Snowblading injuries in Eastern Canada

Snowblading injuries in Eastern Canada
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DOI:
10.1136/bjsm.37.6.511
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发表时间:
2003-12-01
影响因子:
18.4
通讯作者:
Johnston, KM
Johnston, KM
中科院分区:
医学1区
文献类型:
--
作者:
Bridges, EJ;Rouah, F;Johnston, KM

文献摘要

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目标:评估滑雪者的伤害模式,并将其与滑雪者和单板滑雪者的伤害模式进行比较。目的是确定在这些运动中使用头盔对头部和颈部损伤可能产生的影响。方法:这项前瞻性病例系列观察研究是通过收集 1999-2000 赛季魁北克 Mont Tremblant 滑雪胜地滑雪巡逻队的损伤报告来进行的。所有参加滑雪巡逻队的速降冬季运动参与者都被纳入其中,这些参与者都患有与运动相关的外伤。脑震荡的定义是因受伤而导致的任何意识丧失、健忘症、精神错乱、迷失方向、眩晕或头痛。滑雪巡逻员在事故报告中报告了受伤时使用头盔的情况。结果:与双板滑雪者和单板滑雪者相比,滑雪者呈现出独特的受伤模式。腿部、膝盖和踝/足损伤的发生率分别为20.5%、25.6%和10.3%。脑震荡占所有伤害的 11%。与头盔使用相关的其他伤害(包括颈部伤害)没有增加。结论:雪刀独特的伤害模式值得重新考虑设备设计。脑震荡是滑雪场上常见的伤害。尽管根据这项研究,头盔的使用对脑震荡发生率的影响尚无定论,但即使根据年龄进行调整,头盔的使用也不会增加颈部受伤的发生率。
Objectives: To evaluate injury patterns of snowbladers and compare them with those of skiers and snowboarders. To determine possible effects of helmet use in these sports on injury to the head and neck.Methods: This prospective case series observational study was conducted by collecting the injury reports from the ski patrol during the 1999-2000 season at Mont Tremblant ski resort, Quebec. All participants in downhill winter sports who presented themselves to the ski patrol with traumatic injury related to their sport were included. A concussion was defined as any loss of consciousness, amnesia, confusion, disorientation, vertigo, or headache that resulted from injury. The ski patroller reported helmet use on the accident report at the time of injury.Results: Snowbladers present with a unique pattern of injury compared with skiers and snowboarders. The incidence of leg, knee, and ankle/foot injuries were 20.5%, 25.6%, and 10.3% respectively. Concussions represented 11% of all injuries. There was no increase in other injury, including neck injury, related to helmet use.Conclusions: Unique injury patterns in snowbladers warrant reconsideration of equipment design. Concussion is a common injury on the ski slope. Although the effects of helmet use on concussion rate are inconclusive based on this study, helmet use did not increase the rate of neck injury, even when adjusted for age.