New Zealand Rugby, Wellington, New Zealand.
Accident Compensation Corporation, Wellington, New Zealand.
Sports Med. 2020 Feb;50(2):415-428. doi: 10.1007/s40279-019-01176-9.
OBJECTIVES: The Accident Compensation Corporation is a compulsory, 24-h, no-fault personal injury insurance scheme in New Zealand. The purpose of this large-scale retrospective cohort study was to use Accident Compensation Corporation records to provide information about rugby injury epidemiology in New Zealand, with a focus on describing differences in risk by age and gender. METHODS: A total of 635,657 rugby injury claims were made to the Accident Compensation Corporation for players aged 5-40 years over the period 2005-2017. Information about player numbers and estimates of player exposure was obtained from New Zealand Rugby, the administrative organisation for rugby in New Zealand. RESULTS: Over three quarters of claims (76%) were for soft-tissue injuries, with 11% resulting from fractures or dislocations, 6.7% from lacerations, 3.1% from concussions and 2.0% from dental injuries. Body regions injured included shoulder (14%), knee (14%), wrist/hand (13%), neck/spine (13%), head/face (12%), leg (11%) and ankle (10%). The probability of a player making at least one injury claim in a season (expressed as a percentage) was calculated under the assumption that the incidence of claims follows a Poisson distribution. Players aged 5-6 years had a probability of making at least one claim per season of 1.0%, compared to 8.3% for players aged 7-12 years, 35% for age 13-17 years, 53% for age 18-20 years, 57% for age 21-30 years and 47% for age 31-40 years. The overall probability of making at least one claim per season across all age groups was 29%. The relative claim rate for adults (players aged 18 years and over) was 3.92 (90% confidence interval 3.90-3.94) times that of children. Ten percent of players were female, and they sustained 6% of the injuries. Overall, the relative claim rate for female players was 0.57 times that of male players (90% confidence interval 0.56-0.58). The relative claim rate of female to male players tended to increase with age. There were very few female players aged over 30 years; however, those who did play had higher claim rates than male players of the same age group (1.49; 90% confidence interval 1.45-1.53). CONCLUSIONS: Injuries resulting from rugby are distributed across the body, and most of the claims are for soft-tissue injuries. Rates of injury increase rapidly through the teenage years until the early 20 s; for male players they then decrease until the mid-30 s. For female players, the injury rate does not decrease as players move into their 30 s. Combining Accident Compensation Corporation injury claim data with national player registration data provides useful information about the risks faced by New Zealand's community rugby players, and the insights derived are used in the development of rugby injury prevention programme content.
目的:意外伤害赔偿公司是新西兰的一个强制性、24 小时、无过错的人身意外伤害保险计划。本大规模回顾性队列研究的目的是利用意外伤害赔偿公司的记录提供新西兰橄榄球损伤流行病学信息,重点描述年龄和性别差异的风险。
方法:2005-2017 年期间,共有 635657 名年龄在 5-40 岁的橄榄球运动员向意外伤害赔偿公司提出了 635657 项橄榄球损伤索赔。球员人数和球员暴露情况的估计数从新西兰橄榄球协会(新西兰橄榄球运动的管理机构)获得。
结果:超过四分之三(76%)的索赔是软组织损伤,11%是骨折或脱位,6.7%是撕裂伤,3.1%是脑震荡,2.0%是牙损伤。受伤的身体部位包括肩部(14%)、膝盖(14%)、手腕/手部(13%)、颈部/脊柱(13%)、头部/面部(12%)、腿部(11%)和脚踝(10%)。在假设索赔发生率遵循泊松分布的情况下,计算了每个赛季至少有一次受伤索赔的球员比例(表示为百分比)。5-6 岁的球员每个赛季至少有一次索赔的可能性为 1.0%,而 7-12 岁的球员为 8.3%,13-17 岁的球员为 35%,18-20 岁的球员为 53%,21-30 岁的球员为 57%,31-40 岁的球员为 47%。所有年龄组中每个赛季至少有一次索赔的总体可能性为 29%。成年运动员(18 岁及以上)的相对索赔率为 3.92(90%置信区间为 3.90-3.94)倍于儿童。10%的运动员是女性,她们承受了 6%的损伤。总体而言,女性运动员的相对索赔率是男性运动员的 0.57 倍(90%置信区间为 0.56-0.58)。女性运动员与男性运动员的相对索赔率随着年龄的增长而增加。30 岁以上的女性运动员非常少;然而,与同年龄组的男性运动员相比,她们的索赔率更高(1.49;90%置信区间为 1.45-1.53)。
结论:橄榄球运动造成的损伤分布在全身,大部分索赔都是软组织损伤。受伤率在青少年时期迅速上升,直到 20 多岁;对于男性运动员来说,他们的受伤率在 30 多岁时开始下降。对于女性运动员来说,随着年龄的增长,受伤率并没有下降。将意外伤害赔偿公司的伤害索赔数据与全国运动员登记数据相结合,可以提供有关新西兰社区橄榄球运动员面临的风险的有用信息,从中得出的见解被用于制定橄榄球伤害预防计划的内容。
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