Asperti André Marangoni, Jovanovic Igor, Carui Nickolas Andreas Bom, Pedrinelli André, Hernandez Arnaldo José, Fernandes Tiago Lazzaretti
Universidade de São Paulo, Faculty of Medicine, Hospital das Clínicas, Institute of Orthopedics and Traumatology, Sports Medicine Group, São Paulo, SP, Brazil.
Acta Ortop Bras. 2022 May 23;30(3):e248732. doi: 10.1590/1413-785220223003e248732. eCollection 2022.
To evaluate the nature and rate of sports injuries in medical students, as well as the risk factors at these events.
All student-athletes (218) from a Medical School, integrated in at least one of the six team sport modalities (soccer, rugby, indoor soccer, handball, basketball, and volleyball) in 2017, were included. Injuries affecting their performance, regardless of time loss, were included. Athlete-exposure (A-E) was defined as one student-athlete participating in one practice or game.
Injury rates were significantly higher in junior medical students (1 - 3 year) (7.58 per 1000 A-E, 95%CI = 6.11-9.06) than in senior medical students (4 - 6 year) (4.49 per 1000 A-E, 95%CI = 3.26-5.73) (p < 0.001). Multi-sports athletes had higher injury rates (10.69 per 1000 A-E, 95%CI = 8.22-13.17) than single-sport athletes (4.49 per 1000 A-E, 95%CI = 3.51-5.47) (p = 0.002). More than 60% of reported injuries occurred in the lower limbs and the mechanism that accounted for most injuries in games was player contact (51%); whereas in practice, it was non-contact (53%).
Junior medical students present a higher injury rate than seniors. Medical students practicing more than one modality had a higher injury rate than those involved in just one sport modality.
评估医学生运动损伤的性质、发生率以及这些损伤事件的风险因素。
纳入了一所医学院的所有学生运动员（218名），他们在2017年至少参加了六种团队运动项目（足球、橄榄球、室内足球、手球、篮球和排球）中的一项。纳入影响其表现的损伤，无论是否导致时间损失。运动员暴露（A-E）定义为一名学生运动员参加一次训练或比赛。
低年级医学生（1 - 3年级）的损伤发生率（每1000 A-E为7.58，95%置信区间 = 6.11 - 9.06）显著高于高年级医学生（4 - 6年级）（每1000 A-E为4.49，95%置信区间 = 3.26 - 5.73）（p < 0.001）。多项运动的运动员损伤发生率（每1000 A-E为10.69，95%置信区间 = 8.22 - 13.17）高于单项运动的运动员（每1000 A-E为4.49，95%置信区间 = 3.51 - 5.47）（p = 0.002）。报告的损伤中超过60%发生在下肢，比赛中导致大多数损伤的机制是运动员接触（51%）；而在训练中，是非接触（53%）。
低年级医学生的损伤发生率高于高年级学生。参加多种运动项目的医学生的损伤发生率高于只参加一种运动项目的学生。
