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脊柱损伤对业余运动员的影响:一项关于与运动相关的患者报告结局的探索性分析。

The Impact of Spine Injuries on Amateur Athletes: An Exploratory Analysis of Sport-Related Patient-Reported Outcomes.

作者信息

Raisch Philipp, Hirth Tabea, Kreinest Michael, Vetter Sven Y, Grützner Paul A, Jung Matthias K

机构信息

Department of Trauma and Orthopedic Surgery, BG Klinik Ludwigshafen, University of Heidelberg, Ludwig-Guttmann-Straße 13, 67071 Ludwigshafen am Rhein, Germany.

出版信息

Sports (Basel). 2024 Aug 1;12(8):213. doi: 10.3390/sports12080213.

Abstract

INTRODUCTION

There is a lack of information on return to sport and patient-reported outcome measures (PROMs) in amateur athletes after isolated spine injuries.

METHODS

A single-center cohort study in amateur athletes aged 18 to 60 with isolated spine injuries; clinical data collection and follow-up via telephone interview and standardized PROMs (Short-Form 36, Oswestry and Neck Disability Index, Tampa Scale of Kinesiophobia, Hospital Anxiety and Depression Scale, Pain Visual Analog Scale). Bivariate analyses of potential influencing factors on PROMs were conducted using the Wilcoxon Signed-Rank Test. -values < 0.05 were considered statistically significant.

RESULTS

Out of the 80 included participants, 78% (n = 62) were active in sport at follow-up. PROMs were slightly worse than those described for the age-adjusted general population. There were consistent associations of better PROMs with having reached the subjective preinjury level of performance in sport, while injury severity and surgical or conservative therapy did not show consistent associations with PROMs.

CONCLUSION

Most amateur athletes resume their sports activity after a spine injury. Better outcomes are associated with individuals' resumption of sport and subjective level of performance, while injury severity and surgical or conservative therapy do not show consistent associations with PROMs, highlighting the importance of patient education, rehabilitation, and encouragement.

摘要

引言

关于业余运动员单纯脊柱损伤后恢复运动及患者报告结局指标(PROMs)的信息较少。

方法

对18至60岁的业余运动员进行单中心队列研究,这些运动员患有单纯脊柱损伤;通过电话访谈收集临床数据并进行随访,采用标准化的PROMs(简短健康调查问卷36项、奥斯维斯特里和颈部残疾指数、坦帕运动恐惧量表、医院焦虑抑郁量表、疼痛视觉模拟量表)。使用Wilcoxon符号秩检验对PROMs的潜在影响因素进行双变量分析。P值<0.05被认为具有统计学意义。

结果

在纳入的80名参与者中,78%(n = 62)在随访时仍积极参与运动。PROMs略差于年龄调整后的一般人群。PROMs与达到运动损伤前主观表现水平呈一致关联,而损伤严重程度以及手术或保守治疗与PROMs未显示出一致关联。

结论

大多数业余运动员脊柱损伤后恢复运动。较好的结局与个人恢复运动及主观表现水平相关,而损伤严重程度以及手术或保守治疗与PROMs未显示出一致关联,这凸显了患者教育、康复和鼓励的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83b1/11359861/132b202299e6/sports-12-00213-g001.jpg

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