青少年手球运动中的健康问题与损伤管理：针对679名运动员的Safeplay单赛季队列研究

Health problems and injury management in adolescent handball: the Safeplay one-season cohort study of 679 players.

作者信息

Møller Merete, Isaksen Johansen Stian, Myklebust Grethe, Nielsen Rasmus Oestergaard, Möller Sören, Mikkelsen Ulla, Wedderkopp Niels, Lind Martin

机构信息

Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark

Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.

出版信息

Br J Sports Med. 2024 Dec 23;59(1):65-74. doi: 10.1136/bjsports-2024-108493.

DOI:10.1136/bjsports-2024-108493

PMID:39472030

Abstract

OBJECTIVES

To assess (1) the 1-year prevalence of previous shoulder, knee and ankle injuries; (2) the in-season prevalence proportion (prevalence) of injuries and illnesses, injury incidence rate (ir) and injury burden (product of ir and weeks with injuries); (3) initial injury management strategies.

METHODS

We conducted a cohort study of 679 highest-division Danish handball players aged 14-18. Players self-reported past-year shoulder, knee and ankle injuries at baseline, and weekly information on any handball-related injuries (irrespective of time loss and medical attention), illnesses, exposure hours and injury management over 31 weeks.

RESULTS

At baseline, 46% (95% CI 42% to 49%) of the players reported a past-year shoulder, knee or ankle injury. The weekly average injury and illness prevalence was 21% (95% CI 19% to 23%) and 2% (95% CI 1.7% to 2.3%), respectively, and the ir was 9.4 (95% CI 8.7 to 10.2)/1000 hours. Females experienced the highest injury burden from knee injuries (ir: 1.7 (95% CI 1.3 to 2.2) × 6.7 (95% CI 4.7 to 8.7) weeks with injury/1000 hours), while males experienced the highest injury burden from shoulder injuries (ir: 1.3 (95% CI 1.0 to 1.7) × 5.7 (95% CI 3.6 to 7.8) weeks with injury/1000 hours). Health professionals were consulted in 58% (95% CI 54% to 62%) of injuries, players independently made the return to sport decision in 44% (95% CI 37% to 51%) of injury recurrences, and used analgesics, mainly (91% (95% CI 85% to 95%)) sourced from home, in 24% (95% CI 21% to 28%) of injuries.

CONCLUSION

Almost half of highest-division adolescent Danish handball players reported a previous past-year shoulder, knee or ankle injury. Any time during the season, 21% reported an injury and 2% an illness. The highest injury burdens were from knee injuries in females and shoulder injuries in males. Health professionals often managed injuries, but players frequently made return to sport decisions independently and commonly used analgesics sourced from home.

摘要

目的

评估（1）既往肩部、膝部和踝部损伤的1年患病率；（2）赛季中损伤和疾病的患病率、损伤发生率（ir）以及损伤负担（ir与受伤周数的乘积）；（3）初始损伤管理策略。

方法

我们对679名年龄在14 - 18岁的丹麦最高级别手球运动员进行了一项队列研究。运动员在基线时自我报告过去一年的肩部、膝部和踝部损伤情况，并在31周内每周报告任何与手球相关的损伤（无论是否导致时间损失和就医）、疾病、暴露时长以及损伤管理情况。

结果

在基线时，46%（95%置信区间42%至49%）的运动员报告过去一年有肩部、膝部或踝部损伤。每周损伤和疾病的平均患病率分别为21%（95%置信区间19%至23%）和2%（95%置信区间1.7%至2.3%），损伤发生率为9.4（95%置信区间8.7至10.2）/1000小时。女性因膝部损伤承受的损伤负担最高（发生率：1.7（95%置信区间1.3至2.2）×6.7（95%置信区间4.7至I 8.7）受伤周数/1000小时），而男性因肩部损伤承受的损伤负担最高（发生率：1.3（95%置信区间1.0至1.7）×5.7（95%置信区间3.6至7.8）受伤周数/1000小时）。58%（95%置信区间54%至62%）的损伤会咨询健康专业人员，44%（95%置信区间37%至51%）的损伤复发时运动员会自行做出恢复运动的决定，24%（95%置信区间21%至28%）的损伤使用了镇痛药，其中大部分（91%（95%置信区间85%至95%））来自家中。