Lalji Rahim, Snider Hayden, Chow Noah, Howitt Scott
Department of Chiropractic Medicine, Faculty of Medicine, University of Zurich and Balgrist University Hospital, Zurich, Switzerland.
School of Kinesiology and Health Science, York Univeristy, Toronto, Canada.
J Can Chiropr Assoc. 2020 Dec;64(3):187-192.
In 2015, the U.S. Soccer Federation banned heading for players aged 10-13.
PURPOSE/QUESTION: To assess the change in proportion of children aged 10-13 playing soccer in the US presenting to an Emergency Department (ED) with a concussion in relation to any other injury before and after the ban.
Analysis was restricted to soccer athletes between 10-13 years that reported to a National Electronic Injury Surveillance System (NEISS) participating hospital ED following injury in 2013-2014 and 2016-2017. Multivariable logistic regression was performed to assess the association between year of injury and concussion diagnosis in relation to other injury diagnosis after adjusting for age, sex, and ethnicity.
Concussion in relation to other injuries showed a significant increase in 2016-2017 when compared to 2013-2014 after adjustment (OR= 1.286, 95%CI = 1.090-1.517).
These results suggest that banning heading may not reduce concussion within this population. However, significant confounders, including increased reporting, were not controlled for.
2015年，美国足球联合会禁止10至13岁的球员进行头球练习。
目的/问题：评估在美国，10至13岁踢足球的儿童因脑震荡前往急诊科就诊的比例相对于禁令实施前后的任何其他损伤的变化情况。
分析仅限于2013 - 2014年和2016 - 2017年受伤后前往参与国家电子伤害监测系统（NEISS）的医院急诊科就诊的10至13岁足球运动员。进行多变量逻辑回归，以评估在调整年龄、性别和种族后，受伤年份与脑震荡诊断相对于其他损伤诊断之间的关联。
与2013 - 2014年相比，2016 - 2017年调整后脑震荡相对于其他损伤显著增加（OR = 1.286，95%CI = 1.090 - 1.517）。
这些结果表明，禁止头球练习可能不会降低该人群中的脑震荡发生率。然而，包括报告增加在内的显著混杂因素未得到控制。
