Martin Chelsea, Lieb Allison, Tokish John, Shanely Ellen, Kluzek Stefan, Collins Gary, Bullock Garrett
Epidemiology University of North Carolina at Chapel Hill.
ATI Physical Therapy.
Int J Sports Phys Ther. 2024 Feb 1;19(2):215-226. doi: 10.26603/001c.92309. eCollection 2024.
Research is limited investigating injuries/illness incidence among National Hockey League (NHL) players. This study sought to establish injury/illness incidence, initial versus subsequent injury risk among NHL players, and determine temporal trends of injury and illness incidence.
Variations in injury incidence by body region, and initial versus subsequent injury would be observed among positions.
Retrospective cohort study.
Publicly available data were utilized. NHL players 18 years or older between 2007-2008 to 2018-2019 were included. Injury and illness was stratified by position and body segment. Incidence rate (IR), and initial versus subsequent injury and illness risk ratios were calculated. Temporal trends were reported.
Nine thousand, seven-hundred and thirty four injuries and illnesses were recorded. Centers had the highest overall IR at 15.14 per 1000 athlete game exposures (AGEs) (95%CI:15.12-15.15) and were 1.4 times more likely to sustain a subsequent injury compared to other positions. The groin/hip/thigh was the most commonly injured body region with an IR of 1.14 per 1000 AGEs (95%CI:1.06-1.21), followed by the head/neck (0.72 per 1000 AGEs, 95%CI:0.66-0.78). Combined injury and illness IR peaked in 2009-2010 season at 12.01 (95%CI: 11.22-12.79). The groin/hip/thigh demonstrated peak incidence during the 2007-2008 season (2.53, 95%CI:2.17-2.90); head/neck demonstrated a peak incidence in 2010-2011 season (Overall: 1.03, 95%CI:0.81-1.26). Injuries reported as 'lower body' increased over time.
Positional differences were observed; centers demonstrated the highest overall IR, and subsequent injury risk. Injury by body region was similar to previous literature. Head/neck and concussion decreased over time supporting rule changes in body checking and visor wear. Clinicians should be aware that 'lower body' injuries increased over time; therefore, injuries to the groin/hip/thigh or knee are likely underreported.
Level 3.
关于国家冰球联盟（NHL）球员伤病发生率的研究有限。本研究旨在确定NHL球员的伤病发生率、初次受伤与后续受伤风险，并确定伤病发生率的时间趋势。
在不同位置之间，将观察到身体部位的受伤发生率差异，以及初次受伤与后续受伤情况的差异。
回顾性队列研究。
利用公开可得的数据。纳入2007 - 2008赛季至2018 - 2019赛季18岁及以上的NHL球员。伤病按位置和身体部位进行分层。计算发病率（IR）以及初次与后续受伤和患病的风险比。报告时间趋势。
记录了9734例伤病。中锋的总体发病率最高，每1000运动员比赛暴露次数（AGEs）为15.14（95%可信区间：15.12 - 15.15），与其他位置相比，中锋后续受伤可能性高1.4倍。腹股沟/臀部/大腿是最常受伤的身体部位，每1000 AGEs的发病率为1.14（95%可信区间：1.06 - 1.21），其次是头部/颈部（每1000 AGEs为0.72，95%可信区间：0.66 - 0.78）。伤病综合发病率在2009 - 2010赛季达到峰值，为12.01（95%可信区间：11.22 - 12.79）。腹股沟/臀部/大腿在2007 - 2008赛季发病率最高（2.53，95%可信区间：2.17 - 2.90）；头部/颈部在2010 - 2011赛季发病率最高（总体：1.03，95%可信区间：0.81 - 1.26）。报告为“下半身”的伤病随时间增加。
观察到位置差异；中锋总体发病率最高，后续受伤风险也最高。身体部位的受伤情况与先前文献相似。头部/颈部伤病和脑震荡随时间减少，这支持了身体检查规则和护目镜佩戴规定的改变。临床医生应意识到“下半身”伤病随时间增加；因此，腹股沟/臀部/大腿或膝盖的伤病可能报告不足。
3级。
