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雪橇曲棍球中的脑震荡和损伤:从基层到精英参与。

Concussions and Injuries in Sledge Hockey: Grassroots to Elite Participation.

机构信息

Department of Community Health Sciences, Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta.

Department of Community Health Sciences, Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta.

出版信息

Clin J Sport Med. 2022 Sep 1;32(5):e478-e484. doi: 10.1097/JSM.0000000000001023. Epub 2022 Mar 1.

DOI:10.1097/JSM.0000000000001023
PMID:36083334
Abstract

OBJECTIVE

To examine injury (including concussion) rates, location, type, mechanisms, and risk factors in sledge hockey players.

DESIGN

Cross-sectional survey.

SETTING

Sledge hockey players, worldwide, across all levels of play.

PARTICIPANTS

Sledge hockey players (ages ≥14 years) who played in the 2019 to 2020 season were recruited through email, social media, and word of mouth communication.

ASSESSMENT OF RISK FACTORS

Participant characteristics (eg, age, sex, disability) were examined as potential injury risk factors.

MAIN OUTCOME MEASURES

Injury rates (IR) and incidence rate ratios (IRR) examining potential risk factors were reported based on univariate Poisson regression analyses. Injury proportions by type, location, and mechanism were described.

RESULTS

Ninety-two players initiated the survey, and 77 (83.7%) provided some injury information. Forty-seven injuries included 16 concussions in 9 of 77 players (11.7%) and 31 non-concussion injuries in 20 of 77 players (26.0%) were reported. The overall IR was 13.2 injuries/1000 athlete-exposures [95% confidence interval (CI); 9.6-17.6]. The game IR (28.4 injuries/1000 game-exposures, 95% CI; 18.6-41.7) was higher than practice IR (4.4 injuries/1000 practice-exposures, 95% CI; 2.2-7.9) (IRR = 6.5, 95% CI; 3.1-14.5). The most common injury locations were the head (34.0%), wrist/hand (14.8%), and shoulder (10.6%). The most common significant injury types were concussion (36.2%) and bone fracture (8.5%). Body checking was the primary mechanism for injuries caused by contact with another player (42.1%) Age, sex, disability, and level of play were not found as injury risk factors.

CONCLUSIONS

Concussions and upper extremity injuries were the most common sledge hockey injuries reported, with body checking being the most common mechanism. This research will inform development of prevention strategies in sledge hockey.

摘要

目的

研究雪橇曲棍球运动员的损伤(包括脑震荡)发生率、部位、类型、机制和危险因素。

设计

横断面调查。

地点

全世界各级别参与雪橇曲棍球运动的运动员。

参与者

招募了参加 2019 至 2020 赛季的年龄≥14 岁的雪橇曲棍球运动员,通过电子邮件、社交媒体和口碑传播的方式进行招募。

危险因素评估

参与者的特征(例如,年龄、性别、残疾)被视为潜在的受伤危险因素进行检查。

主要观察指标

基于单变量泊松回归分析,报告了受伤率(IR)和损伤发生率比(IRR),以检查潜在的危险因素。描述了按类型、部位和机制划分的受伤比例。

结果

92 名运动员开始参与调查,其中 77 名(83.7%)运动员提供了一些受伤信息。47 例损伤包括 9 名运动员中的 16 例脑震荡(11.7%)和 20 名运动员中的 31 例非脑震荡损伤(26.0%)。总受伤率为 13.2 例/1000 名运动员暴露(95%置信区间[CI];9.6-17.6)。比赛的受伤率(28.4 例/1000 次比赛暴露,95%CI;18.6-41.7)高于训练的受伤率(4.4 例/1000 次训练暴露,95%CI;2.2-7.9)(IRR=6.5,95%CI;3.1-14.5)。最常见的受伤部位是头部(34.0%)、手腕/手部(14.8%)和肩部(10.6%)。最常见的重大损伤类型是脑震荡(36.2%)和骨折(8.5%)。身体碰撞是与其他运动员接触造成的损伤的主要机制(42.1%)。年龄、性别、残疾和运动水平未被发现是受伤的危险因素。

结论

脑震荡和上肢损伤是报告的最常见的雪橇曲棍球损伤,身体碰撞是最常见的损伤机制。本研究将为雪橇曲棍球的预防策略的制定提供信息。

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