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职业和业余高尔夫球手肌肉骨骼损伤的流行病学:系统评价和荟萃分析。

Epidemiology of musculoskeletal injury in professional and amateur golfers: a systematic review and meta-analysis.

机构信息

Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK

Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.

出版信息

Br J Sports Med. 2024 May 28;58(11):606-614. doi: 10.1136/bjsports-2023-107324.

DOI:10.1136/bjsports-2023-107324
PMID:38508702
Abstract

OBJECTIVE

To determine the prevalence and incidence of musculoskeletal injury in amateur and professional golfers, and to identify common injury sites and factors associated with increased injury frequency.

DESIGN

Systematic epidemiological review and meta-analysis.

DATA SOURCES

PubMed (Medline), Embase, the Cochrane Library and SPORTDiscus were searched in September 2023.

ELIGIBILITY CRITERIA

Studies published in the English language reporting the incidence or prevalence of musculoskeletal injuries in golfers at all anatomical sites.

RESULTS

20 studies (9221 golfers, 71.9% male, 28.1% female) were included, with mean age 46.8 years. Lifetime injury prevalence was significantly greater in professional golfers (73.5% (95% CI: 47.3% to 93.0%)) than amateur golfers (56.6% (95% CI: 47.4% to 65.5%); relative risk (RR)=1.50, p<0.001). Professional golfers had a significantly greater lifetime prevalence of hand and wrist (RR=3.33, p<0.001) and lower back injury (RR=3.05, p<0.001). Soft tissue injuries were most common, and diagnoses were typically non-specific. Injury frequency was not associated with age or sex. Two studies reported a greater injury risk in amateur golfers playing more than three and four rounds per week.

CONCLUSION

Over half of golfers are at risk of sustaining a musculoskeletal injury during their lifetime. Risks and patterns of injury differ between professional and amateur golfers, with professionals significantly more likely to develop lower back, and hand and wrist injuries. A recent international consensus statement on the reporting of injury and illness in golf should aid consistency in future research assessing the epidemiology of specific diagnoses, informing golf injury prevention and management strategies.

PROSPERO REGISTRATION NUMBER

CRD42023408738.

摘要

目的

确定业余和职业高尔夫球手肌肉骨骼损伤的患病率和发病率,并确定常见的损伤部位和与受伤频率增加相关的因素。

设计

系统的流行病学综述和荟萃分析。

数据来源

2023 年 9 月,在 PubMed(Medline)、Embase、Cochrane 图书馆和 SPORTDiscus 上进行了检索。

入选标准

发表在英文期刊上的报告高尔夫球手所有解剖部位肌肉骨骼损伤发病率或患病率的研究。

结果

共纳入 20 项研究(9221 名高尔夫球手,71.9%为男性,28.1%为女性),平均年龄 46.8 岁。与业余高尔夫球手(56.6%(95%可信区间:47.4%至 65.5%))相比,职业高尔夫球手的终身损伤患病率明显更高(73.5%(95%可信区间:47.3%至 93.0%);相对风险(RR)=1.50,p<0.001)。职业高尔夫球手的手部和手腕(RR=3.33,p<0.001)和下背部损伤的终身患病率明显更高。最常见的软组织损伤,且诊断通常不明确。受伤频率与年龄或性别无关。两项研究报告称,每周打三到四轮以上的业余高尔夫球手受伤风险更大。

结论

超过一半的高尔夫球手在其一生中都有发生肌肉骨骼损伤的风险。职业和业余高尔夫球手的受伤风险和模式不同,职业高尔夫球手更有可能患上下背部和手部及手腕损伤。最近发布的关于高尔夫球运动中损伤和疾病报告的国际共识声明,应有助于未来研究中评估特定诊断的流行病学,为高尔夫球运动损伤预防和管理策略提供信息。

PROSPERO 注册号:CRD42023408738。

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Br J Sports Med. 2024 May 28;58(11):606-614. doi: 10.1136/bjsports-2023-107324.
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