Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg.
Orthopedic Hospital Markgröningen, Centre for Arthroscopy and Sports Medicine, Markgröningen, Germany.
Int J Sports Med. 2020 Jan;41(1):54-58. doi: 10.1055/a-1021-1776. Epub 2019 Nov 20.
This study aimed to investigate exposure adjusted injury incidence rates and profiles associated with training and competition in an elite taekwondo athlete population. 82 athletes were investigated for injuries over a period of 5 years. Individual fight time exposure for training and competition was recorded. The type and location of the injuries were classified and exposure-adjusted injury incidence rates (IIR) were calculated per 1000 h for training and competition. 66 athletes with a mean age of 19.3±4.2 years and 172 injuries were included in the final data assessment. The exposure adjusted IIR was significantly higher during competition (p<0.001) with a rate ratio of 6.33 (95% CI 4.58-8.69). Ankle and foot region as well as hand and wrist were most affected with significant higher IIR in competition (p<0.001). Joint injuries, fractures, and bruising occurred the most. Fractures occurred mainly to the hand and wrist region. Future investigations should focus on exposure adjusted injury data including analyses of the detailed mechanism leading to especially severe injuries to improve specific injury prevention in competition and promote evolution of protective gear.
本研究旨在调查精英跆拳道运动员训练和比赛中与暴露相关的损伤发生率和特征。对 82 名运动员进行了 5 年的损伤调查。记录了个人比赛时间暴露于训练和比赛的情况。对损伤的类型和位置进行了分类，并计算了训练和比赛每 1000 小时的暴露调整损伤发生率（IIR）。最终数据评估包括 66 名平均年龄为 19.3±4.2 岁的运动员和 172 次损伤。比赛中的暴露调整 IIR 显著更高（p<0.001），比率比为 6.33（95%CI 4.58-8.69）。踝关节和足部区域以及手和手腕是受影响最严重的部位，比赛中的 IIR 显著更高（p<0.001）。关节损伤、骨折和瘀伤最为常见。骨折主要发生在手和手腕区域。未来的研究应重点关注包括分析导致特别严重损伤的详细机制的暴露调整损伤数据，以改善比赛中的特定损伤预防，并促进防护装备的发展。
