Voaklander D C, Saunders L D, Quinney H A, Macnab R B
Department of Physical Education and Sport Studies, University of Alberta, Edmonton, Canada.
Clin J Sport Med. 1996 Jan;6(1):15-21. doi: 10.1097/00042752-199601000-00005.
To examine the nature and incidence of injuries suffered by a sample of recreational and old-timer ice hockey players.
Random sample of teams followed prospectively.
Various hockey rinks in the Greater Edmonton Region.
Four hundred and thirty-one subjects--287 adult male recreational (AMRL) and 144 male old-timer (OTL) from five leagues were followed over the 1992-93 hockey season.
Injuries sustained during the duration of a hockey season.
A total of 151 injuries (100 AMRL and 51 OTL) were reported. The aggregate injury rate was 12.2/1000 player-exposures (12.3 AMRL and 12.0 OTL). The anatomic region most often injured by AMRL players was the head/neck/facial area (32%) while OTL players reported a greater proportion of lower extremity injuries (40%). Both groups reported sprains/strains as the most common diagnosis (35% AMRL and 47% OTL). The predominant injury mechanism for AMRL players was stick contact (24%) and for OTL players was puck contact (23%). No significant differences were detected between the anatomic, diagnostic, and mechanistic distributions of injury between AMRL and OTL players. Seventy-five percent of injuries occurred during league games, 10% during playoff games, 5% during tournament games, and 10% during practices. Penalties were assessed in 31% of injury instances. Forty-two percent of head/neck/facial injuries, 32% of upper extremity injuries, 13% of torso injuries, and 15% of lower extremity occurred as a result of penalizable behavior (p = 0.01). Three percent of players wearing full or half face protectors suffered facial injuries while 9% of players not wearing facial protection reported facial injuries (p = 0.03; Relative Risk = 2.56).
The injury rates observed were lower than reported rates for major/elite hockey. The proportion of players injured through body contact was lower than that observed in adult major/elite hockey while the diagnostic and anatomic distribution of injury was similar. Studies such as this are useful in the development of injury prevention strategies.
研究业余和老年冰球运动员样本所受损伤的性质和发生率。
对各球队进行前瞻性随机抽样。
大埃德蒙顿地区的多个曲棍球场。
在1992 - 93冰球赛季对来自五个联盟的431名受试者进行跟踪研究，其中包括287名成年男性业余球员（AMRL）和144名老年男性球员（OTL）。
冰球赛季期间遭受的损伤。
共报告了151例损伤（100例AMRL和51例OTL）。总损伤率为12.2/1000球员暴露次数（AMRL为12.3，OTL为12.0）。AMRL球员最常受伤的解剖部位是头/颈/面部区域（32%），而OTL球员下肢损伤的比例更高（40%）。两组均报告扭伤/拉伤是最常见的诊断（AMRL为35%，OTL为47%）。AMRL球员主要的损伤机制是球杆接触（24%），OTL球员是冰球接触（23%）。在AMRL和OTL球员之间，损伤的解剖、诊断和机制分布未发现显著差异。75%的损伤发生在联赛比赛期间，10%发生在季后赛期间，5%发生在锦标赛期间，10%发生在训练期间。31%的损伤事件受到了处罚。42%的头/颈/面部损伤、32%的上肢损伤、13%的躯干损伤和15%的下肢损伤是由于应受处罚的行为导致的（p = 0.01）。佩戴全脸或半脸护具的球员中有3%面部受伤，而未佩戴面部护具的球员中有9%面部受伤（p = 0.03；相对风险 = 2.56）。
观察到的损伤率低于职业/精英冰球的报告率。通过身体接触受伤的球员比例低于成年职业/精英冰球，而损伤的诊断和解剖分布相似。此类研究对制定损伤预防策略很有帮助。
