影响肌肉骨骼和脑震荡损伤披露因素的识别与比较。
The Identification and Comparison of Factors Affecting Musculoskeletal and Concussion Injury Disclosure.
机构信息
Applied Biomechanics Laboratory, Department of Kinesiology, University of Texas at San Antonio.
Human Movement Science Curriculum, University of North Carolina at Chapel Hill.
出版信息
J Athl Train. 2023 Jun 1;58(6):563-572. doi: 10.4085/1062-6050-0291.22.
CONTEXT
Despite the increased risk of musculoskeletal (MSK) injury after a concussion, little is known about the determinants of such a risk. Moreover, the authors of previous reports of increased risk of MSK injury after a concussion have neglected to account for the high level of undisclosed concussions.
OBJECTIVE
To explore the association between the intention to disclose a possible concussion and the intention to disclose an MSK injury.
DESIGN
Cross-sectional study.
SETTING
Online survey.
PATIENTS OR OTHER PARTICIPANTS
One hundred seven National Collegiate Athletic Association Division I athletes (females = 79%, age = 19.4 ± 1.4 years).
MAIN OUTCOME MEASURE(S): Online survey exploring determinants such as injury knowledge, attitudes, perceived social norms, and perceived behavioral control surrounding concussive and MSK injury disclosure.
RESULTS
A significant association between high intention to disclose a concussion and high intention to disclose an MSK injury (χ2 = 19.276, P < .001, Cramer V = 0.482) was observed. Spearman rank correlations suggested no correlation between concussion nondisclosure (25%) and MSK injury nondisclosure (52%). Multivariate binomial regressions indicated that perceived social norms were the strongest determinant (β = 1.365, P = .002) of high intention to disclose concussion, while attitudes toward MSK injury (β = 1.067, P = .005) and perceived social norms (β = 1.099, P = .013) were the strongest determinants of high intention to report MSK injury.
CONCLUSIONS
Individuals with high intention to report concussion symptoms also demonstrated high intention to report MSK injury. Strong positive associations were seen between known determinants of intention to disclose concussion and adapted versions of those same determinant domains in intention to disclose MSK injury. As those with high intention to disclose concussion also displayed high intention to disclose MSK injury, intention to disclose injuries generally may play a role in explaining the increase in MSK injury after a concussion.
背景
尽管脑震荡后肌肉骨骼（MSK）损伤的风险增加，但对此风险的决定因素知之甚少。此外，先前报告脑震荡后 MSK 损伤风险增加的作者忽略了未公开的脑震荡数量之高。
目的
探讨披露可能的脑震荡与披露 MSK 损伤之间的意图之间的关联。
设计
横断面研究。
设置
在线调查。
患者或其他参与者
107 名美国全国大学体育协会一级运动员（女性=79%，年龄=19.4±1.4 岁）。
主要观察指标
在线调查，探讨围绕脑震荡和 MSK 损伤披露的决定因素，如损伤知识、态度、感知社会规范和感知行为控制。
结果
高披露脑震荡意图与高披露 MSK 损伤意图之间存在显著关联（χ2=19.276，P<.001，Cramer V=0.482）。Spearman 等级相关表明，脑震荡未披露（25%）与 MSK 损伤未披露（52%）之间无相关性。多元二项式回归表明，感知社会规范是高披露脑震荡意图的最强决定因素（β=1.365，P=.002），而对 MSK 损伤的态度（β=1.067，P=.005）和感知社会规范（β=1.099，P=.013）是高披露 MSK 损伤意图的最强决定因素。
结论
有高报告脑震荡症状意图的个体也表现出高报告 MSK 损伤意图。在披露脑震荡意图的已知决定因素与适应版本的 MSK 损伤披露意图之间存在强烈的正相关关系。由于那些有高披露脑震荡意图的人也表现出高披露 MSK 损伤意图，因此一般来说，披露损伤的意图可能在解释脑震荡后 MSK 损伤增加方面发挥作用。
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