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团体体操项目全赛季损伤流行病学:一项涉及474名体操运动员的前瞻性队列研究

Full-Season Injury Epidemiology in TeamGym-A Prospective Cohort Study Involving 474 Gymnasts.

作者信息

Anker-Petersen Charlotte, Clausen Mikkel Bek, Juul-Kristensen Birgit, Hölmich Per, Juhl Carsten Bogh, Thorborg Kristian

机构信息

Department of Orthopedic Surgery, Sports Orthopedic Research Center-Copenhagen, Amager-Hvidovre Hospital, Copenhagen University Hospital, Hvidovre, Denmark.

Department of Midwifery, Physiotherapy, Occupational Therapy and Psychomotor Therapy, Faculty of Health, University College Copenhagen, Copenhagen, Denmark.

出版信息

Scand J Med Sci Sports. 2025 Sep;35(9):e70135. doi: 10.1111/sms.70135.

DOI:10.1111/sms.70135
PMID:40947828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12434387/
Abstract

Team gymnastics (TeamGym), a sport primarily practiced by girls/women, has rapidly gained popularity among adolescents. Despite a high pain prevalence among gymnasts, comprehensive epidemiological studies on injuries are lacking. This study aimed to investigate injury incidence rates, both overall and by body region including information on time-loss and non-time-loss injuries, type and severity, in competitive TeamGym gymnasts aged 10-30 years. During a 10-month season (August 2021-June 2022), a cohort of 474 gymnasts (73% women) was prospectively followed through weekly text-message queries on injuries, time-loss (partial or full absence from training/competition due to an injury), and gymnastic training and competition exposure. Injuries were verified and categorized through standardized telephone interviews. An injury with reported time-loss of ≥ 4 calendar weeks was classified as severe. Incidence rates were calculated using Generalized Poisson regression. Totally 1382 injuries were recorded, and the overall incidence rate was 14.7 injuries per 1000 h of exposure (95% CI: 13.3-16.3) with an incidence rate of 14.0 for women and 17.2 for men. The foot (24.5%), knee (22.0%), lower leg (10.4%), and lower back (10.4%) were the most frequently injured regions overall in both sexes, and > 60% of the injuries were due to overuse. Incidence rate for severe injuries was 0.5 (95% CI: 0.4-0.7), which predominantly included injuries to the foot/heel (32%), lower back (21%), and knee (19%). The injury incidence rate in TeamGym is high, with three-quarters of injuries being non-time-loss, and nearly two-thirds caused by overuse. Over half of all injuries affected the feet, knees, and lower back across both sexes.

摘要

团体体操(TeamGym)主要是一项女子运动,在青少年中迅速普及。尽管体操运动员中疼痛发生率很高,但缺乏关于损伤的全面流行病学研究。本研究旨在调查10至30岁的竞技团体体操运动员的损伤发生率,包括整体和按身体部位的发生率,以及关于误工和非误工损伤、类型和严重程度的信息。在一个为期10个月的赛季(2021年8月至2022年6月)中,对474名体操运动员(73%为女性)进行了前瞻性跟踪,通过每周短信询问损伤情况、误工情况(因伤部分或完全缺席训练/比赛)以及体操训练和比赛暴露情况。通过标准化电话访谈核实并分类损伤情况。报告误工时间≥4个日历周的损伤被分类为严重损伤。使用广义泊松回归计算发生率。共记录了1382例损伤,总体发生率为每1000小时暴露14.7例损伤(95%置信区间:13.3 - 16.3),女性发生率为14.0,男性为17.2。足部(24.5%)、膝盖(22.0%)、小腿(10.4%)和下背部(10.4%)是男女总体上最常受伤的部位,超过60%的损伤是由于过度使用造成的。严重损伤的发生率为0.5(95%置信区间:0.4 - 0.7),主要包括足部/足跟损伤(32%)、下背部损伤(21%)和膝盖损伤(19%)。团体体操中的损伤发生率很高,四分之三的损伤为非误工损伤,近三分之二是由过度使用造成的。所有损伤中有超过一半影响了男女的足部、膝盖和下背部。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed3d/12434387/e3bd039400a4/SMS-35-e70135-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed3d/12434387/e977ec9cce76/SMS-35-e70135-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed3d/12434387/e3bd039400a4/SMS-35-e70135-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed3d/12434387/e977ec9cce76/SMS-35-e70135-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed3d/12434387/e3bd039400a4/SMS-35-e70135-g002.jpg

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本文引用的文献

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Phys Ther Sport. 2025 May;73:144-151. doi: 10.1016/j.ptsp.2025.04.001. Epub 2025 Apr 11.
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Efficacy of a Rhythmic Gymnastics-Specific Injury Prevention Program: An Assessor-Blinded Cluster-Randomized Controlled Trial.一项艺术体操专项损伤预防计划的疗效:一项评估者盲法整群随机对照试验。
Scand J Med Sci Sports. 2025 Feb;35(2):e70022. doi: 10.1111/sms.70022.
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Artistic gymnastics-specific extension of the IOC 2020 consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport.
国际奥委会2020年共识声明针对竞技体操的扩展:体育损伤和疾病流行病学数据的记录与报告方法
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