Bahr R, Bahr I A
Norwegian University of Sport and Physical Education, Oslo, Norway.
Scand J Med Sci Sports. 1997 Jun;7(3):166-71. doi: 10.1111/j.1600-0838.1997.tb00134.x.
The purpose of the study was to examine the incidence and mechanisms of acute volleyball injuries, with particular reference to possible risk factors for ankle injuries. Coaches and players in the top two divisions of the Norwegian Volleyball Federation were asked to keep records of exposure time and all acute volleyball injuries causing a player to miss at least one playing day during one season. We found 89 injuries among 272 players during 51588 player hours, 45837 h of training and 5751 h of match play. The total injury incidence was 1.7 +/- 0.2 per 1000 h of play, 1.5 +/- 0.2 during training and 3.5 +/- 0.8 during match play. The ankle (54%) was the most commonly injured region, followed by the lower back (11%), knee (8%), shoulder (8%) and fingers (7%). Of the ankle injuries, 79% were recurrences, and the relative risk of injury was 3.8 (P < 0.0001) for previously injured ankles (38 of 232) vs. non-injured ankles (10 of the 234). Moreover, a reinjury was observed in 21 of the 50 ankles that had suffered an ankle sprain within the last 6 months (42.0 +/- 7.0%; risk ratio: 9.8 vs. uninjured ankles; P < 0.000001). The data indicate that external supports should be worn for 6-12 months after an ankle sprain and that specific injury prevention programs may be developed for ankle sprains in volleyball.
本研究的目的是调查急性排球损伤的发生率及机制，尤其关注踝关节损伤的可能危险因素。挪威排球联合会顶级两个联赛的教练和球员被要求记录暴露时间以及所有导致球员在一个赛季中至少错过一个比赛日的急性排球损伤。在51588球员小时、45837小时训练时间和5751小时比赛时间内，我们在272名球员中发现了89起损伤。总损伤发生率为每1000小时比赛1.7±0.2起，训练期间为1.5±0.2起，比赛期间为3.5±0.8起。踝关节（54%）是最常受伤的部位，其次是下背部（11%）、膝盖（8%）、肩部（8%）和手指（7%）。在踝关节损伤中，79%为复发损伤，既往受伤的踝关节（232例中的38例）与未受伤的踝关节（234例中的10例）相比，损伤的相对风险为3.8（P<0.0001）。此外，在过去6个月内发生过踝关节扭伤的50例踝关节中，有21例出现再次损伤（42.0±7.0%；风险比：与未受伤踝关节相比为9.8；P<0.000001）。数据表明，踝关节扭伤后应佩戴外部支撑物6至12个月，并且可以针对排球运动中的踝关节扭伤制定特定的损伤预防方案。
