Primary Care Sports Medicine Service, Hospital for Special Surgery, New York, New York.
Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, Wisconsin.
Sports Health. 2022 May-Jun;14(3):372-376. doi: 10.1177/19417381211061144. Epub 2021 Dec 14.
Coronavirus disease 2019 (COVID-19) affects multiple organ systems. Whether and how COVID-19 affects the musculoskeletal system remains unknown. We aim to assess the association between COVID-19 and risk of injury.
Runners who report having COVID-19 also report a higher incidence of injury.
Cross-sectional study.
Level 4.
An electronic survey was distributed from July through September 2020, by New York Road Runners, ASICS North America, race medical directors, and through social media. Inclusion criteria were runners 18 years or older who had participated in ≥1 race (running or triathlon) in 2019.
A total of 1947 runners participated and met inclusion criteria. Average age was 45.0 (SD, 12.2) years and 56.5% were women. A total of 123 (6.3%) runners self-reported having COVID-19; 100 (81%) reported their diagnosis was from a laboratory test (polymerase chain reaction or antibody) and 23 reported being diagnosed by a medical professional without confirmatory laboratory testing. Since March 2020, 427 (21.9%) reported an injury that prevented running for at least 1 week, including 38 of 123 (30.9%) who self-reported having COVID-19 and 389 of 1435 (21.3%) who did not report having COVID-19 ( = 0.01). After adjusting for age, sex, the number of races in 2019, and running patterns before March 2020, runners who self-reported a diagnosis of COVID-19 had a higher incidence of injury compared with those who did not (odds ratio, 1.66; 95% CI, 1.11-2.48; = 0.01).
Injuries were more often self-reported by runners with laboratory-confirmed or clinically diagnosed COVID-19 compared with those who did not report COVID-19. Given the limitations of the study, any direct role of COVID-19 in the pathophysiology of injuries among runners remains unclear.
Direct and indirect musculoskeletal sequelae of COVID-19 should be further investigated, including the risk of exercise- and sports-related injury after COVID-19.
2019 年冠状病毒病（COVID-19）影响多个器官系统。COVID-19 是否以及如何影响肌肉骨骼系统尚不清楚。我们旨在评估 COVID-19 与受伤风险之间的关联。
报告患有 COVID-19 的跑步者报告受伤的发生率也更高。
横断面研究。
4 级。
2020 年 7 月至 9 月，通过纽约路跑者协会、亚瑟士北美公司、比赛医疗主任以及社交媒体分发了一份电子调查问卷。纳入标准为年龄在 18 岁或以上、2019 年参加过≥1 次比赛（跑步或三项全能）的跑步者。
共有 1947 名跑步者参加并符合纳入标准。平均年龄为 45.0（标准差，12.2）岁，56.5%为女性。共有 123（6.3%）名跑步者自我报告 COVID-19；100（81%）名报告其诊断来自实验室检测（聚合酶链反应或抗体），23 名报告由未经实验室确认检测的医疗专业人员诊断。自 2020 年 3 月以来，有 427（21.9%）名跑步者报告了至少 1 周的受伤，其中 38 名自报告 COVID-19，389 名未报告 COVID-19（ = 0.01）。调整年龄、性别、2019 年比赛次数以及 2020 年 3 月前的跑步模式后，自我报告 COVID-19 诊断的跑步者受伤发生率高于未报告 COVID-19 者（比值比，1.66；95%CI，1.11-2.48； = 0.01）。
与未报告 COVID-19 的跑步者相比，经实验室确认或临床诊断 COVID-19 的跑步者更常自我报告受伤。鉴于研究的局限性，COVID-19 在跑步者肌肉骨骼损伤发病机制中的直接作用仍不清楚。
应进一步研究 COVID-19 的直接和间接肌肉骨骼后遗症，包括 COVID-19 后与运动相关的受伤风险。
