Horne Sara, Shaheen Aliah F, Baltzopoulos Bill, Hills Laura
Department of Life Sciences, Division of Sport, Health and Exercise Sciences, Brunel University of London, London, UK.
School of Sport and Exercise Sciences, Faculty of Science, Liverpool John Moores University, Liverpool, UK.
BMJ Open Sport Exerc Med. 2025 Jan 4;11(1):e002324. doi: 10.1136/bmjsem-2024-002324. eCollection 2025.
To describe the incidence and characteristics of match and training injuries in the UK Vitality Netball Superleague (VNSL).
Ninety players were observed over one 14-month VNSL season (2021), including pre-, in- and post-season periods. Team physiotherapists recorded injuries using an online surveillance system, classifying them by location, type, mode, mechanism and impact, including severity (time-loss days, TL) and medical attention days (MA). Injury incidence (I) and TL/MA injury burden were calculated per 1000 player hours. χ analysis compared match and training differences.
Thirty-nine players sustained 70 injuries (n=35 match, 35 training). Match incidence exceeded training (I=41.12 vs 1.10 injuries). Acute injuries were higher in matches (27 vs 17), while overuse injuries were higher in training (18 vs 3; p=0.001). Contact injuries were higher in matches (21 vs 7), and non-contact injuries were higher in training (10 vs 6; p=0.028). Acute ankle ligament injuries in matches caused substantial TL burden (411.7 days lost), while overuse lower leg injuries in training led to high MA burden (13.8). Anterior cruciate ligament (ACL) injuries were infrequent but burdensome (TL 496). The centre position sustained the most injuries (41%).
This study underpinned implementing the first injury surveillance system in the elite UK netball competition, revealing match injury rates ~40 times higher than in training, with distinct injury characteristics. Findings suggest that prevention should target acute lower limb injuries and overuse conditions. Further research should assess the impact of playing with overuse injuries.
描述英国活力无挡板篮球超级联赛（VNSL）中比赛和训练损伤的发生率及特征。
在一个为期14个月的VNSL赛季（2021年）中观察了90名球员，包括赛季前、赛季中和赛季后阶段。球队物理治疗师使用在线监测系统记录损伤情况，按照损伤部位、类型、方式、机制和影响进行分类，包括严重程度（失能天数，TL）和医疗护理天数（MA）。每1000球员小时计算损伤发生率（I）和TL/MA损伤负担。χ分析比较比赛和训练损伤的差异。
39名球员发生了70起损伤（n = 35起比赛损伤，35起训练损伤）。比赛损伤发生率超过训练损伤（I = 41.12起/1000球员小时 对比 1.10起/1000球员小时）。急性损伤在比赛中更多（27起 对比 17起），而过度使用损伤在训练中更多（18起 对比 3起；p = 0.001）。接触性损伤在比赛中更多（21起 对比 7起），非接触性损伤在训练中更多（10起 对比 6起；p = 0.028）。比赛中的急性踝关节韧带损伤导致了大量的TL负担（损失411.7天），而训练中的过度使用性小腿损伤导致了较高的MA负担（13.8天）。前交叉韧带（ACL）损伤虽不常见但负担较重（TL为496天）。中锋位置受伤最多（41%）。
本研究为在英国精英无挡板篮球比赛中实施首个损伤监测系统提供了依据，揭示了比赛损伤率比训练损伤率高约40倍，且损伤特征不同。研究结果表明，预防应针对急性下肢损伤和过度使用性损伤。进一步的研究应评估带伤参赛的影响。
