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中老年业余男性橄榄球运动员肌肉骨骼损伤的影响、发生率和患病率:一项流行病学研究。

Impact, incidence and prevalence of musculoskeletal injuries in senior amateur male rugby: epidemiological study.

机构信息

Department of Physical Therapy and Sport Medicine, Rugby Club Los Matreros, Castelar, Buenos Aires, Argentina.

Department of Physical Therapy and Sport Medicine, Old Resian Club, Rosario, Argentina.

出版信息

Phys Sportsmed. 2022 Jun;50(3):269-275. doi: 10.1080/00913847.2021.1924045. Epub 2021 May 18.

Abstract

OBJECTIVES

Exposure to different types of injuries in rugby union is common. It is important to know about the injury epidemiology for medical teams care in order to optimize players´ performance and the treatment of common injuries, but there is limited specific information related to amateur rugby union. The purpose of this study is to determine the incidence, prevalence, injury burden, severity, nature of injuries sustained by senior amateur male rugby players from three clubs in Argentina during a given season.

METHODS

An observational, analytical, prospective, multicenter study was developed. Data collection was conducted from 15 March 2019 to 2 November 2019, during a complete season under the applicable standards of the Rugby Injury Consensus Group according to the Orchard Sports Injury and Illness Classification System.Incidence (injuries/1000 player-match-hours), prevalence (%), severity (time loss), injury burden (days lost/1000 player-match-hours), injured location and type of injury (%) were estimated.

RESULTS

250 players and 180 injuries were assessed. Injury prevalence was 52.4%. Incidence rate per match and training was 30.9/1000 player-match-hours, and 0.77/1000 player-training-hours, respectively.The median injury severity score was 23 (IQR 12.7-52) days lost accounting for an injury burden of 97.3/1000 player-hours. Of the total, 113 (62.8%) injuries were contact injuries. The lower limbs were the most commonly affected (58.9%). Hamstring strain injury had the highest incidence and anterior cruciate ligament tear was the most severe injury.

CONCLUSION

The prevalence, incidence, and injury burden reported in this study are unprecedented and would add knowledge for the amateur rugby union community. Trainers, physicians, and physical therapists, should consider it to improve their clinical practice.

摘要

目的

接触不同类型的损伤在橄榄球联盟中很常见。了解医学团队护理中的损伤流行病学对于优化球员表现和治疗常见损伤非常重要,但与业余橄榄球联盟相关的具体信息有限。本研究的目的是确定阿根廷三个俱乐部的高级业余男性橄榄球运动员在一个赛季中遭受的损伤发生率、患病率、损伤负担、严重程度和性质。

方法

进行了一项观察性、分析性、前瞻性、多中心研究。数据收集时间为 2019 年 3 月 15 日至 2019 年 11 月 2 日,在适用橄榄球损伤共识组标准下,根据 Orchard 运动损伤和疾病分类系统,在一个完整的赛季中进行。估计了发病率(损伤/1000 名球员-比赛-小时)、患病率(%)、严重程度(失时)、损伤负担(/1000 名球员-比赛-小时损失的天数)、受伤部位和损伤类型(%)。

结果

评估了 250 名球员和 180 次损伤。损伤患病率为 52.4%。每场比赛和训练的发病率分别为 30.9/1000 名球员-比赛-小时和 0.77/1000 名球员-训练-小时。中位数损伤严重程度评分为 23(IQR 12.7-52)天,损伤负担为 97.3/1000 名球员-小时。在所有损伤中,113 次(62.8%)为接触性损伤。下肢最常受累(58.9%)。腘绳肌拉伤的发生率最高,前交叉韧带撕裂的损伤最严重。

结论

本研究报道的患病率、发病率和损伤负担是前所未有的,将为业余橄榄球联盟社区增加知识。教练、医生和物理治疗师应考虑这些因素,以改善他们的临床实践。

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