Orthopaedics ACT, Woden, Australian Capital Territory, Australia
School of Medicine, Healthcare in Remote and Extreme Environments Program, University of Tasmania, Hobart, Tasmania, Australia.
Br J Sports Med. 2020 Nov;54(21):1288-1293. doi: 10.1136/bjsports-2019-101402. Epub 2020 Jun 25.
To report the epidemiology of injury and illness in elite rowers over eight seasons (two Olympiads).
All athletes selected to the Australian Rowing Team between 2009 and 2016 were monitored prospectively under surveillance for injury and illness. The incidence and burden of injury and illness were calculated per 1000 athlete days (ADs). The body area, mechanism and type of all injuries were recorded and followed until the resumption of full training. We used interrupted time series analyses to examine the association between fixed and dynamic ergometer testing on rowers' injury rates. Time lost from illness was also recorded.
All 153 rowers selected over eight seasons were observed for 48 611 AD. 270 injuries occurred with an incidence of 4.1-6.4 injuries per 1000 AD. Training days lost totalled 4522 (9.2% AD). The most frequent area injured was the lumbar region (84 cases, 1.7% AD) but the greatest burden was from chest wall injuries (64 cases, 2.6% AD.) Overuse injuries (n=224, 83%) were more frequent than acute injuries (n=42, 15%). The most common activity at the time of injury was on-water rowing training (n=191, 68). Female rowers were at 1.4 times the relative risk of chest wall injuries than male rowers; they had half the relative risk of lumbar injuries of male rowers. The implementation of a dynamic ergometers testing policy (Concept II on sliders) was positively associated with a lower incidence and burden of low back injury compared with fixed ergometers (Concept II). Illness accounted for the greatest number of case presentations (128, 32.2% cases, 1.2% AD).
Chest wall and lumbar injuries caused training time loss. Policy decisions regarding ergometer testing modality were associated with lumbar injury rates. As in many sports, illness burden has been under-recognised in elite Australian rowers.
报告 8 个奥运周期（两届奥运会）中精英赛艇运动员的损伤和疾病流行病学。
2009 年至 2016 年期间，所有入选澳大利亚赛艇队的运动员均接受前瞻性监测，以监测损伤和疾病情况。按每 1000 名运动员日（AD）计算损伤发生率和损伤负担。记录所有损伤的身体部位、机制和类型，并持续跟踪至完全恢复训练。我们使用中断时间序列分析来检查固定和动态测功仪测试对赛艇运动员损伤率的关联。还记录了因疾病而损失的训练时间。
在 8 个赛季中，所有 153 名入选的赛艇运动员观察了 48611 名 AD。发生了 270 起损伤，损伤发生率为每 1000AD4.1-6.4 起。总训练日损失为 4522 天（9.2%AD）。受伤最常见的部位是腰椎（84 例，1.7%AD），但受伤负担最大的是胸壁损伤（64 例，2.6%AD）。过度使用损伤（n=224，83%）比急性损伤（n=42，15%）更常见。受伤时最常见的活动是水上划船训练（n=191，68%）。女性赛艇运动员胸壁损伤的相对风险是男性赛艇运动员的 1.4 倍；她们腰椎损伤的相对风险是男性赛艇运动员的一半。与固定测功仪（Concept II）相比，实施动态测功仪测试政策（滑座上的 Concept II）与较低的下背部损伤发生率和损伤负担呈正相关。疾病占病例数的最大比例（128 例，32.2%的病例，1.2%AD）。
胸壁和腰椎损伤导致训练时间损失。关于测功仪测试方式的政策决策与腰椎损伤率有关。与许多运动一样，精英澳大利亚赛艇运动员的疾病负担一直被低估。
