Johannsen H V, Noerregaard F O
Department of Orthopaedic Surgery, Aarhus County Hospital, University of Aarhus, Denmark.
Br J Sports Med. 1988 Sep;22(3):113-5. doi: 10.1136/bjsm.22.3.113.
The purpose of the study was to analyse the effect of knuckle protection on the type and incidence of injuries in traditional karate contests. Knuckle protection was mandatory at the Danish karate championships 1983 and 1986 (290 matches, 0.26 injuries per match), and prohibited at the championships 1984 and 1985 (620 matches, 0.25 injuries per match). Head injuries were more common in the tournaments where fist pads were used. The incidences of transitory psychomotor disturbances following blows to the head were comparable. The severity of head injuries, however, decreased; minor head injuries dominated when fist pads were used (66%, compared with 44% without fist pads, p less than 0.01) and there were fewer lacerations and fractures. Injuries to the fingers or hands were also fewer--1.3% compared with 11% without protection (p less than 0.01). The use of fist pads reduced considerably the number of injuries requiring treatment (from 42% to 16%, p less than 0.01). In conclusion; fist pads offer some protection against injuries, especially to the hands, but additional measures are needed.
该研究的目的是分析指关节保护对传统空手道比赛中损伤类型和发生率的影响。在1983年和1986年的丹麦空手道锦标赛中，指关节保护是强制性的（290场比赛，每场比赛0.26次损伤），而在1984年和1985年的锦标赛中被禁止（620场比赛，每场比赛0.25次损伤）。在使用拳套的比赛中，头部损伤更为常见。头部受击后短暂性精神运动障碍的发生率相当。然而，头部损伤的严重程度有所降低；使用拳套时，轻度头部损伤占主导（66%，未使用拳套时为44%，p<0.01），且撕裂伤和骨折较少。手指或手部的损伤也较少——使用拳套时为1.3%，未使用保护措施时为11%（p<0.01）。使用拳套大大减少了需要治疗的损伤数量（从42%降至16%，p<0.01）。总之，拳套能提供一定的防损伤保护，尤其是对手部的保护，但还需要其他措施。
