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亚洲职业足球运动中的伤病流行病学:总体发病率和负担较低,但与欧洲相比,前交叉韧带和腘绳肌损伤负担较高。

Injury and illness epidemiology in professional Asian football: lower general incidence and burden but higher ACL and hamstring injury burden compared with Europe.

作者信息

Tabben Montassar, Eirale Cristiano, Singh Gurcharan, Al-Kuwari Abdulaziz, Ekstrand Jan, Chalabi Hakim, Bahr Roald, Chamari Karim

机构信息

Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar

Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar.

出版信息

Br J Sports Med. 2022 Jan;56(1):18-23. doi: 10.1136/bjsports-2020-102945. Epub 2021 Jan 5.

DOI:10.1136/bjsports-2020-102945
PMID:33402346
Abstract

BACKGROUND

While football injury and illness epidemiology surveillance at professional club level in Europe is available, epidemiological data from other continents are lacking.

PURPOSE

Investigating injury and illness epidemiology in professional Asian football.

STUDY DESIGN

Descriptive prospective study.

METHODS

Professional teams from the Asian Football Confederation (AFC) league were followed prospectively for three consecutive AFC seasons (2017 through 2019, 13 teams per season, 322 team months). Time-loss injuries and illnesses in addition to individual match and training exposure were recorded using standardised digital tools in accordance with international consensus procedures.

RESULTS

In total, 232 665 hours of exposure (88.6% training and 11.4% matches) and 1159 injuries were recorded; 496 (42.8%) occurred during matches, 610 (52.6%) during training; 32 (2.8%) were reported as 'not applicable' and for 21 injuries (1.8%) information was missing. Injury incidence was significantly greater during match play (19.2±8.6 injuries per 1000 hours) than training (2.8±1.4, p<0.0001), resulting in a low overall incidence of 5.1±2.2.The injury burden for match injuries was greater than from training injuries (456±336 days per 1000 hours vs 54±34 days, p<0.0001). The two specific injuries causing the greatest burden were complete ACL ruptures (0.14 injuries (95% CI 0.9 to 0.19) and 29.8 days lost (29.1 to 30.5) per 1000 hours) and hamstring strains (0.86 injuries (0.74 to 0.99) and 17.5 days (17.0 to 18.1) lost per 1000 hours).Reinjuries constituted 9.9% of all injuries. Index injuries caused 22.6±40.8 days of absence compared with 25.1±39 for reinjuries (p=0.62). The 175 illnesses recorded resulted in 1.4±2.9 days of time loss per team per month.

CONCLUSION

Professional Asian football is characterised by an overall injury incidence similar to that reported from Europe, but with a high rate of ACL ruptures and hamstring injury, warranting further investigations.

摘要

背景

虽然欧洲职业俱乐部层面的足球伤病流行病学监测数据可得,但其他大洲的流行病学数据却很匮乏。

目的

调查亚洲职业足球的伤病流行病学情况。

研究设计

描述性前瞻性研究。

方法

对亚洲足球联合会(AFC)联赛中的职业球队进行了连续三个AFC赛季(2017年至2019年,每个赛季13支球队,共322个球队月)的前瞻性跟踪。除了记录个人比赛和训练的暴露情况外,还使用标准化数字工具按照国际共识程序记录了导致时间损失的伤病情况。

结果

总共记录了232665小时的暴露时间(88.6%为训练时间,11.4%为比赛时间)以及1159起伤病;其中496起(42.8%)发生在比赛期间,610起(52.6%)发生在训练期间;32起(2.8%)报告为“不适用”,21起伤病(1.8%)信息缺失。比赛期间的伤病发生率(每1000小时19.2±8.6起伤病)显著高于训练期间(2.8±1.4起,p<0.0001),总体发生率较低,为5.1±2.2。比赛伤病的负担大于训练伤病(每1000小时456±336天 vs 54±34天,p<0.0001)。造成最大负担的两种特定伤病是前交叉韧带完全断裂(每1000小时0.14起伤病(95%CI 0.9至0.19),损失29.8天(29.1至30.5天))和腘绳肌拉伤(每1000小时0.86起伤病(0.74至0.99),损失17.5天(17.0至18.1天))。再损伤占所有伤病的9.9%。初次受伤导致缺勤22.6±40.8天,而再损伤导致缺勤25.1±39天(p=0.62)。记录的175起疾病导致每队每月损失1.4±2.9天的时间。

结论

亚洲职业足球的总体伤病发生率与欧洲报道的相似,但其前交叉韧带断裂和腘绳肌损伤发生率较高,值得进一步研究。

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