Derman Wayne, Badenhorst Marelise, Blauwet Cheri, Emery Carolyn A, Fagher Kristina, Lee Young-Hee, Kissick James, Lexell Jan, Miller Ian Stuart, Pluim Babette M, Schwellnus Martin, Steffen Kathrin, Van de Vliet Peter, Webborn Nick, Weiler Richard
Institute of Sport and Exercise Medicine (ISEM), Division of Orthopaedic Surgery, Department of Surgical Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa
International Olympic Committee Research Centre, South Africa.
Br J Sports Med. 2021 Oct;55(19):1068-1076. doi: 10.1136/bjsports-2020-103464. Epub 2021 Apr 14.
In 2020, the IOC proposed a universal methodology for the recording and reporting of data for injury and illness in sport. Para sport is played by individuals with impairment, and they have a unique set of considerations not captured by these recommendations. Therefore, the aim of this addendum to IOC consensus statement was to guide the Para sport researcher through the complexities and nuances that should be taken into consideration when collecting, registering, reporting and interpreting data regarding Para athlete health. To develop this translation, experts in the field of Para sports medicine and epidemiology conducted a formal consensus development process, which began in March 2020 with the formation of a consensus group that worked over eight phases, incorporating three virtual consensus meetings to finalise the translation. This translation is consistent with the IOC consensus statement, yet provides more detailed Para athlete specific definitions and recommendations on study population, specifically, diagnostic and eligible impairment categorisation and recording of adaptive equipment, and defining and classifying health problems in the context of Para sport. Additionally, recommendations and Para athlete specific examples are described with regards to injury mechanism, mode of onset, injury and illness classification, duration, capturing and reporting exposure and risk. Finally, methods and considerations are provided to cater to the varied needs of athletes with impairment with respect to data collection tools. This harmonisation will allow the science to develop and facilitate a more accurate understanding of injury and illness patterns for tailoring evidence-informed prevention programmes and enabling better planning of medical services for Para sport events.
2020年，国际奥委会提出了一种用于记录和报告体育赛事中伤病数据的通用方法。残疾人体育由有身体障碍的个人参与，而这些建议并未涵盖他们的一系列独特考量因素。因此，这份国际奥委会共识声明附录的目的是引导残疾人体育研究人员应对在收集、登记、报告和解读有关残疾运动员健康的数据时应考虑的复杂性和细微差别。为了制定本译文，残疾人运动医学和流行病学领域的专家开展了正式的共识制定过程，该过程于2020年3月开始，成立了一个共识小组，历经八个阶段开展工作，包括三次虚拟共识会议以敲定译文。本译文与国际奥委会共识声明一致，但提供了更详细的针对残疾运动员的定义以及关于研究人群的建议，具体包括诊断和符合条件的损伤分类、适应性设备的记录，以及在残疾人体育背景下对健康问题进行定义和分类。此外，还描述了关于损伤机制、发病方式、伤病分类、持续时间、暴露和风险的捕捉与报告的建议及残疾运动员的具体示例。最后，提供了方法和注意事项，以满足残疾运动员在数据收集工具方面的不同需求。这种协调将有助于该学科的发展，并促进对伤病模式有更准确的理解，从而制定基于证据的预防方案，并为残疾人体育赛事更好地规划医疗服务。
