Injury and treatment characteristics of sport-specific injuries sustained in interscholastic athletics: a report from the athletic training practice-based research network.

Injury and treatment characteristics of sport-specific injuries sustained in interscholastic athletics: a report from the athletic training practice-based research network.
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DOI:
10.1177/1941738114555842
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发表时间:
2015-01
期刊:
影响因子:
3.3
通讯作者:
Valovich McLeod TC
Valovich McLeod TC
中科院分区:
医学2区
文献类型:
--
作者:
Lam KC;Snyder Valier AR;Valovich McLeod TC

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除流行病学数据外,纳入临床实践因素可能有助于指导医疗保险和护理决策。中学运动员遭受的运动损伤的趋势和治疗特征因运动项目而异。电子病历的回顾性分析。 4 级。参与者包括 3302 名男孩和 2293 名女孩,他们在研究期间被诊断患有与运动相关的伤害或病症。伤害(运动、身体部位、通过 ICD-9 代码诊断)和治疗(类型、数量和护理持续时间)特征按运动进行分组,并使用汇总统计进行报告。大多数受伤和治疗发生在足球、女子足球、篮球、排球和田径运动中。脚踝、膝盖、大腿/臀部/腹股沟的扭伤或拉伤以及脑震荡是运动中最常见的伤害。男孩摔跤的损伤模式与其他运动不同,包括肘部和颈部扭伤或拉伤以及一般皮肤病。最常报告的服务是运动训练评估/再评估治疗,其次是热/冷包、治疗性运动、手法治疗技术、电刺激和下肢关节捆扎。大多数运动每次受伤都需要 4 到 5 次服务。除男子足球和女子垒球外,护理时间为 10 至 14 天。女子足球和男女田径项目的护理时间最长。不同运动项目的损伤和治疗特征通常具有可比性,这表明中学体育教练可以诊断和治疗类似的损伤,无论运动项目如何。在讨论适当的医疗保险和护理时,需要注意微妙的运动趋势,包括与男孩摔跤相关的皮肤状况和女孩足球的较长护理时间。
The inclusion of clinical practice factors, beyond epidemiologic data, may help guide medical coverage and care decisions. Trends in injury and treatment characteristics of sport-specific injuries sustained by secondary school athletes will differ based on sport. Retrospective analysis of electronic patient records. Level 4. Participants consisted of 3302 boys and 2293 girls who were diagnosed with a sport-related injury or condition during the study years. Injury (sport, body part, diagnosis via ICD-9 codes) and treatment (type, amount, and duration of care) characteristics were grouped by sport and reported using summary statistics. Most injuries and treatments occurred in football, girls’ soccer, basketball, volleyball, and track and field. Sprain or strain of the ankle, knee, and thigh/hip/groin and concussion were the most commonly documented injuries across sports. The injury pattern for boys’ wrestling differed from other sports and included sprain or strain of the elbow and neck and general medical skin conditions. The most frequently reported service was athletic training evaluation/reevaluation treatment, followed by hot/cold pack, therapeutic exercise, manual therapy techniques, electrical stimulation, and strapping of lower extremity joints. Most sports required 4 to 5 services per injury. With the exception of boys’ soccer and girls’ softball, duration of care ranged from 10 to 14 days. Girls’ soccer and girls’ and boys’ track and field reported the longest durations of care. Injury and treatment characteristics are generally comparable across sports, suggesting that secondary school athletic trainers may diagnose and treat similar injuries regardless of sport. Subtle sport trends, including skin conditions associated with boys’ wrestling and longer duration of care for girls’ soccer, are important to note when discussing appropriate medical coverage and care.
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