Department of Exercise and Sport Science, University of North Carolina at Chapel Hill.
School of Health Professions, University of Southern Mississippi, Hattiesburg.
J Athl Train. 2019 Jul;54(7):780-786. doi: 10.4085/1062-6050-229-18. Epub 2019 Jul 23.
Cervical muscle strains are an often-overlooked injury, with neck- and spine-related research typically focusing on spinal cord and vertebral injuries.
To examine the rates and distributions of cervical muscle strains in collegiate and high school football athletes.
Descriptive epidemiology study.
Collegiate and high school football teams.
The National Collegiate Athletic Association Injury Surveillance Program (NCAA-ISP) collected data from collegiate football athletes. The High School National Athletic Treatment, Injury and Outcomes Network (HS NATION) and High School Reporting Information Online (HS RIO) collected data from high school football athletes. Data from the 2011-2012 through 2013-2014 academic years were used.
MAIN OUTCOME MEASURE(S): Athletic trainers collected injury and exposure data for football players. Injury counts, injury rates per 10 000 athlete-exposures (AEs), and injury rate ratios with 95% confidence intervals (CIs) were calculated.
The NCAA-ISP reported 49 cervical muscle strains (rate = 0.96/10 000 AEs), of which 28 (57.1%) were TL (time loss; rate = 0.55/10 000 AEs). High School NATION reported 184 cervical muscle strains (rate = 1.66/10 000 AEs), of which 33 (17.9%) were TL injuries (rate = 0.30/10 000 AEs). The HS RIO, which collects only TL injuries, reported 120 TL cervical muscle strains (rate = 0.51/10 000 AEs). The overall injury rate was lower in the NCAA-ISP than in HS NATION (injury rate ratio = 0.58; 95% CI = 0.42, 0.79); when restricted to TL injuries, the overall injury rate was higher in the NCAA-ISP (injury rate ratio = 1.83; 95% CI = 1.11, 3.03). No differences were found when comparing TL injuries in HS RIO and the NCAA-ISP. Cervical muscle-strain rates were higher during competitions than during practices across all 3 surveillance systems for all injuries. Most cervical muscle strains were due to player contact (NCAA-ISP = 85.7%, HS NATION = 78.8%, HS RIO = 85.8%).
The incidence of cervical muscle strains in football players was low compared with other injuries. Nonetheless, identifying and implementing interventions, particularly those aimed at reducing unsafe player contact, are essential to further decrease the risk of injury and associated adverse outcomes.
颈部肌肉拉伤是一种经常被忽视的损伤，与颈部和脊柱相关的研究通常集中在脊髓和椎体损伤上。
检查大学生和高中足球运动员颈部肌肉拉伤的发生率和分布情况。
描述性流行病学研究。
大学生和高中橄榄球队。
全国大学生体育协会伤害监测计划（NCAA-ISP）收集了大学生橄榄球运动员的数据。高中国家运动治疗、损伤和结果网络（HS NATION）和高中报告信息在线（HS RIO）收集了高中橄榄球运动员的数据。使用了 2011-2012 学年至 2013-2014 学年的数据。
运动训练员收集了橄榄球运动员的伤害和暴露数据。计算了损伤计数、每 10000 次运动员暴露（AE）的损伤率、95%置信区间（CI）的损伤率比。
NCAA-ISP 报告了 49 例颈部肌肉拉伤（发生率=0.96/10000 AE），其中 28 例（57.1%）为 TL（时间损失；发生率=0.55/10000 AE）。HS NATION 报告了 184 例颈部肌肉拉伤（发生率=1.66/10000 AE），其中 33 例（17.9%）为 TL 损伤（发生率=0.30/10000 AE）。仅收集 TL 损伤的 HS RIO 报告了 120 例 TL 颈部肌肉拉伤（发生率=0.51/10000 AE）。NCAA-ISP 的整体损伤率低于 HS NATION（损伤率比=0.58；95%CI=0.42，0.79）；当限制为 TL 损伤时，NCAA-ISP 的整体损伤率更高（损伤率比=1.83；95%CI=1.11，3.03）。在比较 HS RIO 和 NCAA-ISP 的 TL 损伤时，没有发现差异。在所有 3 个监测系统中，颈部肌肉拉伤的发生率在比赛中高于练习中，所有损伤均如此。大多数颈部肌肉拉伤是由于球员接触（NCAA-ISP=85.7%，HS NATION=78.8%，HS RIO=85.8%）。
与其他损伤相比，足球运动员颈部肌肉拉伤的发生率较低。然而，确定并实施干预措施，特别是旨在减少不安全的球员接触的干预措施，对于进一步降低受伤风险和相关不良后果至关重要。
