Whitehead Sarah, Mackay Lois, Jones Ben, Heyward Omar, Fox Aaron S, Chesson Lucy Jane, Scantlebury Sean, Janse van Rensburg Dina Christina Christa
Carnegie School of Sport, Leeds Beckett University, Leeds, UK
Leeds Rhinos Netball, Leeds, UK.
Br J Sports Med. 2025 Feb 20;59(5):294-305. doi: 10.1136/bjsports-2024-108756.
This study aimed to establish consensus on injury risk factors in netball via a combined systematic review and Delphi method approach. A systematic search of databases (PubMed, Scopus, MEDLINE, SPORTDiscus and CINAHL) was conducted from inception until June 2023. Twenty-four risk factors were extracted from 17 studies and combined with a three-round Delphi approach to achieve consensus. In round one, experts listed perceived risk factors for injury in netball which were combined with the risk factors identified via the systematic review. In round two and round three, experts rated their level of agreement with each risk factor on a 5-point Likert scale (1, strongly disagree to 5, strongly agree). Consensus was defined as ≥80% agreement (with<10% in disagreement). In round three, experts also rated the priority for mitigating the risk factor (1, very low to 5, very high). Nineteen experts participated in round one and round two, and 16 participated in round three (response rate 84%). One-hundred and nine risk factors for injury were identified by the systematic review and experts combined. Sixty-one risk factors reached consensus, categorised into five groups: 'individual characteristics' (n=22), 'lifestyle' (n=11), 'training and competition' (n=14), 'sport science and medical provision' (n=6) and 'facilities and equipment' (n=8). 'Poor landing technique/mechanics' had a median (IQR) mitigation priority rating of 5 (1), while all others had median ratings of 3-4.5. This study identifies a range of risk factors for injury, provides focus areas for injury prevention and highlights the importance of a multidisciplinary approach to injury mitigation in netball.
本研究旨在通过系统评价与德尔菲法相结合的方法，就无挡板篮球运动中的损伤风险因素达成共识。对数据库（PubMed、Scopus、MEDLINE、SPORTDiscus和CINAHL）进行了从建库至2023年6月的系统检索。从17项研究中提取了24个风险因素，并结合三轮德尔菲法以达成共识。在第一轮中，专家们列出了他们认为的无挡板篮球运动中的损伤风险因素，并与通过系统评价确定的风险因素相结合。在第二轮和第三轮中，专家们以5点李克特量表（1表示强烈不同意，5表示强烈同意）对每个风险因素的认同程度进行评分。共识定义为≥80%的同意率（不同意率<10%）。在第三轮中，专家们还对降低风险因素的优先级进行了评分（1表示非常低，5表示非常高）。19名专家参与了第一轮和第二轮，16名专家参与了第三轮（回复率84%）。通过系统评价和专家们共同确定了109个损伤风险因素。61个风险因素达成了共识，分为五组：“个人特征”（n = 22）、“生活方式”（n = 11）、“训练与比赛”（n = 14）、“运动科学与医疗保障”（n = 6）和“设施与设备”（n = 8）。“落地技术/动作不佳”的降低风险优先级中位数（IQR）为5（1），而其他所有因素的中位数评分为3 - 4.5。本研究确定了一系列损伤风险因素，为损伤预防提供了重点领域，并强调了多学科方法在无挡板篮球运动损伤缓解中的重要性。
