DeFroda Steven F, Staffa Steven J, Keeley Tim, Kriz Peter K
Department of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine, Providence, Rhode Island, USA.
Department of Anesthesiology, Critical Care and Pain Medicine, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts, USA.
Orthop J Sports Med. 2021 Feb 26;9(2):2325967120983350. doi: 10.1177/2325967120983350. eCollection 2021 Feb.
The Major League Baseball (MLB) All-Star Game (ASG) Home Run Derby (HRD) remains a highly anticipated event, during which contestants can take hundreds of maximum-effort swings en route to hitting a multitude of home runs. Critics have openly questioned the risk-benefit of HRD participation as it pertains to injury, alterations in swing mechanics, and timing.
To determine whether participation in the MLB ASG HRD was associated with both increased injury risk and decline in second-half performance in MLB players.
Cohort study; Level of evidence, 3.
MLB players who participated in the HRD between 2006 and 2019 were identified through publicly available internet databases. A control group of ASG participants who had the highest home run totals in the first half of the corresponding MLB season were selected as a control group. Multivariable linear regression was used to determine independent associations between HRD participation and batting metrics in the second half of the season. Multivariable logistic regression also assessed the impact of HRD participation on injured list placement during the second half of the concurrent MLB season.
A total of 114 HRD participants and 114 ASG participant controls competed during the study period. No statistically significant differences were seen in batting metrics in the second half of the MLB season between HRD participants and ASG controls, although HRD participants had a significantly lower wins-above-replacement statistic for the season compared with controls (4.69 ± 2.06 vs 5.33 ± 2.08; = .021). HRD participation was not significantly associated with injury during the second half. The number of HRD rounds in which a player participated did not result in a statistically significant increased odds of injury during the second half of the MLB season.
HRD participants did not have increased odds of being placed on the injured list during the second half of the MLB season compared with controls, nor did they experience second-half performance declines in offensive production versus controls when multivariable linear regression analysis was performed.
美国职业棒球大联盟(MLB)全明星赛(ASG)本垒打大赛(HRD)一直是备受期待的赛事,在此期间,参赛者可以全力以赴挥棒数百次,打出大量本垒打。批评者公开质疑参加本垒打大赛在受伤、挥棒力学改变和时机方面的风险收益。
确定参加MLB全明星赛本垒打大赛是否与MLB球员受伤风险增加和下半年表现下降有关。
队列研究;证据等级,3级。
通过公开的互联网数据库识别出2006年至2019年期间参加本垒打大赛的MLB球员。选择在相应MLB赛季上半年本垒打总数最高的全明星赛参赛者作为对照组。使用多变量线性回归来确定参加本垒打大赛与赛季下半年击球指标之间的独立关联。多变量逻辑回归还评估了参加本垒打大赛对同期MLB赛季下半年进入伤病名单的影响。
在研究期间,共有114名本垒打大赛参赛者和114名全明星赛参赛者对照组参与。本垒打大赛参赛者和全明星赛对照组在MLB赛季下半年的击球指标上没有统计学上的显著差异,尽管与对照组相比,本垒打大赛参赛者该赛季的胜场超越替代球员统计数据显著更低(4.69±2.06对5.33±2.08;P = 0.021)。参加本垒打大赛与下半年受伤没有显著关联。球员参加的本垒打大赛轮数并未导致在MLB赛季下半年受伤几率有统计学上的显著增加。
与对照组相比,本垒打大赛参赛者在MLB赛季下半年进入伤病名单的几率没有增加,在进行多变量线性回归分析时,与对照组相比,他们在进攻产量方面也没有出现下半年表现下降的情况。