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在 UCI 世界巡回赛的一个赛季中,精英公路自行车赛手在比赛中的受伤情况:一项前瞻性的发病率和损伤负担的流行病学研究。

Injuries in elite road cyclists during competition in one UCI WorldTour season: a prospective epidemiological study of incidence and injury burden.

机构信息

Department of Prevention, Rehabilitation and Interdisciplinary Sports Medicine, Bg Hospital Hamburg - Teaching Hospital of the University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Department of Medicine and Sports Science RB Leipzig Football Club, Leipzig Germany.

出版信息

Phys Sportsmed. 2023 Apr;51(2):129-138. doi: 10.1080/00913847.2021.2009744. Epub 2021 Dec 2.

DOI:10.1080/00913847.2021.2009744
PMID:34808064
Abstract

METHODS

Fifty-four male athletes from two different teams were involved. Accidents and injuries were recorded immediately after the incident by a team physician present at every race. Exposure, location, type and cause of injury have been recorded. Incidence was calculated. Severity was measured as a cumulative severity score and burden depicted in a risk matrix.

RESULTS

Total time of exposure was 12537 hours over 3524 athlete days and 544002 kilometers of racing. 98 accidents were recorded, with 83 leading to injury. The total number of recorded injuries was 193. Injury incidence for all injuries was 54,8 (±SD 47,7-62,8) /1000 athlete days, 15,4 (±SD 13,4-17,7) /1000 athlete hours and 35,5 (±SD 30,8-40,8) /100.000 km raced. By far the most frequent types of injury were hematomas, contusions and bruising (n = 141, 73%) followed by lacerations (n = 22; 11,4%). Most injuries affected the arm and elbow (n = 34, 17,6%) followed by the shoulder and clavicle (n = 28, 14,5%) and occurred with contact (79%). Fractures pose a high injury burden due to long time loss, whereas hematomas, contusions and bruising showed the highest incidence numbers but comparably less time loss.

CONCLUSION

Road cyclists' injuries have been underestimated in previous studies. Hematomas, contusions and bruising pose the highest number of injuries with a broad degree of severity and range of injury burden. Fractures are less common but show the highest injury burden. The upper extremities are involved the most.

摘要

方法

共有来自两支不同队伍的 54 名男运动员参与研究。每场比赛都有一位队医在场,他会在事故发生后立即记录事故和受伤情况。记录了暴露情况、位置、受伤类型和原因。计算了发病率。严重程度通过累积严重程度评分和风险矩阵中的负担来衡量。

结果

总暴露时间为 12537 小时,涉及 3524 名运动员日和 544002 公里的比赛。记录了 98 起事故,其中 83 起导致受伤。共记录了 193 起受伤事件。所有受伤的总发病率为 54.8(±SD 47.7-62.8)/1000 名运动员日,15.4(±SD 13.4-17.7)/1000 名运动员小时和 35.5(±SD 30.8-40.8)/100.000 公里比赛。到目前为止,最常见的受伤类型是血肿、挫伤和瘀伤(n=141,73%),其次是撕裂伤(n=22;11.4%)。大多数受伤发生在手臂和肘部(n=34,17.6%),其次是肩部和锁骨(n=28,14.5%),并且是接触性的(79%)。骨折由于长时间的损失,导致受伤负担很高,而血肿、挫伤和瘀伤的发病率较高,但损失时间相对较少。

结论

以前的研究低估了公路自行车运动员的受伤情况。血肿、挫伤和瘀伤导致的受伤数量最多,且严重程度和受伤负担范围广泛。骨折虽然不常见,但受伤负担最高。上肢受伤最多。

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