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美国国家大学体育协会运动员的颈部和颈椎损伤:一项为期 5 年的流行病学研究。

Neck and Cervical Spine Injuries in National College Athletic Association Athletes: A 5-Year Epidemiologic Study.

机构信息

Department of Orthopedic Surgery, Mayo Clinic Arizona, Phoenix, AZ.

John A. Burns School of Medicine, University of Hawaii, Honolulu, HI.

出版信息

Spine (Phila Pa 1976). 2020 Jan 1;45(1):55-64. doi: 10.1097/BRS.0000000000003220.

DOI:10.1097/BRS.0000000000003220
PMID:31464974
Abstract

STUDY DESIGN

Descriptive epidemiology study.

OBJECTIVE

The purpose of this study was to describe the epidemiology of neck and cervical spine injuries in collegiate athletes over a 5-year period.

SUMMARY OF BACKGROUND DATA

The incidence and etiology of neck and cervical spine injuries in National Collegiate Athletic Association (NCAA) athletes has not been well defined in recent years.

METHODS

The incidence and characteristics of neck and cervical spine injuries were identified utilizing the NCAA Injury Surveillance Program database. Rates of injury were calculated as the number of injuries divided by the total number of athlete-exposures (AEs). AEs were defined as any student participation in one NCAA-sanctioned practice or competition.

RESULTS

Nationally, there were an estimated 11,510 neck and cervical spine injuries over the 5-year period. These occurred at a rate of 7.05 per 100,000 athlete-exposures (AEs). The rate of neck and cervical spine injuries in men was 2.66 per 100,000 AEs, while women suffered injuries at a rate of 1.95 per 100,000 AEs. In sex-comparable sports, men were 1.36 times more likely to suffer a neck or cervical spine injury compared with women. Men's football (29.09 per 100,000 AEs) and women's field hockey (11.51 per 100,000 AEs) were the sports with the highest rates of injuries. These injuries were 3.94 times more likely to occur during competition compared with practice. In-season injury rates were the highest, at 8.18 per 100,000 AEs.

CONCLUSION

The vast majority of neck and cervical spine injuries in NCAA athletes are minor and uncommon. Across all sports in both sexes, the majority of injuries were new, and occurred during in-season competitions. Most athletes returned to play within 24 hours of injury. These data can inform players, parents, coaches, athletic trainers, and physicians regarding the prevalence and rates of these injuries and potentially inform decision-making regarding injury prevention, treatment, and rehabilitation.

LEVEL OF EVIDENCE

摘要

研究设计

描述性流行病学研究。

目的

本研究旨在描述过去 5 年中大学生运动员颈部和颈椎损伤的流行病学情况。

背景数据概要

近年来,全国大学生体育协会(NCAA)运动员颈部和颈椎损伤的发生率和病因尚未得到很好的定义。

方法

利用 NCAA 损伤监测计划数据库确定颈部和颈椎损伤的发生率和特征。损伤发生率按损伤人数除以运动员暴露总数(AE)计算。AE 定义为任何学生参加 NCAA 认可的一次练习或比赛。

结果

在全国范围内,5 年内估计有 11510 例颈部和颈椎损伤。发生率为每 100000 名运动员暴露(AE)7.05 例。男性颈部和颈椎损伤发生率为每 100000 名 AE 2.66 例,而女性为每 100000 名 AE 1.95 例。在性别可比的运动中,男性颈部或颈椎损伤的发生率是女性的 1.36 倍。男子足球(每 100000 名 AE 29.09 例)和女子曲棍球(每 100000 名 AE 11.51 例)是受伤率最高的运动。与练习相比,这些损伤在比赛中发生的可能性高 3.94 倍。赛季中受伤率最高,为每 100000 名 AE 8.18 例。

结论

NCAA 运动员颈部和颈椎损伤绝大多数为轻度和不常见。在所有男女运动中,大多数损伤都是新的,发生在赛季中的比赛中。大多数运动员在受伤后 24 小时内重返赛场。这些数据可以为运动员、家长、教练、运动训练师和医生提供有关这些损伤的流行率和发生率的信息,并可能为损伤预防、治疗和康复的决策提供信息。

证据水平

4。

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