Wedderkopp N, Kaltoft M, Lundgaard B, Rosendahl M, Froberg K
Institute of Physical Education, Odense University, Denmark.
Scand J Med Sci Sports. 1999 Feb;9(1):41-7. doi: 10.1111/j.1600-0838.1999.tb00205.x.
Young female players in European handball have a very high injury incidence, up to 50 injuries per 1000 hours of game. More than half of these injuries happen without any external cause. The aim of the study was to investigate the effect of an intervention programme designed to reduce the number of injuries in young female players in European handball, with special emphasis on injuries in the lower extremities. The programme was created using elite athlete training programmes and those designed for rehabilitation of injured athletes with functional instability of their ankles and rupture of the anterior cruciate ligament. It included the use of an ankle disk for 10-15 min at all practice sessions, for one 10-month season (August 1995-May 1996). Twenty-two teams participated in the study, and were randomly assigned to the intervention or control group. Eleven teams with 111 players were randomised to the intervention group and 11 teams with 126 players to the control group. Data were analysed using a t-test for continuous variables, chi2-analysis and Fisher's exact test for dichotomous variables and multivariate methods to determine odds-ratios. The results indicated that using the intervention programme decreased the numbers of both traumatic and overuse injuries significantly. The differences in injuries between the groups were 80% during games and 71% during practice. In addition, the players in the control group had a 5.9 times higher risk of acquiring an injury than the players in the intervention group.
欧洲女子手球运动员的受伤发生率很高，每1000小时比赛中高达50次受伤。其中超过一半的受伤没有任何外部原因。本研究的目的是调查一项干预计划的效果，该计划旨在减少欧洲女子手球年轻运动员的受伤数量，特别关注下肢受伤情况。该计划是根据精英运动员训练计划以及为脚踝功能不稳定和前交叉韧带断裂的受伤运动员康复设计的计划制定的。在1995年8月至1996年5月这10个月的赛季中，每次训练课都使用脚踝盘进行10 - 15分钟的训练。22支球队参与了这项研究，并被随机分配到干预组或对照组。11支球队共111名球员被随机分配到干预组，11支球队共126名球员被分配到对照组。使用t检验分析连续变量数据，使用卡方分析和Fisher精确检验分析二分变量数据，并使用多变量方法确定比值比。结果表明，使用干预计划显著减少了创伤性损伤和过度使用性损伤的数量。两组之间在比赛期间的受伤差异为80%，在训练期间为71%。此外，对照组球员受伤的风险比干预组球员高5.9倍。
