Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) Overuse Injury Questionnaire
Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) Overuse Injury Questionnaire
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DOI：
10.1136/bjsports-2012-091524
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发表时间：
2013-05-01
影响因子：
18.4
通讯作者：
Bahr, Roald
中科院分区：
文献类型：
--
作者：
Clarsen, Benjamin;Myklebust, Grethe;Bahr, Roald
背景目前运动损伤流行病学研究中的损伤登记方法可能大大低估了过度使用损伤的真实负担，这是由于依赖于时间损失损伤的定义。目的开发并验证一种新的运动过度使用损伤登记方法。在一项为期13周的前瞻性研究中，对来自五项不同运动（越野滑雪、地板球、手球、公路自行车和排球）的313名运动员的损伤进行了研究和验证。所有运动员每周通过电子邮件完成一份问卷，记录膝盖、下背部和肩部的问题。标准的伤害登记方法也被用来记录所有的时间损失的伤害，发生在研究period.Results的新方法记录419过度使用的问题，在膝盖，下背部和肩膀在3个月的研究期间。其中142例被归类为严重过度使用问题，定义为导致运动表现或参与度中度或严重降低或时间损失的问题。每周，平均有39%的运动员报告有过度使用问题，13%的运动员报告有严重问题。相比之下，标准的方法登记的伤害只有40过度使用损伤位于相同的解剖区域，其中大多数是最小的或轻度severity.Conclusion标准的伤害监测方法只捕获一小部分的过度使用问题影响的运动员，主要是因为很少的问题导致训练或比赛的时间损失。新方法捕捉到了这一队列中过度使用损伤负担的更完整和细微差别。
Background Current methods for injury registration in sports injury epidemiology studies may substantially underestimate the true burden of overuse injuries due to a reliance on time-loss injury definitions.Objective To develop and validate a new method for the registration of overuse injuries in sports.Methods A new method, including a new overuse injury questionnaire, was developed and validated in a 13-week prospective study of injuries among 313 athletes from five different sports, cross-country skiing, floorball, handball, road cycling and volleyball. All athletes completed a questionnaire by email each week to register problems in the knee, lower back and shoulder. Standard injury registration methods were also used to record all time-loss injuries that occurred during the study period.Results The new method recorded 419 overuse problems in the knee, lower back and shoulder during the 3-month-study period. Of these, 142 were classified as substantial overuse problems, defined as those leading to moderate or severe reductions in sports performance or participation, or time loss. Each week, an average of 39% of athletes reported having overuse problems and 13% reported having substantial problems. In contrast, standard methods of injury registration registered only 40 overuse injuries located in the same anatomical areas, the majority of which were of minimal or mild severity.Conclusion Standard injury surveillance methods only capture a small percentage of the overuse problems affecting the athletes, largely because few problems led to time loss from training or competition. The new method captured a more complete and nuanced picture of the burden of overuse injuries in this cohort.