Augustovicova Dusana Cierna, Arriaza Rafael, Lystad Reidar P
Sports Sciences, Univerzita Komenskeho v Bratislave Fakulta telesnej vychovy a sportu, Bratislava, Slovakia
University of Sport Studies, Brno, Czech Republic.
Inj Prev. 2025 Mar 20;31(2):128-135. doi: 10.1136/ip-2024-045524.
To examine concussion experiences and knowledge among top-level youth karate athletes.
This cross-sectional study collected data during the 12th World Karate Championships for cadets, juniors and under-21 athletes (held in Konya, Turkey, 2022). All 1414 registered athletes from 95 countries were invited to complete a 16-item paper-based questionnaire assessing demographic data, concussion history and concussion knowledge prior to the competing at the tournament. χ and Fisher's exact tests were used to analyse differences by sex, age group and continental karate federation.
A total of 654 athletes (46.3% response rate), including 286 (43.7%) females and 368 (56.3%) males, participated in the study, with 29.9% reporting one or more concussions during participation in karate training or competition. Older age groups (under 21 years) reported significantly higher concussion rates than younger athletes (56.9% vs 31.1% juniors and 24.7% cadets; p<0.001). Concussion knowledge revealed considerable gaps, with only 24.5% of athletes correctly identifying a concussion and 68.9% believing loss of consciousness was required for a concussion diagnosis. Misconceptions varied significantly across geographical regions, with Asian and African athletes demonstrating the greatest need for targeted education. Female athletes demonstrated better concussion reporting attitudes than males (60.4% vs 48.9%, p=0.004).
This study highlights the prevalence of concussions and significant knowledge gaps among top-level youth karate athletes, emphasising the need for tailored educational interventions to improve concussion recognition and management within the karate community.
研究顶级青少年空手道运动员的脑震荡经历和知识水平。
这项横断面研究在第12届世界空手道锦标赛（2022年于土耳其科尼亚举行，面向少年、青年和21岁以下运动员）期间收集数据。来自95个国家的1414名注册运动员被邀请在比赛前完成一份16项的纸质问卷，评估人口统计学数据、脑震荡病史和脑震荡知识。采用χ检验和费舍尔精确检验分析性别、年龄组和洲际空手道联合会之间的差异。
共有654名运动员（回复率46.3%）参与了研究，其中女性286名（43.7%），男性368名（56.3%）。29.9%的运动员报告在空手道训练或比赛中曾发生过一次或多次脑震荡。年龄较大的组（21岁以下）报告的脑震荡发生率显著高于年轻运动员（56.9%对少年组的31.1%和儿童组的24.7%；p<0.001）。脑震荡知识存在明显差距，只有24.5%的运动员能正确识别脑震荡，68.9%的人认为脑震荡诊断需要意识丧失。不同地理区域的误解差异显著，亚洲和非洲运动员对针对性教育的需求最大。女运动员报告脑震荡的态度比男运动员更好（60.4%对48.9%，p=0.004）。
本研究强调了顶级青少年空手道运动员中脑震荡的普遍性和显著的知识差距，强调需要进行有针对性的教育干预，以提高空手道社区对脑震荡的认识和管理水平。
