Epidemiological patterns of musculoskeletal injuries and physical training
Epidemiological patterns of musculoskeletal injuries and physical training
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DOI：
10.1097/00005768-199908000-00015
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发表时间：
1999-08-01
期刊：
影响因子：
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通讯作者：
Brodine, SK
中科院分区：
文献类型：
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作者：
Almeida, SA;Williams, KM;Brodine, SK
目的：本研究的目的是确定美国海军陆战队新兵中诊断出的特定肌肉骨骼损伤的发生率，并检查体育训练模式与这些损伤之间的关系。方法：研究对象为1,296名男性海军陆战队新兵，年龄17-28岁，于1993年1月12日至9月14日到圣地亚哥海军陆战队新兵训练营报到。对新兵进行了12周的前瞻性训练，观察其受伤情况。损伤类型与每周的运动量和剧烈的体育训练类型相关。结果：总的伤害率为39.6%(新兵受伤人数/高危人群)，82%的伤情发生在四肢。过度使用损伤占诊断的78%。最常见的损伤部位是脚踝/足部(占受伤的34.3%)，其次是膝盖(28.1%)。踝关节扭伤(6.2%，N=1,143)、髂胫束综合征(5.3%，N=1,143)和应力性骨折(4.0%，N=1,296)是最常见的诊断。在高强度体育训练总量和跑步和比赛时间最多的几周内，伤害率最高。每周损伤发生率与运动时间显著相关(过度运动损伤r=0.667，P=0.018；急性运动损伤r=0.633，P=0.027)。结论：本次对照流行病学调查结果表明，剧烈运动量可能是运动性损伤的病因之一。研究结果还表明，训练类型，特别是跑步，以及训练量的突然增加可能会进一步增加受伤风险。
Purpose: The purpose of this study was to identify rates of diagnosis-specific musculoskeletal injuries in U.S. Marine Corps recruits and to examine the association between patterns of physical training and these injuries. Methods: Subjects were 1,296 randomly selected male Marine recruits, ages 17 to 28 yr, who reported to Marine Corps Recruit Depot San Diego for boot camp training between January 12 and September 14, 1993. Recruits were followed prospectively through 12 wk of training for injury outcomes. Injury patterns were examined in relation to weekly volumes and types of vigorous physical training. Results: The overall injury rate was 39.6% (number of recruits injured/population at risk), with 82% of injuries occurring in the lower extremities. Overuse injuries accounted for 78% of the diagnoses. The most frequent site of injury was the ankle/foot region (34.3% of injuries), followed by the knee (28.1%). Ankle sprains (6.2%, N = 1,143), iliotibial band syndrome (5.3%, N = 1,143), and stress fractures (4.0%, N = 1,296) were the most common diagnoses. Injury rates were highest during the weeks with high total volumes of vigorous physical training and the most hours of running and matching. Weekly injury rates were significantly correlated with hours of vigorous physical training (overuse injuries r = 0.667, P = 0.018; acute injuries r = 0.633, P = 0.027). Conclusions: The results of this controlled epidemiological investigation indicate that volume of vigorous physical training may be an etiologic factor for exercise-related injuries. The findings also suggest that type of training, particularly running, and abrupt increases in training volume may further contribute to injury risk.