Texas State University, San Marcos.
Appalachian State University, Boone, NC.
J Athl Train. 2024 Jun 1;59(6):649-654. doi: 10.4085/1062-6050-0359.23.
CONTEXT: Exploring sports-related musculoskeletal injuries and treatment characteristics in middle school sports may help inform patient care decisions such as appropriate medical coverage. OBJECTIVE: To describe injury and treatment characteristics of middle school-aged athletes receiving care from athletic trainers within the Athletic Training Practice-Based Research Network (AT-PBRN). DESIGN: Descriptive study. SETTING: Middle school. PATIENT OR OTHER PARTICIPANTS: Middle school-aged athletes (n = 1011; male = 503, female = 506, 2 declined to answer) with sports-related musculoskeletal injuries. MAIN OUTCOME MEASURES: Electronic patient records were analyzed from the AT-PBRN from 59 athletic trainers across 14 states between 2010 and 2022. Summary statistics (frequency, percentages, median, and interquartile ranges [IQR]) were used to describe injury (age at injury, sex, sport, body part, and diagnosis) and treatment characteristics (type of treatment, number of visits, and number of procedures per visit). RESULTS: Football (17.7%, n = 179), basketball (17.6%, n = 178), and soccer (14.9%, n = 151) reported the highest number of injuries. The ankle (17.2%, n = 174), knee (16.5%, n = 167), and head (14.1%, n = 143) were the most common injury locations. Concussion (13.0%, n = 131), ankle strain/sprain (12.4%, n = 125), and thigh/hip/groin sprain/strain (11.1%, n = 112) were the most reported diagnoses. Therapeutic exercise or activities (27.6%, n = 1068), athletic trainer evaluation or re-evaluation (24.7%, n = 957), and hot/cold packs (19.8%, n = 766) were the most common services, with a median of 2 visits (IQR = 1 to 4) and 2 procedures (IQR = 1 to 2) per visit. CONCLUSIONS: Football, basketball, and soccer reported the most musculoskeletal injuries for middle school-aged athletes. Concussions were the most frequent diagnosis, followed by ankle sprains/strains. Our findings are similar to prior investigations at the high school and collegiate levels. Treatments at the middle school level were also similar to those that have been previously reported at the high school level with therapeutic exercise/activity, athletic trainer evaluation or re-evaluation, and hot/cold packs being the most common treatments. This information may be useful for informing patient care decisions at the middle-school level.
背景：探究中学体育中与运动相关的肌肉骨骼损伤和治疗特点，可能有助于为运动员提供适当的医疗保障等患者护理决策提供信息。
目的：描述在运动训练实践研究网络（AT-PBRN）中接受运动训练员治疗的中学年龄段运动员的损伤和治疗特征。
设计：描述性研究。
地点：中学。
患者或其他参与者：1011 名患有运动相关肌肉骨骼损伤的中学年龄段运动员（男=503 人，女=506 人，2 人拒绝回答）。
主要观察指标：从 2010 年至 2022 年期间，来自 14 个州的 59 名运动训练员的 AT-PBRN 电子患者记录进行了分析。使用频率、百分比、中位数和四分位数范围（IQR）来描述损伤（损伤时的年龄、性别、运动类型、身体部位和诊断）和治疗特征（治疗类型、就诊次数和每次就诊的治疗次数）。
结果：足球（17.7%，n=179）、篮球（17.6%，n=178）和足球（14.9%，n=151）报告的损伤最多。踝关节（17.2%，n=174）、膝关节（16.5%，n=167）和头部（14.1%，n=143）是最常见的损伤部位。脑震荡（13.0%，n=131）、踝关节扭伤/拉伤（12.4%，n=125）和大腿/臀部/腹股沟扭伤/拉伤（11.1%，n=112）是最常见的诊断。治疗性运动或活动（27.6%，n=1068）、运动训练员评估或重新评估（24.7%，n=957）和冷热包（19.8%，n=766）是最常见的服务，每次就诊的中位数为 2 次（IQR=1 至 4）和 2 次治疗（IQR=1 至 2）。
结论：足球、篮球和足球报告的中学年龄段运动员肌肉骨骼损伤最多。脑震荡是最常见的诊断，其次是踝关节扭伤/拉伤。我们的发现与高中和大学水平的先前调查相似。中学水平的治疗方法也与高中水平的治疗方法相似，治疗性运动/活动、运动训练员评估或重新评估以及冷热包是最常见的治疗方法。这些信息可能有助于为中学水平的患者护理决策提供信息。
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