Sport & Exercise Discipline Group, Faculty of Health, University of Technology Sydney (UTS), Australia; Medical Department, Football Federation Australia, Australia.
Sport & Exercise Discipline Group, Faculty of Health, University of Technology Sydney (UTS), Australia; Medical Department, Football Federation Australia, Australia.
J Sci Med Sport. 2020 Jun;23(6):574-579. doi: 10.1016/j.jsams.2020.01.006. Epub 2020 Jan 24.
To describe the injury epidemiology of the Australian male professional soccer league (A-League) over 6 consecutive seasons.
Prospective observational cohort study.
Match-loss injury data was collected from each A-League club (n=10) for each competition match (n=27/season) over 6 seasons (2012/13-2017/18). Injuries were collected weekly through a standardised protocol and were classified by setting, mechanism, severity, the type and location on the body. Generalised Linear Models were used to estimate the injury incidences (injury/round/season), whilst rate ratios were reported for total injuries and within abovementioned injury classifications.
Overall injury incidence was not significantly different ranging from 4.8 (95%CI:4.1-5.8) to 6.7 (95%CI:5.8-7.8) between seasons 2012/13 to 2017/18 (p>0.05). Match injuries remained stable whilst training injuries decreased across the 6 seasons (exp(β) 0.59[95%CI:0.36-1.0]; p=0.04). Respectively, contact and non-contact injuries were not significantly different across the 6 seasons, although non-contact injuries were more common than contact injuries (p>0.05). Mild severity injuries decreased (exp(β) 0.64 [95%CI:0.4-0.9];p=0.02), whilst moderate severity injuries increased (exp(β) 1.7 [95%CI:1.0-2.8];p=0.04) in season 2017/18 compared to 2012/13. The most common injuries were at thigh (23-36%), of which the majority were hamstring injuries (54%-65%) of muscle/tendon type (50-60% of total injuries/season). Injuries remained stable across the seasons by type and location (p>0.05 and p>0.05, respectively).
Injury rates, mechanisms, locations and types have remained relatively stable over recent seasons of the A-League. Current Australian professional soccer league medical practices may have contributed to the stability of injury rates.
描述澳大利亚职业足球联赛（A 联赛）连续 6 个赛季的男性运动员损伤流行病学情况。
前瞻性观察性队列研究。
每个赛季（2012/13 年至 2017/18 年），从每个 A 联赛俱乐部（n=10）的每场比赛中（n=27/赛季）收集比赛中受伤的损失数据。每周通过标准化方案收集损伤数据，并根据损伤发生的部位、机制、严重程度、类型和身体部位进行分类。使用广义线性模型估计损伤发生率（损伤/轮/赛季），并报告总损伤和上述损伤分类中的比率比。
2012/13 年至 2017/18 年各赛季的整体损伤发生率无显著差异，范围为 4.8（95%CI：4.1-5.8）至 6.7（95%CI：5.8-7.8）（p>0.05）。比赛中受伤保持稳定，而训练中受伤则在 6 个赛季中减少（βexp0.59[95%CI：0.36-1.0]；p=0.04）。分别来看，6 个赛季中接触性和非接触性损伤没有显著差异，尽管非接触性损伤比接触性损伤更常见（p>0.05）。2017/18 赛季，轻度损伤（βexp0.64[95%CI：0.4-0.9]；p=0.02）减少，而中度损伤（βexp1.7[95%CI：1.0-2.8]；p=0.04）增加。大腿（23-36%）处的最常见损伤，其中大多数为腿筋损伤（54%-65%），为肌肉/肌腱类型（50-60%的赛季总损伤/伤）。各赛季的损伤类型和部位相对稳定（p>0.05 和 p>0.05）。
A 联赛最近几个赛季的损伤发生率、机制、部位和类型相对稳定。当前澳大利亚职业足球联赛的医疗实践可能是损伤发生率稳定的原因之一。
