本研究中的损伤监测，有助于识别未来的损伤趋势，并在实际条件下评估预防措施的效果。
II 级。
