DiFiori J P, Puffer J C, Mandelbaum B R, Mar S
Division of Family Medicine, University of California, Los Angeles 90024, USA.
Am J Sports Med. 1996 Jan-Feb;24(1):9-14. doi: 10.1177/036354659602400103.
We conducted a cross-sectional survey of 52 nonelite gymnasts (32 girls, 20 boys; average age, 11.8 years) to assess their history of training and wrist pain within the last 6 months. An intensity index was created using the number of training hours per week and the athletes' skill levels. Wrist pain was prevalent in 38 (73%) of the gymnasts. Gymnasts with wrist pain were older (12.6 years versus 9.7 years; P = 0.0002), trained more hours per week (13.5 versus 7.7; P = 0.0002), trained at a higher skill level (P = 0.01), and began training at an older age (7.0 years versus 5.1 years; P = 0.006). Analysis of intensity versus age suggested that a threshold of training intensity may be important in the development of wrist pain. Logistical regression found these factors to be independently associated with wrist pain: intensity (P = 0.036), age > 10 years (P = 0.018), age < 14 years (P = 0.016), and the age of initiation of training (P = 0.020). This study demonstrates that wrist pain is a common problem among nonelite young gymnasts. Training intensity, relative to the age of the participant and the age when training was initiated, appears to be an important determinant of the development of wrist pain in this population.
我们对52名非精英体操运动员（32名女孩，20名男孩；平均年龄11.8岁）进行了一项横断面调查，以评估他们过去6个月内的训练史和手腕疼痛情况。利用每周训练小时数和运动员的技能水平创建了一个强度指数。38名（73%）体操运动员存在手腕疼痛。手腕疼痛的体操运动员年龄更大（12.6岁对9.7岁；P = 0.0002），每周训练时间更多（13.5小时对7.7小时；P = 0.0002），训练技能水平更高（P = 0.01），开始训练的年龄更大（7.0岁对5.1岁；P = 0.006）。对强度与年龄的分析表明，训练强度阈值可能在手腕疼痛的发生中起重要作用。逻辑回归发现这些因素与手腕疼痛独立相关：强度（P = 0.036）、年龄>10岁（P = 0.018）、年龄<14岁（P = 0.016）以及开始训练的年龄（P = 0.020）。这项研究表明，手腕疼痛在非精英年轻体操运动员中是一个常见问题。相对于参与者的年龄和开始训练的年龄，训练强度似乎是该人群手腕疼痛发生的一个重要决定因素。
