中学运动训练员在青少年运动员过度使用损伤治疗中的策略和障碍。

Secondary School Athletic Trainers' Strategies and Barriers to Overuse Injury Treatment in Adolescent Athletes.

机构信息

Department of Kinesiology, University of Wisconsin-Oshkosh, Oshkosh, WI,USA.

Department of Kinesiology, University of Wisconsin-Madison, Madison, WI,USA.

出版信息

J Sport Rehabil. 2023 Jan 23;32(4):402-408. doi: 10.1123/jsr.2022-0277. Print 2023 May 1.

DOI:10.1123/jsr.2022-0277

PMID:36689997

Abstract

CONTEXT

Studies have illustrated that overuse injuries occur in adolescent athletes more often than previously reported. The general purpose of this study was to provide a thorough report of secondary school athletic trainers encounters, practices, and perceptions of overuse injury in adolescent athletes.

DESIGN

Cross-sectional.

METHODS

An anonymous online questionnaire was distributed via email to athletic trainers in the secondary school setting. The questionnaire was sent to participants during the summer of 2021 and 430 participants (highest educational degree earned: master's degree = 66%) completed the survey. Various survey methods were used to evaluate athletic trainers (1) demographics, (2) estimations about what percentage of injuries evaluated and treated were classified as overuse, (3) methods for treating overuse injuries, (4) confidence in treating overuse injuries and the complete implementation of their treatment plan, (5) perceptions of various barriers to treating overuse injuries, and (6) perception as to why patients did not want to reduce activity to treat their overuse injuries.

RESULTS

Participants reported that about half of all evaluations and treatments in a year were overuse injuries and they were "fairly" or "completely" confident (90%) in their ability to treat these injuries. The most common treatments cited were stretching (91%) and reducing activity (90%). Only 61% of participants were "fairly" or "completely" confident in the complete implementation of their treatment plan. Participants believed that patients' reluctance to reduce sport activities (82% "moderate" or "extreme" barrier) was the most significant barrier to treatment. Participants cited athletes' avoidance of missing games as the most common reason athletes were reluctant to reduce sporting activity.

CONCLUSIONS

Participants felt confident in treating overuse injuries yet faced significant barriers in treating these injuries. Clinicians should be prepared to have conversations about the importance of reducing sporting activity to allow proper healing for overuse injuries in adolescent athletes.

摘要

背景

研究表明，青少年运动员的过度使用损伤比以前报道的更为常见。本研究的目的是全面报告中学体育教练对青少年运动员过度使用损伤的遭遇、实践和看法。

设计

横断面研究。

方法

通过电子邮件向中学体育教练分发匿名在线问卷。问卷于 2021 年夏季发送给参与者，有 430 名参与者（最高学历：硕士学位=66%）完成了调查。使用各种调查方法评估体育教练：（1）人口统计学，（2）评估和治疗的损伤中有多少百分比被归类为过度使用，（3）过度使用损伤的治疗方法，（4）治疗过度使用损伤的信心以及完全执行其治疗计划，（5）对治疗过度使用损伤的各种障碍的看法，以及（6）对为什么患者不想减少活动以治疗过度使用损伤的看法。

结果

参与者报告称，一年中约有一半的评估和治疗是过度使用损伤，他们对自己治疗这些损伤的能力“相当”或“完全”有信心（90%）。最常提到的治疗方法是拉伸（91%）和减少活动（90%）。只有 61%的参与者对完全执行他们的治疗计划“相当”或“完全”有信心。参与者认为患者不愿意减少体育活动（82%为“中度”或“极端”障碍）是治疗的最大障碍。参与者指出，运动员避免错过比赛是运动员不愿意减少体育活动的最常见原因。