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高水平青少年男子足球的损伤发生率、患病率和严重程度:系统评价。

Injury Incidence, Prevalence and Severity in High-Level Male Youth Football: A Systematic Review.

机构信息

School of Health, Sport and Professional Practice, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, UK.

Bolton Wanderers Football Club, Bolton, UK.

出版信息

Sports Med. 2019 Dec;49(12):1879-1899. doi: 10.1007/s40279-019-01169-8.

Abstract

BACKGROUND

At a young age, high-level youth footballers enter structured practice where they engage in regular training and matches. The academy system is considered fundamental to a young footballer's tactical, technical and physical development. Yet, with regular training and matches, high-level youth footballers may be exposed to the risk of injury.

OBJECTIVE

This systematic review analyses and summarises published scientific information on high-level youth football injury characteristics and calculates the risk of them sustaining an injury over the course of a typical season.

METHODS

The search was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Of the 1346 studies found, 23 fulfilled the inclusion criteria.

RESULTS

Quality assurance scores for the selected research articles ranged between two and five out of eight. A high degree of heterogeneity between studies was observed. The probability of sustaining a time-loss injury during a high-level youth season ranged between < 1% and 96% for under 9- to under 16-year age groups and 50% and 91% for under 18- to under 21-year age groups. Pooled estimates for total (training and match) incidence per 1000 h was 5.8 for youth players aged under 9 to under 21 years, 7.9 for older players (under 17-under 21 years) and 3.7 for younger aged players (under 9-under 16 years). Training injury incidence rate ranged from 0.69 to 7.9 per 1000 h for all age groups in youth football. Match injury incidence rate for high-level youth players ranged from 0.4 to 80.0 per 1000 h. Close to one-fifth (18%) of all high-level youth football injuries were classified as severe and required > 28 days recovery time. Muscle strain injury accounted for 37% of all injuries reported in youth football. High probabilities (> 90%) of sustaining a time-loss injury over one typical high-level football season were found.

CONCLUSION

High-level youth players lose large portions of the seasonal development to injury, with players seemingly suffering long absences from training and matches, consequently affecting health and well-being and possibly burdening club/parental finances and healthcare systems.

摘要

背景

在年轻时期,高水平青少年足球运动员进入结构化的训练模式,定期参加训练和比赛。学院制被认为是青少年球员在战术、技术和身体素质发展方面的基础。然而,随着定期的训练和比赛,高水平青少年足球运动员可能面临受伤的风险。

目的

本系统评价分析和总结了已发表的关于高水平青少年足球运动员损伤特征的科学信息,并计算了他们在典型赛季中受伤的风险。

方法

检索使用了系统评价和荟萃分析的首选报告项目(PRISMA)指南。在发现的 1346 篇研究中,有 23 篇符合纳入标准。

结果

选定研究文章的质量保证评分在 2 到 8 分之间。研究之间存在高度的异质性。在高水平青年赛季中,9 岁以下至 16 岁以下年龄段和 18 岁以下至 21 岁以下年龄段的时间损失性损伤的发生率范围分别为<1%至 96%和 50%至 91%。9 岁以下至 21 岁以下青少年运动员的总(训练和比赛)发生率为每 1000 小时 5.8 例,17 岁以下至 21 岁运动员为 7.9 例,9 岁以下至 16 岁运动员为 3.7 例。所有年龄组青少年足球的训练损伤发生率范围为每 1000 小时 0.69 至 7.9 例。高水平青年运动员的比赛损伤发生率范围为每 1000 小时 0.4 至 80.0 例。将近五分之一(18%)的高水平青年足球运动员受伤被归类为严重,需要>28 天的康复时间。肌肉拉伤占青少年足球报道的所有损伤的 37%。发现高水平青年运动员在一个典型的高水平足球赛季中,时间损失性损伤的发生率很高(>90%)。

结论

高水平青年运动员因伤损失了大量赛季发展的时间,球员似乎因训练和比赛而长期缺席,从而影响健康和幸福,并且可能给俱乐部/父母的经济和医疗保健系统带来负担。

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