Luiggi Maxime, Richard Rémi, Duquesne Valentine, Joncheray Hélène
Apprentissage, Didactique, Evaluation, Formation Laboratory, Aix-Marseille University, Marseille, France.
Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Institute of Public Health Sciences, Aix-Marseille University, Marseille, France.
Orthop J Sports Med. 2025 Jun 6;13(6):23259671251320986. doi: 10.1177/23259671251320986. eCollection 2025 Jun.
No previous study has analyzed the associations between Paralympic athletes' sociocultural factors and injury risk.
PURPOSE/HYPOTHESIS: The purpose of this study was to examine the associations of time to access the main training facility (TAF) and time to prepare before and after training (TPT) with the injury risk while controlling for sport, impairment type, and performance level. It was hypothesized that a longer TAF and TPT would be associated with an increased injury risk.
Cross-sectional study; Level of evidence, 3.
A retrospective questionnaire was sent to 186 French athletes in 11 Paralympic sports who were identified by their sports federations as qualified to compete at the 2021 Tokyo Paralympic Games. The level of performance was determined according to past performance in international championships and the Paralympic Games. Impairment type was self-reported by athletes and then reclassified by a certified physician (limb deficiency, visual impairment, spinal cord-related disorder, central neurological disorder, short stature, peripheral neurological and muscular disorder). TAF and TPT were assessed by 2 self-reported questions. Injuries in the past 12 months were assessed using the latest consensus statement for the recording and reporting of self-reported epidemiological data on injuries in sports. Logistic regression analyses were performed to evaluate the relationship of TAF and TPT with the injury risk while controlling for sport, impairment type, and performance level.
A total of 126 athletes (response rate: 67.7%) agreed to participate. The prevalence of injuries was 35.7% (95% CI, 33.3%-38.2%); it was lower among athletes with a high level of performance compared with those with a low level of performance. Athletes who reported a TAF ≥40 minutes were 5.5 times (95% CI, 1.2-30.5) more likely to have sustained an injury than those who reported <10 minutes. Athletes who reported a TPT ≥1 hour and 30 minutes were 6.3 times (95% CI, 1.1-44.4) more likely to have had an injury than those who reported 15 minutes.
Our study demonstrated that Paralympic athletes who reported a longer TAF and TPT had a higher risk of injuries. Future studies are needed to understand the exact mechanism that would explain these results and to assist in the prevention of injuries in this population of athletes.
此前尚无研究分析过残奥会运动员的社会文化因素与受伤风险之间的关联。
目的/假设：本研究的目的是在控制运动项目、损伤类型和运动水平的同时，考察进入主要训练设施的时间（TAF）以及训练前后的准备时间（TPT）与受伤风险之间的关联。研究假设是TAF和TPT越长，受伤风险越高。
横断面研究；证据等级，3级。
向11个残奥会项目的186名法国运动员发放了一份回顾性调查问卷，这些运动员被其体育联合会认定有资格参加2021年东京残奥会。运动水平根据运动员在国际锦标赛和残奥会上的过往表现确定。损伤类型由运动员自行报告，然后由一名认证医生重新分类（肢体残缺、视力障碍、脊髓相关疾病、中枢神经系统疾病、身材矮小、周围神经和肌肉疾病）。TAF和TPT通过两个自我报告问题进行评估。过去12个月内的损伤情况使用关于运动中自我报告的损伤流行病学数据记录和报告的最新共识声明进行评估。进行逻辑回归分析，以评估在控制运动项目、损伤类型和运动水平的情况下，TAF和TPT与受伤风险之间的关系。
共有126名运动员（回复率：67.7%）同意参与。受伤患病率为35.7%（95%CI，33.3%-38.2%）；高水平运动员的受伤患病率低于低水平运动员。报告TAF≥40分钟的运动员受伤的可能性是报告<10分钟的运动员的5.5倍（95%CI，1.2-30.5）。报告TPT≥1小时30分钟的运动员受伤的可能性是报告15分钟的运动员的6.3倍（95%CI，1.1-44.4）。
我们的研究表明，报告TAF和TPT较长的残奥会运动员受伤风险较高。未来需要开展研究以了解能够解释这些结果的确切机制，并协助预防这类运动员群体中的损伤。
