Vaandering Kenzie, Meeuwisse Derek, MacDonald Kerry, Eliason Paul H, Graham Robert F, Chadder Michaela K, Lebrun Constance M, Emery Carolyn A, Schneider Kathryn J
Sport Injury Research Prevention Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.
Department of Kinesiology, University of British Columbia, Vancouver, BC, Canada.
Clin J Sport Med. 2023 Jul 1;33(4):414-420. doi: 10.1097/JSM.0000000000001098. Epub 2022 Nov 22.
To evaluate injury incidence rates, types, mechanisms, and potential risk factors in youth volleyball.
Prospective cohort.
2018 Canadian Youth National Volleyball Tournament.
Thousand eight hundred seventy-six players [466 males, 1391 females, mean age 16.2 years (±1.26)] consented to participate (19.5%).
Sex (male/female), age group, position, and underage players.
Players completed a questionnaire (demographic information, injury, and concussion history). Medical attention injuries were recorded by tournament medical personnel through an injury report form (eg, mechanism and type). Injury was defined as any physical complaint seeking onsite medical attention. Concussion was defined using the fifth International Consensus. Injury rates adjusted for cluster by team were calculated by sex. Exploratory multivariable Poisson regression was used to analyze potential risk factors (eg, sex, age group, position, and underage players) for injury, adjusted for cluster by team and offset by athlete exposures (AEs).
There were 101 injuries in the 7-day tournament {IR Female = 6.78 injuries/1000 AEs [95% confidence interval (CI), 5.27-8.72]; IR Male = 4.30 injuries/1000 AEs (95% CI, 2.55-7.24)}. Joint sprain (n = 29, 28.71%) and concussion (n = 26, 25.74%) were the most common. Most concussions were associated with ball-to-head contact (61.5%). There was no statistically significant difference in injury rate by sex (IRR F/M : 1.47; 95% CI, 0.80-2.69). The rates of injury in U14 were higher than U18 (IRR U14 : 2.57; 95% CI, 1.11-5.98).
Injury rates are high in youth volleyball tournament play, with the highest rates in U14. More research is needed to inform the development of volleyball-specific injury prevention strategies.
评估青少年排球运动中的损伤发生率、类型、机制及潜在风险因素。
前瞻性队列研究。
2018年加拿大青少年国家排球锦标赛。
1876名运动员[466名男性，1391名女性，平均年龄16.2岁（±1.26）]同意参与（参与率19.5%）。
性别（男/女）、年龄组、位置和未成年球员。
运动员完成一份问卷（人口统计学信息、损伤和脑震荡史）。赛事医务人员通过损伤报告表记录需要医疗关注的损伤（如机制和类型）。损伤定义为任何寻求现场医疗关注的身体不适。脑震荡采用第五次国际共识定义。按性别计算经团队聚类调整后的损伤发生率。采用探索性多变量泊松回归分析损伤的潜在风险因素（如性别、年龄组、位置和未成年球员），并对团队聚类进行调整，以运动员暴露量（AE）作为偏移量。
在为期7天的赛事中有101例损伤{女性损伤发生率=6.78例/1000 AE[95%置信区间（CI），5.27 - 8.72]；男性损伤发生率=4.30例/1000 AE（95% CI，2.55 - 7.24）}。关节扭伤（n = 29，28.71%）和脑震荡（n = 26，25.74%）最为常见。大多数脑震荡与球撞击头部有关（61.5%）。按性别划分的损伤发生率无统计学显著差异（女性/男性损伤发生率比值：1.47；95% CI，0.80 - 2.69）。14岁以下组的损伤发生率高于18岁以下组（14岁以下组损伤发生率比值：2.57；95% CI，1.11 - 5.98）。
青少年排球赛事中的损伤发生率较高，14岁以下组最高。需要更多研究为制定特定于排球运动的损伤预防策略提供依据。
